Southern Illinois Medical Services Nfp

“Compensation for the organization's president and other officers is paid by southern illinois hospital services, inc. (sihs), a related tax-exempt organization. The board of trustees sets the executive compensation policy and is responsible for approval of the compensation. The governance committee is designated by the board to act as the compensation committee for matters concerning executive compensation. Each member of the committee, while considering executive compensation issues, must be an independent director, free from any conflict of interest. The committee seeks out and contracts the services of an outside, independent executive compensation consultant to advise the committee in matters of market values of comparable executive positions. The committee annually reviews all comparability data and prepares a recommendation as to the compensation package of the president/ceo for the full board. Only the full board has the authority to approve the compensation of the president/ceo. The decisions and deliberations are documented in the governance committee minutes. This process was last undertaken in june 2024. Because the organization's president and other officers are not paid by the filing organization, the form 990 instructions require this to be answered "no."”

“The members of the Governance Committee are the President, the Secretary, and the Treasurer. The Governance committee is authorized to act for the Board of Trustees in all matters as specifically authorized by resolution of the Board or when the Board of Trustees is not in session.”

“The organization's sole member is Southern Illinois Hospital Services, a related tax-exempt organization. The member has the right to elect members to the board of trustees and approve some decisions of the board.”

“The organization's sole member, Southern Illinois Hospital Services, Inc., has the exclusive right to elect Trustees to the organization's Board of Trustees”

“The organization's sole member, Southern Illinois Hospital Services (Corporate Member), has reserved powers found in the Organizations bylaws. Except for transfers identified in the budget of the Organization approved by the Corporate Member, the Organization may not transfer assets to entities other than the Corporate Member or entities that the Corporate Member controls (the "Corporate Member Affiliates"), without the approval of the Corporate Member. The Corporate Member has the right to require the Organization to transfer assets to the extent necessary to accomplish the Corporate Member's goals and objectives. The Corporate Member also has the right to require the organization to provide for the payment of all indebtedness of the Corporate Member or a Corporate Member Affiliate. The Organization cannot be required to violate its charitable purposes, the terms of any restricted gifts, or the covenants of its debt instruments in complying with any asset transfers directed by the Corporate Member. In addition, the following matters must be submitted to and receive the approval of the Corporate Member: 1. Capital expenditures in excess of $500,000; 2. The buying, selling, leasing, mortgaging or disposing of real property belonging to the Corporation or any of its subsidiaries; 3. The establishment or discontinuance of any major services; including services requiring Certificates of Need; 4. Long-Range Strategic Plans; 5. Master Facilities and Site Plans; 6. The creation or dissolution of any corporation, the sole member or majority stockholder of which is the Corporation; 7. Joint venture or affiliation agreements; 8. The incurrence of indebtedness in excess of $500,000; 9. Such other matters as may be required by law or by the Organization's Articles of Incorporation, or by its bylaws to be submitted to the Corporate Member; 10. Delegation of the functions, powers, duties and responsibilities of any officer of the Corporation, and; 11. Any other matter which may be specified from time to time by the Corporate Member. In addition, The Corporate Member retains the right to approve all changes to the organization's bylaws.”

“A draft of the Form 990 and supplemental schedules was distributed to the CEO, CFO and certain Vice-Presidents of the corporation for their review and comments. A draft copy was presented to the Finance Committee by the CFO and the organization's tax advisors for review and comments. After the review and comment period, all suggestions and comments were considered and the Form 990 was updated as appropriate. The finalized Form 990 and supplemental schedules was then presented to the Board of Trustees and a copy of the return was made available to every member of the governing body before it was filed with the IRS.”

“Annually, the General Counsel sends out a Conflict of Interest Questionnaire to each Trustee, Director, Officer, Manager and key employee to complete and return. The General Counsel then reviews these Questionnaires to determine what conflicts, real or perceived, exist. During every board meeting, the General Counsel reminds the Trustees that the Board has a conflict of interest policy, that the General Counsel has reviewed the agenda for any conflicts, but that the Trustees are obligated to give notice if a conflict has been over-looked or if a discussion or action comes before the Board which may involve or create a conflict of interest for someone. If a Trustee has a conflict of interest, the Trustee or the General Counsel discloses the conflict. The Trustee with the conflict is allowed to remain in the meeting to answer any question the Trustee may need to answer and then the conflicted Trustee is excused from the meeting. The remaining Trustees then discuss the matter further and action is taken on the matter. Finally, the conflicted Trustee is then invited back into the meeting. Interested persons may also be asked, in rare situations, to resign their position on the Board.”

