4A (Expenses $ 551175217 including grants of $ 0) (Revenue $ 656152981)
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)

4B (Expenses $ 2192266 including grants of $ 1372368) (Revenue $ 0)
THROUGH OUR COMMUNITY BENEFITS PROGRAM AND SERVICES, SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) HAS EXTENDED ITS CARE BEYOND HOSPITAL WALLS AND INTO THE NEIGHBORHOODS WHERE PEOPLE LIVE AND WORK TO POSITIVELY IMPACT THOSE COMMUNITIES. THE COMMUNITY BENEFITS DEPARTMENT OF SIHS WAS INSTITUTED IN 1994 WITH AN OPERATING BUDGET SPECIFICALLY ALLOCATED TO BRING HEALTH-RELATED PROGRAMS TO THE AREAS IN WHICH THEY WERE MOST NEEDED. COMMUNITY BENEFITS HAS UNDERTAKEN A WIDE VARIETY OF SUCCESSFUL PROGRAMS SINCE ITS INCEPTION. (CONTINUED IN SCHEDULE O)

4C (Expenses $ 320634 including grants of $ 0) (Revenue $ 0)
SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) PROVIDES PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. (CONTINUED IN SCHEDULE O)

Schedule H, Part V, Section B, Line 3E
The significant health needs of the community are identified through the CHNA. These needs were prioritized based on overall impact, magnitude of the problem, severity and ability and interest of the community. CHNA advisory team members discussed and voted on the top issues. The following areas were identified as the top 3 priority needs: 1 - Social Determinants of Health (poverty, hunger/food access, housing, access to care) 2 - Behavioral Health (mental health and substance misuse) 3 - Chronic Disease Prevention, Mangement and Treatment

Schedule H, Part V, Section B, Line 5 Facility A, 1
Facility A, 1 - A. The broad interests of the community we serve were incorporated by including input from residents, patient groups, health care practitioners, local health departments, social services providers, and other community organizations and partners. A survey of 637 community members and partners and 17 healthcare providers was conducted to gain input regarding overall health issues to be addressed. The Community Health Needs Assessment was conducted to incorporate four hospitals within the Southern Illinois Healthcare system as the community is defined as the same surrounding area. One of these hospitals, Harrisburg Medical Center is reported on a separate 990 return, while the remaining three hospitals are included on the Southern Illinois Hospital Services 990 return. The most important health issues in our service area were identified, particularly for vulnerable and under-represented populations to ensure that programs and services closely match the priorities and needs of the community. Participants contributed to this assessment by: -Reviewing data, Identifying and prioritizing needs; -Highlighting current successful and ongoing activities; -Identifying gaps where attention is needed; -Fostering collaboration, pursuing opportunities for innovation, sustainability and policy, system and environmental changes; -Developing plans to address significant community health issues. Vulnerable and under-represented populations in our area are characterized by the following health disparities: -homelessness -food insecurities -limited acess to medical screenings and treatment The above issues are demonstrated by statistics: -48.7% of households with children are at below 200% of poverty -17.9% of households receive SNAP benefits -57.1% of students are eligible for free lunch -16.2% of adults are unable to fill prescriptions due to cost -46.1% of working age population are unemployed The process was led by a 53 member CHNA Advisory team that was comprised of SIH/HMC staff, local health departments, healthcare providers, civic and community leaders, and social service providers. This team reviewed the data, provided input and shared their perceptions of overall impact, magnitude of the problem, severity, and ability and interest of the community to address the issues. Local and state data and needs assessments for the service area were reviewed. Issues were ranked by using the following criteria - overall impact, magnitude of the problem severity and ability and interest of the community. Many of the individuals invited to participate in the survey are, or provide services to those who are medically underserved, low-income or minority populations. It was requested that these individuals promote the survey among those they serve. For example, the Federally Qualified Health Centers staff, Healthy Community Coalition members, as well as those working in the faith communities serve all community members in an effort to improve health care access and provide education and outreach to our most vulnerable populations, i.e., low income families and those living in poverty, the uninsured and underinsured, the elderly, teens, those with behavioral health issues, etc. An invitation email with a SurveyMonkey link was sent to over 4,000 individuals. The survey was also promoted via Facebook. Responses were collected anonymously. In order to develop a broad understanding of community health needs in the 11-county area, the hospitals conducted a community survey between August 30, 2021 and September 22, 2021. A link to the survey was distributed via e-mail, social media, through flyer distribution and word of mouth to the community at-large. See Appendix 1 of the CHNA for reference.

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - A. MEMORIAL HOSPITAL OF CARBONDALE, CARBONDALE, IL HERRIN HOSPITAL, HERRIN, IL ST JOSEPH MEMORIAL HOSPITAL, MURPHYSBORO, IL

