Skip to content
Nonprofiteer
← SOUTHERN ILLINOIS MEDICAL SERVICES NFP

Form 990 for tax year 2022

Filed by SOUTHERN ILLINOIS MEDICAL SERVICES NFP.

Totals

Total revenue
$96,180,320
Total expenses
$150,065,552
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$96,012,332
Investment income
$1,367
Other revenue
$166,621
Total assets, end of year
$46,783,891
Total liabilities, end of year
$366,086,454
Net assets or fund balances, end of year
-$319,302,563
Program services expenses (Part IX)
$137,599,085
Management and general expenses
$12,466,467
Fundraising expenses
$0
Program service expenses (Part III)
$137,599,085

Program services were 91.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $94,990,751 · related or exempt $94,990,751 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: LEASEHOLD REVENUE

    total $967,723 · related or exempt $967,723 · unrelated business $0 · excluded $0

  • 2c · Program service revenue: INTEREST ON STATE PAYMENTS

    total $53,858 · related or exempt $53,858 · 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 $1,367 · related or exempt $0 · unrelated business $0 · excluded $1,367

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

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

  • 5 · Royalties

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

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

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

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 7d · Net gain or loss

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

  • 8c · Net income from fundraising events

    total $0 · unrelated business $0 · excluded $0

  • 9c · Net income from gaming

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

  • 10a · Gross sales of inventory

    $195,539

  • 10b · Cost of goods sold

    $104,855

  • 10c · Net income from sales of inventory

    total $90,684 · related or exempt $55,008 · unrelated business $35,676 · excluded $0

  • 11a · Other revenue: MEDICAL RECORD REVENUE

    total $70,373 · related or exempt $70,373 · unrelated business $0 · excluded $0

  • 11b · Other revenue: PURCHASE DISCOUNTS

    total $5,564 · related or exempt $5,564 · unrelated business $0 · excluded $0

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $75,937

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 $949,799 · program services $457,415 · management and general $492,384 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $152,008 · program services $152,008 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $64,487,274 · program services $58,764,886 · management and general $5,722,388 · fundraising $0

  • 8 · Pension plan contributions

    total $2,247,397 · program services $2,112,688 · management and general $134,709 · fundraising $0

  • 9 · Other employee benefits

    total $10,651,327 · program services $9,665,147 · management and general $986,180 · fundraising $0

  • 10 · Payroll taxes

    total $5,143,825 · program services $4,595,926 · management and general $547,899 · fundraising $0

  • 11a · Fees: management

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

  • 11b · Fees: legal

    total $184,177 · program services $0 · management and general $184,177 · fundraising $0

  • 11c · Fees: accounting

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

  • 11d · Fees: lobbying

    total $0 · program services $0 · management and general $0 · 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 $45,099,456 · program services $43,450,476 · management and general $1,648,980 · fundraising $0

  • 12 · Advertising and promotion

    total $6,608 · program services $0 · management and general $6,608 · fundraising $0

  • 13 · Office expenses

    total $999,653 · program services $746,856 · management and general $252,797 · fundraising $0

  • 14 · Information technology

    total $421,380 · program services $215,482 · management and general $205,898 · fundraising $0

  • 15 · Royalties

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

  • 16 · Occupancy

    total $4,105,661 · program services $3,932,331 · management and general $173,330 · fundraising $0

  • 17 · Travel

    total $84,011 · program services $72,553 · management and general $11,458 · 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 $344,059 · program services $337,584 · management and general $6,475 · fundraising $0

  • 20 · Interest

    total $154,910 · program services $0 · management and general $154,910 · fundraising $0

  • 21 · Payments to affiliates

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

  • 22 · Depreciation, depletion and amortization

    total $3,555,020 · program services $1,684,203 · management and general $1,870,817 · fundraising $0

  • 23 · Insurance

    total $5,434,524 · program services $5,382,848 · management and general $51,676 · fundraising $0

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $4,337,227 · program services $4,335,051 · management and general $2,176 · fundraising $0

  • 24b · Other expenses: EQUIPMENT RENTAL

    total $1,415,173 · program services $1,410,270 · management and general $4,903 · fundraising $0

