Southern Illinois Medical Services… - Form 990 Financial Data

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2006

Legal Domicile

Phone

6184575200

Tax Period

2024-04-01 to 2025-03-31

Southern Illinois Medical Services NFP, founded in 2006, is a mid-sized nonprofit in the Health Care sector that reported $83.9M in total revenue in fiscal year 2024. Expenses of $151.1M exceeded revenue, resulting in a 80% operating deficit.

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)

Program Service Accomplishments

Program 1

Expenses: $76,172,249 Revenue: $29,531,596

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...

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 204,456 ENCOUNTERS IN TREATING THIS POPULATION. (CONTINUED IN SCHEDULE O)

Program 2

Expenses: $41,079,850 Revenue: $31,499,457

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 262,773 ENCOUNTERS TREATING THIS POPULATION. (CONTINUED IN SCHEDULE O).

Program 3

Expenses: $11,843,105 Revenue: $10,888,596

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 PHYSICIANS STAFF THE EMERGENCY ROOMS AT EACH OF THE THREE HOSPITALS. THESE PHYSICIANS ARE VITAL TO PROVIDING HEALTHCARE TO THE POPULATION OF OUR SERVICE AREAS. 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 154,307 ENCOUNTERS IN TREATING THIS POPULATION. (CONTINUED IN SCHEDULE O)

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $0

Program Service Revenue $83,726,344

Investment Income $587

Other Revenue $146,650

TOTAL REVENUE $83,873,581

Expense Breakdown

Grants Paid $0

Salaries & Benefits $85,078,585

Fundraising Expenses $0

Program Expenses $140,111,202

Other Expenses $66,031,603

TOTAL EXPENSES $151,110,188

Year-over-Year Comparison

	2024	2023	Change
Revenue	$83,873,581	$81,635,752	+0.0%
Expenses	$151,110,188	$136,989,633	+0.1%
Net Income	$-67,236,607	$-55,353,881	+0.2%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

946

Volunteers

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$4,380,211

Total Directors

$1,686,047

Key Employees

$306,025

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
John Antes	President/CEO	10.0	Officer Director	$0	$146,166	$1,023,241
Morton Levine	Secretary	1.0	Officer Director	$0	$0	$400
Warren Ladner	Sr VP/CFO/Treasurer	10.0	Officer Director	$0	$109,396	$661,856
Brad Cole	Trustee (Partial Year)	1.0	Director	$0	$0	$0
Eugene Basanta	Trustee	1.0	Director	$0	$0	$250
Gina Sirach	Trustee	1.0	Director	$0	$0	$0
Raj Gulati MD	Trustee	1.0	Director	$0	$0	$300
Denao Ruttino	VP/Innovation Technology	10.0	Officer	$0	$64,524	$490,499
John Daly	VP/General Counsel	10.0	Officer	$0	$45,001	$483,972
Marci L Moore-Connelley MD	SR VP/CMO	10.0	Officer	$0	$99,050	$705,463
Sara Malone	VP/CMO SIMS	50.0	Officer	$464,876	$98,753	$563,629
Shelly Pierce	VP/Quality	10.0	Officer	$0	$74,569	$451,151
Steve Hubler-Marti	Chief Operating Officer (Partial Year)	40.0	Key Emp	$278,891	$27,134	$306,025
Andrea Loggini	Physician	40.0	Highest	$1,024,660	$27,964	$1,052,624
Gerson Criste MD	Physician	40.0	Highest	$1,366,733	$85,799	$1,452,532
Hal Lewis	Physician	40.0	Highest	$1,421,597	$59,523	$1,481,120
Lukasz Dabrowski MD	Physician	40.0	Highest	$1,073,080	$78,298	$1,151,378
Nader Dababneh MD	Physician	40.0	Highest	$1,547,524	$89,961	$1,637,485
Daniel Skiles	Former VP/Health Transformation	0.0		$0	$37,067	$371,973
Darrell Bryant	FORMER VP/COO SIMS	0.0		$391,128	$0	$391,128
Todd Guenzburger	FORMER OFFICER	0.0		$0	$49,390	$584,363

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$83,873,581	$151,110,188	$53,320,102	$-67,236,607
2024	$81,635,752	$136,989,633	$44,935,518	$-55,353,881
2023	$96,180,320	$150,065,552	$46,783,891	$-53,885,232
2022	$101,231,999	$152,847,560	$54,823,932	$-51,615,561
2021	$86,612,938	$134,399,352	$54,851,168	$-47,786,414
2020	$90,200,919	$142,619,398	$58,088,609	$-52,418,479
2019	$90,273,555	$133,998,225	$61,917,459	$-43,724,670
2018	$80,353,249	$119,505,648	$62,145,150	$-39,152,399

Southern Illinois Medical Services NFP