“The Board of Trustees sets the executive compensation policy and is responsible for approval of the compensation. The Governance Committee is designated by the Board to act as the Compensation Committee for matters concerning executive compensation. Each member of the Committee, while considering executive compensation issues, must be an independent director, free from any conflict of interest. The Committee seeks out and contracts the services of an outside, independent executive compensation consultant to advise the Committee in matters of market values of comparable executive positions. The Committee annually reviews all comparability data and prepares a recommendation as to the compensation package of all officers for the full Board. Only the Committee will have the authority to approve the compensation of the senior management team and will report its actions to the Board. The decisions and deliberations are documented in the governance committee minutes. This process was last undertaken in June 2024.”

“The organization makes its conflict of interest policy available to the public on its website and upon request. Governing documents and financial statements are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time.”

“(continued from part iii) these physicians and practices provide quality health services to people throughout southern illinois regardless of race, creed, sex, national origin, handicap, age or ability to pay. Sims conducts its behaviors by showing the organization's values of respect, integrity, compassion, collaboration, stewardship, accountability and quality. The primary service area of sims is a very rural eleven-county region with a combined population of approximately 262,000. These counties are characterized by: - median household incomes in the area that are substantially less than the statewide average. - all eleven counties have more residents living in poverty than the state average. Sims provides services through the following: physician clinics - sims operates five physician clinics - the center for medical arts (cma), logan primary care (lpc), primary care group (pcg), urgent care center (ucc) and harrisburg medical center clinic (hmc clinic). The center for medical arts has a long-standing tradition of caring for southern illinois residents, with a history dating back to the 1930's. Originally operated as the carbondale clinic, the center for medical arts was purchased in 2006. Today it is a growing health facility that includes a prompt care clinic, ambulatory surgery center and a retail pharmacy. Basic lab and radiology services are also provided on-site. Practitioners include family medicine, internal medicine, pediatrics, and specialists such as gastroenterology, general surgery and urology. Logan primary care and primary care group provide general family practice medicine and acute non-emergency care. Originally established in 1993, lpc was acquired by southern illinois medical services in november 2011. Primary care group was established in 1992 and was acquired by southern illinois medical services in february 2014. The urgent care center was established in october 2018 in marion, il. The care provided includes an alternative to patients seeking immediate care for non-life-threatening issues and also houses the work ready program aimed at the prevention and reduction of work- related injuries. Harrisburg medical center clinic provides behavioral health care to patients at our hospital facilities. Hmc clinic has provided these services since the acquisition by sih in august 2021. Community physicians - these physicians are located at various locations within our central service area. These practitioners provide a variety of specialties, including general surgery, breast surgery, pulmonology and neurology. These practices provide the only access to several of these specialties within our service area. Hospital physicians -these groups of physicians are located and work within the hospitals operated by our sole member, southern illinois hospital services. These physicians staff the emergency rooms and provide hospitalist care to patients at these hospitals. These physicians are vital to providing health care to the population of our service area as many of the residents do not have a primary care physician. Services provided: during the year ended march 31, 2025, sims' physicians recorded 621,536 encounters in treating the population area. The physician clinics accounted for 262,773 of these encounters, community physicians accounted for 204,456 encounters and hospital physicians provided the remaining 154,307 encounters. Approximately 67.7% of these encounters provided care that was classified as either uncompensated financial assistance or uncompensated government-sponsored health care. An additional 4.3% of the total care provided in these encounters was written off as bad debt. Community benefits: the goal of the organization's sole member's, southern illinois hospital services, is to respond to identified community health needs, increase access to care, lead and serve as an example to others in service to the community, and improve the overall health status of those in the communities served. These pro”

“(continued from part iii) through daily operations, the community physician practices of sims provide significant amounts of uncompensated financial assistance and uncompensated government-sponsored health care. The patient population of the community physician practices of sims is comprised of 53% medicare, 17% medicaid, 3% self-pay/financial assistance and 27% commercial/managed care. Uncompensated health care: the community physician practices of sims have provided $26,657,299 of uncompensated health care through participation in the government-sponsored medicare health care program. Indigent health care: the community physician practices of sims have provided $11,938,535 of indigent health care through participation in the government-sponsored medicaid health care program and $605,663 of indigent financial assistance. Bad debts: the community physician practices of sims wrote off $620,154 from private pay accounts that were uncollectible but did not meet the criteria to be considered financial assistance. Sims has determined that 17.7% or $109,141 of the amounts written off as bad debt would have qualified as financial assistance if the patients would have submitted the required documentation.”