  • 24c · Other expenses: DUES/SUBSCRIPTIONS/LICENSES

    total $259,265 · program services $250,563 · management and general $8,702 · fundraising $0

  • 24e · All other expenses

    total $32,798 · program services $32,798 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $9,855 · end of year $8,405

  • 2 · Savings and temporary cash investments

    beginning of year $741,123 · end of year $79,617

  • 4 · Accounts receivable

    beginning of year $13,203,595 · end of year $8,850,236

  • 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 $215,737 · end of year $131,957

  • 8 · Inventories for sale or use

    beginning of year $69,971 · end of year $79,416

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,011,310 · end of year $2,087,887

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

    $46,716,387

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

    $21,370,500

  • 10c · Land, buildings and equipment, net

    beginning of year $27,601,178 · end of year $25,345,887

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $14

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $9,038,487 · end of year $7,762,465

  • 15 · Other assets

    beginning of year $1,932,676 · end of year $2,438,007

  • 17 · Accounts payable and accrued expenses

    beginning of year $31,518,436 · end of year $17,833,215

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $290,750,224 · end of year $348,253,239

  • 27 · Net assets without donor restrictions

    beginning of year -$267,444,728 · end of year -$319,302,563

Mission and programs · 2022

Mission

Southern Illinois Medical Services NFP (SIMS) employs physicians and operates physician practices to provide care and treatment of the medically sick, injured, or afflicted on a not-for-profit basis. (Continued in Schedule O)

Activities or mission (Part I)

As physicians, mid-level providers and staff, our mission is to improve the health of the people we serve through excellence in medical care.

  • SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) OPERATES COMMUNITY PHYSICIAN PRACTICES TO PROVIDE CARE AND TREATMENT OF THE MEDICALLY SICK, INJURED OR AFFLICTED ON A NOT-FOR PROFIT BASIS. THESE PRACTICES ARE LOCATED IN VARIOUS COMMUNITIES IN OUR CENTRAL SERVICE AREA. BOTH PRIMARY CARE AND SPECIALIZED MEDICAL CARE ARE PROVIDED INCLUDING FAMILY MEDICINE, GENERAL SURGERY, BREAST SURGERY, PULMONOLOGIST, BARIATRIC, ONCOLOGY, AND NEUROLOGY. THESE PRACTICES PROVIDE THE ONLY ACCESS TO SEVERAL OF THESE SPECIALTIES WITHIN OUR SERVICE AREA. THESE COMMUNITY PHYSICIAN PRACTICES PROVIDE QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. DURING THIS REPORTING PERIOD, THE COMMUNITY PHYSICIAN PRACTICES OF SIMS RECORDED 191,213 ENCOUNTERS IN TREATING THIS POPULATION. (CONTINUED IN SCHEDULE O)

    Expenses $60,360,373 · Revenue $27,071,871

  • SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) OPERATES THE FOLLOWING PHYSICIAN CLINICS: THE CENTER FOR MEDICAL ARTS (CMA) IN CARBONDALE, IL LOGAN PRIMARY CARE (LPC) IN HERRIN, IL AND WEST FRANKFORT, IL PRIMARY CARE GROUP (PCG) IN HARRISBURG, IL HMC CLINICS AND URGENT CARE CENTER IN MARION, IL. THESE PHYSICIAN CLINICS PROVIDE CARE AND TREATMENT OF THE MEDICALLY SICK, INJURED OR AFFLICTED ON A NOT-FOR PROFIT BASIS. QUALITY HEALTH SERVICES ARE PROVIDED TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. DURING THIS REPORTING PERIOD, THE PRACTICES OF THE PHYSICIAN CLINICS RECORDED A COMBINED TOTAL OF 287,370 ENCOUNTERS TREATING THIS POPULATION. (CONTINUED IN SCHEDULE O).

