Southern Illinois Healthcare

Nonprofit profile at a glance

EIN
370618939
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Carbondale, IL, United States
Phone
618-942-2171
Rating
80
Verdict
STRONG
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$765,582,807
Expenses
$657,573,952
Assets
$1,528,057,174
Liabilities
$419,587,011

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

33 people listed

Executive titles in this filing

  • John Antes (President/CEO)

Highest reported compensation

  • John B Millstead (SR VP/COO): $1,052,362 total reported compensation
  • John Antes (President/CEO): $1,023,241 total reported compensation
  • Marci L Moore-Connelley MD (SR VP/CMO): $705,463 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Caring for you goes beyond our walls. Driven by our mission to improve the health and well-being of all people in the communities we serve, SIH is the region’s leading provider of charity care, unreimbursed care and community benefit, contributing more than $1.3 billion since 2014. Through affiliations with organizations such as Prairie Heart Institute, SIU School of Medicine, Siteman Cancer Network and the BJC Collaborative, SIH expands access to advanced care, specialized expertise and innovative treatment options throughout Southern Illinois. SIH Facilities SIH Memorial Hospital of Carbondale.

What it reported doing in 2024

Southern Illinois hospital services (sihs) provides quality health services to people throughout southern Illinois regardless of race, creed, sex, national origin, handicap, age or ability to pay. Through daily operations, sihs' hospitals provide significant amounts of uncompensated charity care, uncompensated government-sponsored health care, subsidized health services and medical education. The primary service area of sihs is a very rural seven-county region with a combined population of approximately 240,000. The residents of these counties' median household incomes are below the state average and in addition, the poverty rate is higher than the state average. (continued in schedule o)

Operating model

Revenue model
Other-operating. 96% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and some filed totals do not add up.

Rating breakdown

  • Financial Efficiency: 77
  • Transparency & Controls: 72
  • Accountability: 95
  • Sustainability: 73
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 74.9%; rating input score 75
  • Program expense ratio: 81.6%; rating input score 82
  • Fundraising efficiency: $40.39 raised per $1 spent on fundraising; rating input score 71; 71st percentile among comparable filings

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 82.4%; rating input score 82; 18th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 92.3%; rating input score 92; 41st percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 14.1%; rating input score 81; 81st percentile among comparable filings
  • Total-asset coverage ratio: 2.32; rating input score 68; 68th percentile among comparable filings
  • Liabilities to assets ratio: 0.27; rating input score 59; 59th percentile among comparable filings
  • Officer compensation ratio: 1.5%; rating input score 65; 65th percentile among comparable filings

Growth

  • Program expense growth: 4.6% per year; rating input score 100; 36th percentile among comparable filings
  • Revenue growth: 5% per year; rating input score 100; 42nd percentile among comparable filings
  • Asset growth: 7.7% per year; rating input score 100; 57th percentile among comparable filings

Details

  • What they do: 8 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 74.9% of revenue deployed · 81.6% of spending went to programs
  • Governance: 12 of 13 board members independent · 9 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $536.4M in reported program spending
  • Leadership: top reported pay $1.1M · 33 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $28.4M reported
  • Consistency: 40 of 41 current checks pass · 1 finding to review
  • Schedules: 11 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 51 filed money-flow records
  • Related organizations: 30 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Sustainability: Liabilities to assets ratio scored 59/100.