2026-01-29T12:38:07+00:00 2025-03-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2024-04-01 371136788 SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES INC SOUT 6184575200 PO BOX 3988 CARBONDALE IL 629023988 WARREN P LADNER CFO 6184575200 2026-01-29 true Mallory Fairless P01321579 3128997000 2026-01-29 2024 2025-03-06 01:10:19Z JOHN D ANTES PO BOX 3988 CARBONDALE IL 629023988 1640685 false X www.sih.net X 1983 IL Southern Illinois Healthcare Enterprises, Inc. is dedicated to improving the health and well-being of all of the people in the communities it serves. 13 12 0 14 0 0 0 0 0 -403589 1640685 0 0 -403589 1640685 0 0 0 0 0 0 0 0 0 38153 12905 38153 12905 -441742 1627780 31818584 34803685 0 0 31818584 34803685 Southern Illinois Healthcare Enterprises, Inc. (SIHE) is dedicated to improving the health and well-being of all the people in the communities it serves. (Continued in Schedule O) false false 0 0 0 Southern Illinois Healthcare Enterprises (SIHE) is the parent of Southern Illinois Healthcare and supports the exempt purpose of its related tax-exempt organizations. SIHE plans, directs, and administers the operations of the integrated health system, which includes four hospitals, a physician network of primary and specialty practices and two foundations. 0 true false false true false false false false false false false false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false false false false true true true false false true 0 0 0 false false false false false false false false false false false false X 13 12 false false true false false false false true true false false false true true true true true true false false false false IL X WARREN LADNER 6184575200 1239 EAST MAIN STREET CARBONDALE IL 62901 Daniel Booth Vice Chair 1.0 2.0 X X 0 350 0 Debra McMorrow Chair 1.0 1.0 X X 0 400 0 John Antes President/CEO 1.0 54.0 X X 0 877075 146166 Marlene Simpson Secretary 1.0 1.0 X X 0 350 0 Austin Lane Trustee 1.0 1.0 X 0 0 0 Bob Mees Trustee 1.0 1.0 X 0 350 0 Eugene Basanta Trustee 1.0 2.0 X 0 250 0 George O'Neill Trustee 1.0 1.0 X 0 100 0 Kathleen Fralish Trustee 1.0 1.0 X 0 350 0 Michael Tison Trustee 1.0 2.0 X 0 350 0 Morton Levine Trustee 1.0 2.0 X 0 400 0 Raj Gulati MD Trustee 1.0 2.0 X 0 300 0 Steve Sabens Trustee 1.0 1.0 X 0 400 0 Denao Ruttino VP/Innovation Technology 1.0 54.0 X 0 425975 64524 John Daly VP/General Counsel 1.0 54.0 X 0 438971 45001 Marci L Moore-Connelley MD SR VP/CMO 1.0 54.0 X 0 606413 99050 Warren Ladner Sr VP/CFO/Treasurer 1.0 54.0 X 0 552460 109396 Daniel Skiles Former VP/Health Transformation 0.0 0.0 X 0 334906 37067 Todd Guenzburger FORMER OFFICER 0.0 40.0 X 0 534973 49390 0 3774373 550594 0 true true false 0 0 0 0 0 0 0 1640685 1640685 0 0 0 0 0 0 0 0 0 1640685 0 0 1640685 12905 12905 0 0 0 0 0 0 0 0 12905 0 12905 0 8912 11016 0 0 0 0 0 0 0 0 32496626 35517619 0 0 -686954 -724950 31818584 34803685 0 0 0 0 0 0 X 31818584 34803685 31818584 34803685 31818584 34803685 X 1627780 1393317 -35996 X false true true false X X 2 Southern Illinois Hospital Services Inc 370618939 3 false 0 0 Southern Illinois Medical Services NFP 205521741 3 false 0 0 2 0 0 false false false false false false false false false false false false false false false true Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES, INC. ("SIHE") HAS A HISTORIC AND CONTINUING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATIONS, SOUTHERN ILLINOIS HOSPITAL SERVICES, INC. ("SIHS") AND SOUTHERN ILLINOIS MEDICAL SERVICES ("SIMS") -SPANNING OVER A 30-YEAR PERIOD. AS DESCRIBED BELOW, THERE IS A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN THE ORGANIZATIONS. THEREFORE, SIHE MEETS THE ORGANIZATIONAL REQUIREMENTS OF A TYPE II SUPPORTING ORGANIZATION. SIHE WAS FORMED IN 1983 TO, AMONG OTHER THINGS, PROMOTE AND FURTHER THE GENERAL PHYSICAL HEALTH OF THE COMMUNITY. SIHS IS NAMED AS A SUPPORTED ORGANIZATION OF SIHE IN THE APPLICATION FOR RECOGNITION OF EXEMPTION FILED BY SIHE AND APPROVED BY THE INTERNAL REVENUE SERVICE. SIMS WAS FORMED LATER IN 2006 AS A CONTROLLED ORGANIZATION OF SIHS TO PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY. SIHE'S ONLY ACTIVITIES HAVE BEEN SUPPORTING THE EXEMPT PURPOSES OF SIHS AND SIMS. THE DELIVERY OF HEALTHCARE SERVICES PROVIDED BY SIHS AND SIMS IS PERCEIVED BY THE COMMUNITY TO BE SERVICES PROVIDED BY ONE "SOUTHERN ILLINOIS HEALTHCAREGANIZATION. IT IS ASSURED THAT A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN THE ORGANIZATIONS IS MAINTAINED AND WILL CONTINUE BECAUSE THE ORGANIZATIONS SHARE COMMON BOARD MEMBERS AND MANAGEMENT TEAM AS WELL. false false false false false false false false true 0 0 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A LOBBYING REPORT WAS FILED WITH THE STATE OF ILLINOIS FOR SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES, INC. HOWEVER, ALL LOBBYING