    Expenses $42,535,988 · Revenue $33,239,370

  • SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) OPERATES HOSPITAL PHYSICIAN PRACTICES TO PROVIDE CARE AND TREATMENT OF THE MEDICALLY SICK, INJURED OR AFFLICTED ON A NOT-FOR PROFIT BASIS AT THE THREE HOSPITALS OPERATED BY OUR SOLE MEMBER SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS). THESE HOSPITAL PHYSICIANS PROVIDE TWO DISTINCT SERVICES. ONE GROUP STAFFS THE EMERGENCY ROOMS AT EACH OF THE THREE HOSPITALS AND THE SECOND GROUP PROVIDES CARE DURING A HOSPITAL STAY AT THESE SAME HOSPITALS. BOTH GROUPS OF PHYSICIANS ARE VITAL TO PROVIDING HEALTHCARE TO THE POPULATION OF OUR SERVICE AREAS, AS MANY OF THE RESIDENTS DO NOT HAVE A PRIMARY CARE PHYSICIAN. THE HOSPITAL PHYSICIANS PROVIDE QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. DURING THIS REPORTING PERIOD, THE HOSPITAL PHYSICIANS OF SIMS RECORDED 251,764 ENCOUNTERS IN TREATING THIS POPULATION. (CONTINUED IN SCHEDULE O)

    Expenses $23,632,171 · Revenue $22,355,329

  • SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) ALSO PROVIDES OTHER ADMINISTRATIVE SERVICES AND LEASES SPACE TO ITS RELATED ORGANIZATIONS.

    Expenses $11,070,553 · Revenue $13,476,707

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • John Antes

    President/CEO (Start Date 12/12/22)

    Total calculated
    $175,786
    From this org
    $0
    From related orgs
    $175,786
    Other
    $0
    Hours/week
    11 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $30,770 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $70,016 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $175,786 related

  • Morton Levine

    Secretary

    Total calculated
    $550
    From this org
    $0
    From related orgs
    $550
    Other
    $0
    Hours/week
    1 + 2 related

  • Rex Budde

    President/CEO (Partial Year)

    Total calculated
    $1,132,889
    From this org
    $0
    From related orgs
    $1,088,874
    Other
    $44,015
    Hours/week
    11 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $737,329 related
    Bonus
    $0
    Other
    $0 + $351,545 related
    Deferred
    $0 + $11,975 related
    Nontaxable benefits
    $0 + $32,040 related
    Filer's total
    $0 + $1,132,889 related

  • Warren Ladner

    Sr VP/CFO/Treasurer

    Total calculated
    $585,238
    From this org
    $0
    From related orgs
    $530,314
    Other
    $54,924
    Hours/week
    11 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $375,636 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $79,678 related
    Deferred
    $0 + $35,750 related
    Nontaxable benefits
    $0 + $19,174 related
    Filer's total
    $0 + $585,238 related

  • Brad Cole

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Eugene Basanta

    Trustee

    Total calculated
    $300
    From this org
    $0
    From related orgs
    $300
    Other
    $0
    Hours/week
    1 + 2 related

  • George O'Neill

    Trustee (Partial Year)

    Total calculated
    $550
    From this org
    $0
    From related orgs
    $550
    Other
    $0
    Hours/week
    1 + 2 related

  • Gina Sirach

    Trustee

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Meera Komarraju

    Trustee (Partial Year)

    Total calculated
    $0
    Hours/week
    1

  • Raj Gulati MD

    Trustee (Partial Year)

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Daniel Skiles

    VP/Health Transformation

    Total calculated
    $510,576
    From this org
    $0
    From related orgs
    $423,469
    Other
    $87,107
    Hours/week
    11 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $341,942 related
    Bonus
    $0
    Other
    $0 + $81,527 related
    Deferred
    $0 + $40,665 related
    Nontaxable benefits
    $0 + $46,442 related
    Filer's total
    $0 + $510,576 related

  • Darrell Bryant

    VP/COO SIMS

    Total calculated
    $492,383
    From this org
    $434,779
    From related orgs
    $0
    Other
    $57,604
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $345,774
    Bonus
    $0
    Other
    $89,005
    Deferred
    $54,816
    Nontaxable benefits
    $2,788
    Filer's total
    $492,383

  • Denao Ruttino

    VP/Innovation Technology (Partial Year)

