Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1e · Government grants (contributions)

  $615,587

• 2a · Program service revenue: PATIENT SERVICE REVENUE

  total $47,621,612 · related or exempt $47,621,612 · unrelated business $0 · excluded $0

• 2b · Program service revenue: LEASEHOLD REVENUE FROM RELATED ORGANIZATIONS

  total $210,657 · related or exempt $210,657 · unrelated business $0 · excluded $0

• 2c · Program service revenue: MISCELLANEOUS DEPARTMENTAL REVENUE

  total $39,495 · related or exempt $39,495 · unrelated business $0 · excluded $0

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $2,622 · related or exempt $0 · unrelated business $0 · excluded $2,622

• 4 · Income from investment of tax-exempt bond proceeds

  total $199 · related or exempt $0 · unrelated business $0 · excluded $199

• 6a · Gross rents

  real property $53,475

• 6b · Less rental expenses

  real property $50,801

• 6c · Rental income or loss

  real property $2,674 · personal property $0

• 6d · Net rental income or loss

  total $2,674 · related or exempt $0 · unrelated business $0 · excluded $2,674

• 7c · Gain or loss

  securities $0 · other assets $0

• 11a · Other revenue: CAFETERIA REVENUE

  total $79,987 · related or exempt $0 · unrelated business $0 · excluded $79,987

• 11b · Other revenue: MEDICAL RECORDS

  total $12,062 · related or exempt $12,062 · unrelated business $0 · excluded $0

• 11d · All other revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $92,049

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $0 · program services $0

• 2 · Grants to domestic individuals

  total $0 · program services $0

• 3 · Grants to foreign organizations and individuals

  total $0 · program services $0

• 4 · Benefits paid to or for members

  total $0 · program services $0

• 5 · Compensation of officers, directors and key employees

  total $563,677 · program services $0 · management and general $563,677 · fundraising $0

• 6 · Compensation of disqualified persons

  total $63,508 · program services $63,508 · management and general $0 · fundraising $0

• 7 · Other salaries and wages

  total $19,459,295 · program services $19,102,126 · management and general $357,169 · fundraising $0

• 8 · Pension plan contributions

  total $668,430 · program services $660,829 · management and general $7,601 · fundraising $0

• 9 · Other employee benefits

  total $4,490,787 · program services $4,435,041 · management and general $55,746 · fundraising $0

• 10 · Payroll taxes

  total $1,422,337 · program services $1,395,306 · management and general $27,031 · fundraising $0

• 11a · Fees: management

  total $0 · program services $0 · management and general $0 · fundraising $0

• 11b · Fees: legal

  total $0 · program services $0 · management and general $0 · fundraising $0

• 11c · Fees: accounting

  total $60,391 · program services $46,310 · management and general $14,081 · fundraising $0

• 11d · Fees: lobbying

  total $15,841 · program services $0 · management and general $15,841 · fundraising $0

• 11e · Fees: professional fundraising services

  total $0 · fundraising $0

• 11f · Fees: investment management

  total $0 · program services $0 · management and general $0 · fundraising $0

• 11g · Fees: other

  total $17,114,218 · program services $17,034,657 · management and general $79,561 · fundraising $0

• 12 · Advertising and promotion

  total $125 · program services $125 · management and general $0 · fundraising $0

• 13 · Office expenses

  total $1,714,114 · program services $1,705,529 · management and general $8,585 · fundraising $0

• 14 · Information technology

  total $22,814 · program services $15,768 · management and general $7,046 · fundraising $0

• 15 · Royalties

  total $0 · program services $0 · management and general $0 · fundraising $0

• 16 · Occupancy

  total $1,368,581 · program services $1,368,581 · management and general $0 · fundraising $0

• 17 · Travel

  total $59,578 · program services $57,122 · management and general $2,456 · fundraising $0

• 18 · Travel or entertainment for public officials

  total $0 · program services $0 · management and general $0 · fundraising $0

• 19 · Conferences, conventions and meetings

  total $14,941 · program services $14,941 · management and general $0 · fundraising $0

• 20 · Interest

  total $393,361 · program services $393,361 · management and general $0 · fundraising $0

• 21 · Payments to affiliates

  total $0 · program services $0 · management and general $0 · fundraising $0

• 22 · Depreciation, depletion and amortization

  total $2,408,462 · program services $2,206,685 · management and general $201,777 · fundraising $0

• 23 · Insurance

  total $206,220 · program services $206,220 · management and general $0 · fundraising $0

• 24a · Other expenses: MEDICAL SUPPLIES

  total $4,869,178 · program services $4,869,178 · management and general $0 · fundraising $0

• 24b · Other expenses: PROVIDER TAX

  total $3,765,185 · program services $3,765,185 · management and general $0 · fundraising $0