EXPENDITURES ARE PAID BY SOUTHERN ILLINOIS HOSPITAL SERVICES, A RELATED ORGANIZATION. THEREFORE NO LOBBYING EXPENSES WERE INCURRED BY SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES, INC. Federal Income Taxes DUE TO AFFILIATE - SIHS - CORPORATE 0 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The organization is included in consolidated financial statements. Below is the FIN 48 (ASC 740) footnote from those financial statements: SIHE and its affiliated organizations, with the exception of the Captive, Harrisburg Medical Center Clinic Services, LLC, HSSI and PSC, are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. The Corporation realized certain income which the Internal Revenue Service considers to be unrelated business income subject to income tax. For the years ended March 31, 2025 and 2024, a minimal amount of tax was due related to these operations. The Captive is incorporated under the laws of the Cayman Islands, which impose no tax on income or capital gains. However, the Captive is subject to U.S. federal corporate taxation to the extent that it generates income that is effectively connected with a U.S. trade or business. The Captive is not engaged in any such trade or business in the U.S. PSC is a pass-through entity and its members separately account for their share of PSC's net income or loss which is allocated to the members based on the ownership percentage. Accordingly, income taxes are not provided for in the accompanying consolidated financial statements. When tax returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would be ultimately sustained. Examples of tax positions common to health systems include matters such as the tax-exempt entity taking a tax position that an organization is tax exempt without observing corresponding proof of tax exemption from federal and state taxing authorities and there is material net income generated by the entity or egregious compensation paid to insiders that could result in revocation of exempt status (outside the scope of intermediate sanctions excise tax penalties). The tax position is to consider that these compensatory arrangements do not jeopardize tax exemption. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions taken are not offset or aggregated with other positions. Tax positions that meet the "more-likely-than-not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely of being realized upon settlement with the applicable taxing authority. There were no uncertain tax benefits identified and recorded at March 31, 2025 and 2024. The Corporation does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Corporation would recognize interest and/or penalties related to income tax matters in miscellaneous expenses. There was no interest and/or penalties related to income tax matters identified and recorded for the years ended March 31, 2025 and 2024. Tax returns filed by the Corporation are subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Tax returns filed by the Corporation are no longer subject to examination for the years ended March 31, 2021 and prior. true true false false false false false false false John Antes President/CEO 0 839330 0 0 0 37745 0 115054 0 31112 0 1023241 0 0 Daniel Skiles Former VP/Health Transformation 0 0 0 0 0 334906 0 0 0 37067 0 371973 0 43808 Todd Guenzburger FORMER OFFICER 0 426328 0 0 0 108645 0 16880 0 32510 0 584363 0 95158 Marci L Moore-Connelley MD SR VP/CMO 0 514344 0 134 0 91935 0 70940 0 28110 0 705463 0 56471 John Daly VP/General Counsel 0 365392 0 0 0 73579 0 40712 0 4289 0 483972 0 37210 Warren Ladner Sr VP/CFO/Treasurer 0 480024 0 0 0 72436 0 62156 0 47240 0 661856 0 37938 Denao Ruttino VP/Innovation Technology 0 382897 0 0 0 43078 0 46946 0 17578 0 490499 0 8243 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 Dan Skiles received severance of $279,535 in connection with his separation from the position of VP-Health Transformation Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Compensation for 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: John Antes - no payment received, $100,602 deferred compensation Warren Ladner - $37,938 payment received; $48,027 deferred compensation Marci Moore-Connelley - $56,471 payment received; $54,086 deferred compensation Daniel Skiles - $43,808 payment received; no deferred compensation John Daly - $37,210 payment received; $30,402 deferred compensation Denao Ruttino - $8,243 payment received; $34,140 deferred compensation Todd Guenzburger - $95,158 payment received; no deferred compensation Form 990, Part III, Line 1 ORGANIZATION'S MISSION (CONTINUED FROM PART III) SIHE'S VALUES REFLECT THE PHILOSOPHY OF ITS FOUNDERS AND GUIDE THE WORK OF ALL WHO SERVE WITHIN THE ORGANIZATION: RESPECT - RECOGNIZING AND VALUING THE DIGNITY AND UNIQUENESS OF EACH PERSON; INTEGRITY - ADHERING TO STRONG MORAL AND ETHICAL PRINCIPLES IN ALL WE DO; COMPASSION - RESPONDING TO THE FEELINGS AND NEEDS OF EACH PERSON WITH KINDNESS, CONCERN AND EMPATHY; COLLABORATION - COMMUNICATING AND WORKING WITH OTHERS FOR THE BENEFIT OF ALL; STEWARDSHIP - RESPONSIBLY USING, PRESERVING AND ENHANCING OUR HUMAN AND MATERIAL RESOURCES AS A NOT-FOR-PROFIT COMMUNITY CONTROLLED ORGANIZATION; ACCOUNTABILITY - HOLDING OURSELVES AND THOSE AROUND US RESPONSIBLE FOR LIVING THE VALUES AND ACHIEVING THE VISION OF SOUTHERN ILLINOIS HEALTHCARE; AND QUALITY - STRIVING FOR EXCELLENCE IN ALL WE DO. Form 990, Part VI, Line 15a Process to establish compensation of top management official 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". Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES 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 ALL OFFICERS FOR THE FULL BOARD. ONLY THE COMMITTEE WILL HAVE THE AUTHORITY TO APPROVE THE COMPENSATION OF ALL SENIOR MANAGEMENT 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. 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". Form 990, Part VI, Line 1a Delegate broad authority to a committee AUTHORITY OF GOVERNANCE COMMITTEE The Board has a Governance Committee consisting of 5 trustees. The purpose of the Governance Committee is to assure the Board of Trustees that the respective programs are functional to fulfill the responsibilities of the Board of Trustees: * Develop and maintain effective compensation and benefit policies and practices; review and recommend in advance all executive compensation arrangements; provide for the evaluation of the performance of the CEO and other System Officers; review and recommend annual performance objectives for System Officers; provide for conduct of a periodic self-evaluation of the Board of Trustees. * Assure that the programs which address new board member orientation, continuing education, mentoring, and facilitate understanding of current trends in healthcare and medical terminology, are functional. * Identify competent, highly qualified individuals to serve as members of the Board of Trustees; recommend individuals to serve in leadership positions on the Board; and facilitate and interview potential Board members. * Act for the Board of Trustees in all matters as specifically authorized by resolution of the Board or when the Board of Trustees in not in session. Form 990, Part VI, Line 4 Significant changes to organizational documents During the fiscal year ended March 31, 2025, the organization amended its bylaws to place term limits on trustees such that trustees shall not serve for a consecutive period longer than three successive terms of four years at any one time. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 this 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 Form 990, Part VI, Line 12c Conflict of interest policy 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. As a standing agenda item for each 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 conflicted Trustee may need to answer and then the conflicted Trustee is excused from the meeting. The remaining Trustees can then discuss the matter further and action is taken on the matter. The conflicted Trustee is then invited back into the meeting. Conflicted Trustees may also be asked, in rare situations, to resign their position on the Board. Form 990, Part VI, Line 19 Required documents available to the public 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. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Equity in Earnings of HSSI - -35996; Total - -35996; SOUTHERN ILLINOIS HOSPITAL SERVICES PO BOX 3988 CARBONDALE IL 62902 370618939 HEALTHCARE IL 501(c)(3) 3 SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES INC true SOUTHERN ILLINOIS MEDICAL SERVICES NFP 1239 EAST MAIN STREET CARBONDALE IL 62901 205521741 MEDICAL SERVICES IL 501(c)(3) 3 SOUTHERN ILLINOIS HOSPITAL SERVICES false SIH FOUNDATION NFP 1239 EAST MAIN STREET CARBONDALE IL 62901 271933790 FUNDRAISING IL 501(c)(3) Type I SOUTHERN ILLINOIS HOSPITAL SERVICES false HARRISBURG MEDICAL CENTER 100 DR WARREN TUTTLE DRIVE HARRISBURG IL 62946 237426289 HEALTHCARE IL 501(c)(3) 3 SOUTHERN ILLINOIS HOSPITAL SERVICES false HARRISBURG MEDICAL CENTER FOUNDATION 6 EAST CLARK STREET HARRISBURG IL 62946 371411984 FUNDRAISING IL 501(c)(3) Type I HARRISBURG MEDICAL CENTER false HEALTH SERVICES OF SOUTHERN ILLINOIS INC PO BOX 3988 CARBONDALE IL 62902 371115061 FINANCING ACTIVITIES IL SIHE C Corporation 40 1 true SIH CAYMAN SPC GROUP LTD PO BOX 1051 GRAND CAYMAN CJ CJ CJ KY11102 980611605 FINANCING CJ NA C Corporation false HIDK PROPERTIES LAND TRUST 1239 EAST MAIN ST CARBONDALE IL 62901 466693066 RENTAL PROPERTIES IL NA Trust false false false false false false false false false false false false false true false true false false false false