    Total calculated
    $228,454
    From this org
    $0
    From related orgs
    $215,925
    Other
    $12,529
    Hours/week
    9 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $160,206 related
    Bonus
    $0
    Other
    $0 + $55,719 related
    Deferred
    $0 + $6,875 related
    Nontaxable benefits
    $0 + $5,654 related
    Filer's total
    $0 + $228,454 related

  • John Daly

    VP/General Counsel

    Total calculated
    $455,194
    From this org
    $0
    From related orgs
    $415,387
    Other
    $39,807
    Hours/week
    11 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $344,471 related
    Bonus
    $0
    Other
    $0 + $70,916 related
    Deferred
    $0 + $35,695 related
    Nontaxable benefits
    $0 + $4,112 related
    Filer's total
    $0 + $455,194 related

  • Marci L Moore-Connelley MD

    SR VP/CMO

    Total calculated
    $670,405
    From this org
    $0
    From related orgs
    $578,625
    Other
    $91,780
    Hours/week
    14 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $493,254 related
    Bonus
    $0
    Other
    $0 + $85,371 related
    Deferred
    $0 + $66,315 related
    Nontaxable benefits
    $0 + $25,465 related
    Filer's total
    $0 + $670,405 related

  • Sara Malone

    VP/CMO SIMS

    Total calculated
    $457,415
    From this org
    $408,265
    From related orgs
    $0
    Other
    $49,150
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $377,442
    Bonus
    $0
    Other
    $30,823
    Deferred
    $29,999
    Nontaxable benefits
    $19,151
    Filer's total
    $457,415

  • Shelly Pierce

    VP/Quality

    Total calculated
    $429,779
    From this org
    $0
    From related orgs
    $356,832
    Other
    $72,947
    Hours/week
    25 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $280,525 related
    Bonus
    $0
    Other
    $0 + $76,307 related
    Deferred
    $0 + $56,280 related
    Nontaxable benefits
    $0 + $16,667 related
    Filer's total
    $0 + $429,779 related

  • Todd Guenzburger

    VP/Chief Health Info Officer

    Total calculated
    $549,086
    From this org
    $0
    From related orgs
    $465,522
    Other
    $83,564
    Hours/week
    13 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $406,722 related
    Bonus
    $0
    Other
    $0 + $58,800 related
    Deferred
    $0 + $53,725 related
    Nontaxable benefits
    $0 + $29,839 related
    Filer's total
    $0 + $549,086 related

  • Gerson Criste MD

    Physician

    Total calculated
    $1,397,458
    From this org
    $1,319,223
    From related orgs
    $0
    Other
    $78,235
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $426,769
    Bonus
    $852,224
    Other
    $40,230
    Deferred
    $33,974
    Nontaxable benefits
    $44,261
    Filer's total
    $1,397,458

  • Gowda Sharath

    Physician

    Total calculated
    $1,214,397
    From this org
    $1,163,610
    From related orgs
    $0
    Other
    $50,787
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $648,589
    Bonus
    $491,548
    Other
    $23,473
    Deferred
    $27,277
    Nontaxable benefits
    $23,510
    Filer's total
    $1,214,397

  • Lukasz Dabrowski MD

    Physician

    Total calculated
    $2,450,031
    From this org
    $2,383,614
    From related orgs
    $0
    Other
    $66,417
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $302,638
    Bonus
    $2,049,986
    Other
    $30,990
    Deferred
    $27,579
    Nontaxable benefits
    $38,838
    Filer's total
    $2,450,031

  • Mack McCain MD

    Physician

    Total calculated
    $1,467,387
    From this org
    $1,427,321
    From related orgs
    $0
    Other
    $40,066
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $528,965
    Bonus
    $840,924
    Other
    $57,432
    Deferred
    $7,753
    Nontaxable benefits
    $32,313
    Filer's total
    $1,467,387

  • Nader Dababneh MD

    Physician

    Total calculated
    $1,348,742
    From this org
    $1,270,795
    From related orgs
    $0
    Other
    $77,947
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $698,092
    Bonus
    $512,073
    Other
    $60,630
    Deferred
    $38,825
    Nontaxable benefits
    $39,122
    Filer's total
    $1,348,742