• 24c · Other expenses: EQUIPMENT RENTAL

  total $1,528,620 · program services $1,515,908 · management and general $12,712 · fundraising $0

• 24d · Other expenses: LOSS ON ASSET DISPOSAL

  total $162,925 · program services $162,925 · management and general $0 · fundraising $0

• 24e · All other expenses

  total $139,798 · program services $139,957 · management and general -$159 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $502,263 · end of year $4,036

• 2 · Savings and temporary cash investments

  beginning of year $4,113,659 · end of year $208,040

• 3 · Pledges and grants receivable

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year $5,217,687 · end of year $8,043,563

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $10,626 · end of year $803

• 8 · Inventories for sale or use

  beginning of year $1,373,336 · end of year $473,390

• 9 · Prepaid expenses and deferred charges

  beginning of year $313,680 · end of year $122,210

• 10a · Land, buildings and equipment: cost or other basis

  $28,060,941

• 10b · Land, buildings and equipment: accumulated depreciation

  $6,163,913

• 10c · Land, buildings and equipment, net

  beginning of year $23,044,532 · end of year $21,897,028

• 11 · Investments: publicly traded securities

  beginning of year $0

• 12 · Investments: other securities

  beginning of year $0

• 13 · Investments: program-related

  beginning of year $0

• 14 · Intangible assets

  beginning of year $0

• 15 · Other assets

  beginning of year $361,280 · end of year $447,911

• 17 · Accounts payable and accrued expenses

  beginning of year $4,445,513 · end of year $4,048,967

• 18 · Grants payable

  beginning of year $0 · end of year $0

• 19 · Deferred revenue

  beginning of year $0 · end of year $0

• 20 · Tax-exempt bond liabilities

  beginning of year $17,462,616 · end of year $16,862,928

• 21 · Escrow or custodial account liability

  beginning of year $0 · end of year $0

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $0 · end of year $0

• 24 · Unsecured notes and loans payable

  beginning of year $626,670 · end of year $384,483

• 25 · Other liabilities

  beginning of year $2,463,965 · end of year $11,889,795

• 27 · Net assets without donor restrictions

  beginning of year $9,938,299 · end of year -$1,989,192

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

Compensation for the organization's President is paid by Southern Illinois Hospital Services, Inc. (SIHS), a related tax-exempt organization. SIHS uses the following methods to determine the President's compensation: -Compensation committee -Independent compensation consultant -Compensation survey or study -Approval by the board or compensation committee

Schedule J, Part I, Line 4a Severance or change-of-control payment

DONALD HUTSON RECEIVED SEVERANCE OF $186,996

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

COMPENSATION FOR THE ORGANIZATION'S OFFICERS IS PAID BY SOUTHERN ILLINOIS HOSPITAL SERVICES INC, A RELATED TAX-EXEMPT ORGANIZATION. THE FOLLOWING SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS/CONTRIBUTIONS WERE MADE: JOHN ANTES - NO PAYMENT RECEIVED, $97,500 DEFERRED COMPENSATION REX BUDDE - $99,595 PAYMENT RECEIVED, NO DEFERRED COMPENSATION WARREN LADNER - NO PAYMENT RECEIVED, $45,000 DEFERRED COMPENSATION JOHN DALY - $25,987 PAYMENT RECEIVED, $29,345 DEFERRED COMPENSATION BART MILLSTEAD - $158,407 PAYMENT RECEIVED, $172,917 DEFERRED COMPENSATION MARCI MOORE-CONNELLEY - $54,892 PAYMENT RECEIVED, $52,340 DEFERRED COMPENSATION DENAO RUTTINO - NO PAYMENT RECEIVED, $32,250 DEFERRED COMPENSATION SHELLY PIERCE - $45,508 PAYMENT RECEIVED, $42,979 DEFERRED COMPENSATION JENNIFER HARRE - $17,990 PAYMENT RECEIVED, $20,022 DEFERRED COMPENSATION PAM HENDERSON - $70,038 PAYMENT RECEIVED, $79,773 DEFERRED COMPENSATION RODNEY SMITH - $31,825 PAYMENT RECEIVED, $35,485 DEFERRED COMPENSATION DONALD HUTSON - $61,258 PAYMENT RECEIVED, NO DEFERRED COMPENSATION Matthew Winkleman - $17,182 payment received, $14,669 deferred compensation

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• SIH CAYMAN SPC GROUP LTD

  C Corporation · FINANCING · CJ · controlled entity

  Directly controlled by SOUTHERN ILLINOIS HOSPITAL SERVICES

• HEALTH SERVICES OF SOUTHERN ILLINOIS

  C Corporation · HEALTHCARE · IL

  Directly controlled by SOUTHERN ILLINOIS HOSPITAL SERVICES