“(continued from part iii) cma encompasses nearly 60,000 square feet of space, making it one of the area's largest health care facilities. A prompt care clinic is available within the center to meet the immediate medical needs of patients along with an imaging center and laboratory services. Both primary care and specialized medical care are provided including family medicine, internal medicine, pediatrics, general surgery, and urology, among others. Lpc has operations in two locations and encompasses 40,000 square feet. Lpc began operations in december 1993 and was acquired by southern illinois medical services in november 2011. Lpc provides a variety of services including general family practice medicine, radiology, and lab. Two med stations for acute non-emergency care are also operated. Ucc opened in october 2018 and provides two services to the community. The first is an urgent care center that provides care of non-life- threatening issues. The second is work care that provides evaluation and treatment of injured workers and also provides services aimed at the prevention and reduction of work- related injuries. Pcg has operations in harrisburg, il and carrier mills, il and encompasses 25,000 square feet. Pcg began operations in september 1992 and was acquired by southern illinois medical services in february 2014. Pcg provides a variety of services including general family practice medicine, general surgery, laboratory, imaging and chiropractic medicine. Physical therapy and occupational therapy are also provided in three local communities. Hmc clinics begain operations in august 2021. Hmc clinics has operations in illinois in carbondale, herrin, and murphysboro. Psychiatry services are provided by hmc clinics. Through daily operations, the physician clinics provide significant amounts of uncompensated financial assistance and uncompensated government-sponsored health care. The patient population of the physician clinics is comprised of 35% medicare, 25% medicaid, 2% self-pay/financial assistance and 38% commercial/managed care. Uncompensated health care: the physician clinics have provided $4,012,477 of uncompensated health care through participation in the government-sponsored medicare health program. Indigent health care: the physician clinics have provided $4,747,808 of indigent health care through participation in the government-sponsored medicaid health care program and $152,477 of indigent financial assistance. Bad debts: the physician clinics wrote off $1.033,554 of private pay accounts that were uncollectible but did not meet the criteria to be considered financial assistance. It has been determined that 17.7% or $138,399 of the amounts written off as bad debt would have qualified as financial assistance if the patients would have submitted the required documentation.”

“(continued from part iii) through daily operations, the hospital physician practices of sims provide significant amounts of uncompensated financial assistance and uncompensated government-sponsored health care. The patient population of the hospital physician practices of sims is comprised of 40% medicare, 27% medicaid, 3% self-pay/financial assistance and 30% commercial/managed care. Uncompensated health care: the hospital physicians of sims provided $5,133,976 of uncompensated health care through participation in the government-sponsored medicare health care program. Indigent health care: the hospital physicians of sims have provided $5,047,170 of indigent health care through participation in the government-sponsored medicaid health care program and $267,162 of indigent financial assistance. Bad debts: the hospital physician practices of sims wrote off $1,595,362 from private pay accounts that were uncollectible but did not meet the criteria to be considered financial assistance. Sims has determined that 17.7% or $217,583 of the amounts written off as bad debt would have qualified as financial assistance if the patients would have submitted the required documentation”

“(Expenses $ 11,015,998 including grants of $ 0)(Revenue $ 11,903,526) SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) ALSO PROVIDES OTHER ADMINISTRATIVE SERVICES AND LEASES SPACE TO ITS RELATED ORGANIZATIONS.”

“CREDIT and COLLECTION FEES - Total Expense: 1244446, Program Service Expense: 1127078, Management and General Expenses: 117368, Fundraising Expenses: 0; CLINICAL SERVICE FEES - Total Expense: 109217, Program Service Expense: 109217, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER PROFESSIONAL FEES - Total Expense: 357227, Program Service Expense: 108176, Management and General Expenses: 249051, Fundraising Expenses: 0; OTHER PURCHASED SERVICES - Total Expense: 1864958, Program Service Expense: 1290571, Management and General Expenses: 574387, Fundraising Expenses: 0; PHYSICIAN SERVICES - Total Expense: 46741811, Program Service Expense: 46695922, Management and General Expenses: 45889, Fundraising Expenses: 0; CONSULTING FEES - Total Expense: 162093, Program Service Expense: 5900, Management and General Expenses: 156193, Fundraising Expenses: 0; ENGINEERING FEES - Total Expense: 9800, Program Service Expense: 9800, Management and General Expenses: 0, Fundraising Expenses: 0; PATIENT BILLING FEES - Total Expense: 765244, Program Service Expense: 0, Management and General Expenses: 765244, Fundraising Expenses: 0;”

“The Series 2017A non-taxable bond is split between Southern Illinois Medical Services and Southern Illinois Hospital Services, a related tax exempt entity. The amount listed on line 25 represents the piece of the bond that Southern Illinois Medical Services holds.”

“EQUITY TRANSFER FROM SIHS - 2443389; Total - 2443389;”