  • David Hakanson

    Former VP/Innovation Technology

    Total calculated
    $182,511
    From this org
    $0
    From related orgs
    $166,233
    Other
    $16,278
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $80,225 related
    Bonus
    $0
    Other
    $0 + $86,008 related
    Deferred
    $0 + $6,396 related
    Nontaxable benefits
    $0 + $9,882 related
    Filer's total
    $0 + $182,511 related

  • Mike Kasser

    Former SR VP/CFO

    Total calculated
    $379,336
    From this org
    $0
    From related orgs
    $356,806
    Other
    $22,530
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $173,267 related
    Bonus
    $0
    Other
    $0 + $183,539 related
    Deferred
    $0 + $9,332 related
    Nontaxable benefits
    $0 + $13,198 related
    Filer's total
    $0 + $379,336 related

  • Philip Schaefer

    FORMER SR VP/ADMINISTRATOR/CCNDO

    Total calculated
    $391,067
    From this org
    $0
    From related orgs
    $375,398
    Other
    $15,669
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $98,304 related
    Bonus
    $0
    Other
    $0 + $277,094 related
    Deferred
    $0 + $5,694 related
    Nontaxable benefits
    $0 + $9,975 related
    Filer's total
    $0 + $391,067 related

  • William Sherwood

    Former Officer

    Total calculated
    $164,949
    From this org
    $0
    From related orgs
    $132,807
    Other
    $32,142
    Hours/week
    4 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $45,227 related
    Bonus
    $0
    Other
    $0 + $87,580 related
    Deferred
    $0 + $4,327 related
    Nontaxable benefits
    $0 + $27,815 related
    Filer's total
    $0 + $164,949 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

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 4b Supplemental nonqualified retirement plan
Compensation for all but two of the organization's officers is paid by Southern Illinois Hospital Services, Inc. (SIHS), a related tax-exempt organization. SIHS made the following supplemental nonqualified retirement plan payments/contributions: Rex Budde - $305,685 payment received; No deferred compensation John Antes - No payment received, no deferred compensation Warren Ladner - No payment received, $35,750 deferred compensation Shelly Pierce - $43,656 payment received; $44,979 deferred compensation Marci Moore-Connelley - $52,786 payment received; $54,340 deferred compensation Daniel Skiles - $27,164 payment received; $28,808 deferred compensation John Daly - $37,318 payment received; $31,345 deferred compensation Denao Ruttino - No payment received; $6,875 deferred compensation Todd Guenzburger - $22,647 payment received; $41,750 deferred compensation SIMS made the following supplemental nonqualified retirement plan payments/contributions: Darrell Bryant - $54,396 payment received; $43,118 deferred compensation Sara Malone - No payment received, $22,374 deferred compensation Gerson Criste - $23,415 payment received; $21,999 deferred compensation Lukasz Dabrowski - $15,111 payment received; $15,604 deferred compensation Gowda Sharath - $15,835 payment received; $16,063 deferred compensation Nadar Dababneh - $33,611 payment received; $26,850 deferred compensation Mack McCain - $25,788 payment received; No deferred compensation CERTAIN EXECUTIVES PARTICIPATED IN A SPLIT-DOLLAR LIFE INSURANCE PLAN PAID FOR BY SOUTHERN ILLINOIS HOSPITAL SERVICES. PREMIUMS PAID ON BEHALF OF THE EXECUTIVES WERE TREATED AS LOANS. THESE POLICIES WERE TERMINATED AND DISTRIBUTED IN THE YEAR ENDED MARCH 31, 2023:

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • RIC AND SIHS REHABILITATION SERVICES LLC

    N/A · MEDICAL SERVICES · IL · 0% owned · share of income $0 · share of assets $0

    Directly controlled by NA

Related corporations and trusts

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

  • SIH CAYMAN SPC GROUP LTD

    C Corporation · FINANCING · CJ

    Directly controlled by NA

  • HEALTH SERVICES OF SOUTHERN ILLINOIS INC

    C Corporation · Fitness Center · IL

    Directly controlled by NA

  • HIDK PROPERTIES LAND TRUST

    Trust · RENTAL PROPERTIES · IL

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
13 February 2024
IRS schema version
2022v5.0
Source object
202440449349301524

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.