Schedule H, Part V, Section B, Line 11 Facility A, 1
Facility A, 1 - A. THE MOST RECENTLY CONDUCTED CHNA WAS COMPLETED IN MARCH 2022 AND AN IMPLEMENTATION STRATEGY HAS BEEN DEVELOPED FOR APRIL 1, 2022 THROUGH MARCH 31, 2025. SIHS IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENT CHNA WITH THE FOLLOWING: THREE IMPLEMENTATION PLAN TEAMS WERE DEVELOPED IN ORDER TO BRING INDIVIDUALS TOGETHER WITH EXPERTISE AND INTEREST IN EACH OF THE CHOSEN PRIORITY AREAS. KEY ISSUES WERE IDENTIFIED AND IMPLEMENTATION STRATEGIES WERE DEVELOPED FOR THE THREE KEY AREAS. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS WERE REVIEWED AND ADOPTED BY THE SIH BOARD OF TRUSTEES IN MARCH 2022. THE PRIORITY AREAS IDENTIFIED THROUGH THE CHNA WILL BE USED BY THE COMMUNITY BENEFITS DEPARTMENT TO PLAN THIER FOCUS OVER THE NEXT THREE YEARS (APRIL 1, 2022 - MARCH 31, 2025). THESE ISSUES ARE: SOCIAL DETERMINANTS OF HEALTH (POVERTY, HUNGER/FOOD ACCESS, HOUSING, ACCESS TO CARE), BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE MISUSE), AND CHRONIC DISEASE PREVENTION, MANAGEMENT AND TREATMENT (FOCUSING ON CARDIOVASCULAR DISEASE, STROKE AND DIABETES). THE FOCUS WILL BE ADDRESSING THESE PRIORITIZED NEEDS. HOWEVER OTHER AREAS IDENTIFIED AS COMMUNITY NEEDS, THAT WERE DETERMINED TO BE LOWER PRIORITY WERE ACCESS TO CARE (TELEHEALTH), LACK OF CANCER AND PREVENTATIVE SCREENINGS AND PEDIATRIC DENTAL CARE. THESE LOWER PRIORITY ITEMS WILL BE ADDRESSED IN THE FUTURE IF FUNDING IS AVAILABLE.

Schedule H, Part I, Line 7g Subsidized Health Services
A FAMILY PRACTICE CENTER IS INCLUDED IN SUBSIDIZED HEALTH SERVICES. THE COST OF PROVIDING THIS CENTER WAS $1,470,835.

Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation
0

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO THE INFOMRATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE IRS PROVIDED WORKSHEET NUMBER 2 WAS USED TO CALCULATE A COST TO CHARGE RATIO USING INFORMATION FROM THE ORGANIZATION'S GENERAL LEDGER AND COST REPORTS. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF FINANCIAL ASSISTANCE PROVIDED AND WORKSHEET NUMBER 3 WAS USED TO CALCULATE UNREMIBURSED MEDICAID AMOUNTS. THE ORGANIZATION'S COST ACCOUNTING PROGRAM WAS UTILIZED FOR CALCULATING PORTIONS OF THE SUBSIDIZED HEALTH SERVICES. THE ORGANIZATION'S COST ACCOUNTING PROGRAM ENCOMPASSES ALL PATIENT TYPES, SERVICE AND PAYORS. THE COST ASSOCIATED WITH A SERVICE ARE REVIEWED AND UPDATED ANNUALLY TO PROVIDE THE MOST ACCURATE COST POSSIBLE. BOTH DIRECT AND INDIRECT COSTS ARE UTILIZED IN CALCULATING COST. ACTUAL COST OF HEALTH IMPROVEMENT AND COMMUNITY BENEFIT PROGRAMS, HEALTH EDUCATION, RESEARCH PROGRAM, SOME SUBSIDIZED HEALTH SERVICES AND DONATIONS ARE STATED AT ACTUAL COST. THE COST OF THESE ITEMS ARE TRACKED THROUGHOUT THE GENERAL LEDGER PROCESS AND THROUGH OTHER ACCOUNTING SOFTWARE.

Schedule H, Part II Community Building Activities
"Through Community Building activities, Southern Illinois Hospital Services addresses the causes of health problems through programs that advocate for Community Health Improvements. These programs include: Healthy Communities - This initiative is directed at improving community health through timely assessment of needs and facilitating the planning, implementation, and evaluation of community-based programs and services. SIH is active in two Healthy Communities Coalitions in local counties. These coalitions are comprised of health providers, social service agencies, citizens and other interested community groups interested in improving the health of their respective communities. The Jackson County Healthy Community Coalition raises awareness about health issues relevant to Jackson County, develops projects that address unmet needs or gaps in health services, coordinates services and collaborations to maximize resources, develop plans and reports, encourages advocacy and assists in accessing funding. Membership includes partners from over 80 different Jackson county organizations. Action teams have been developed to address the following: - Behavioral Health - works to prevent substance abuse, enhance mental health and emotional well-being of the county residents - Positive Youth Development - trainings, education and related activities for community youth. - Sexual Action Team - focus on decreasing sexually transmitted diseases through education, screenings and protective behaviors - Health Living Action Team - works to prevent cardiovascular disease by targeting eating behaviors, physical activity and tobacco use. - Joint Access to Care Team - focuses on improving access to all health care services - Cancer Action Team - works to increase screening and public education - Built Environment Action Team - works to improve the environment for pedestrians and bicyclists - Preparedness Coalition - prepares communities for emergencies - Diabetes Today Resource Team - works to reduce diabetes and its impact on those living with the disease. The Franklin/Williamson Counties Healthy Communities Coalition supports the collection, tracking and reporting of relevant county health data, develops projects to address identified health priorities, develops plans and reports, fosters collaboration and encourages advocacy. Membership includes partners from over 60 different Franklin/Williamson county organizations. Action teams have been developed to address the following: - Healthy Seniors Action Team - provides activities which promote the health and well-being of individuals age 55 and older - Positive Youth Development - addresses health issues concerning youth - Joint Access to Care Team - focuses on improving access to all health care services. Other initiatives of our Healthy Communities include the following: - Provide funding of the Medical Legal Partnership of Southern Illinois which offers individuals and families legal help to improve their health. The collaborative effort of Southern Illinois Healthcare and Land of Lincoln Legal Assistance Foundation assists patients in improving their health by alleviating the legal stressors in their lives. During the current year 286 low-income patients were assisted through this initiative. - Dental care is an area identified as an access to care issue in our community health needs assessment. Southern Illinois Healthcare has partnered with 3 local federally qualified health centers to address the issue of dental coverage. The program ensures appointments are available for oral health concerns. - SIH provides funding to the Illinois Poison Center. The Illinois Poison Center is a non-profit health service that provides comprehensive and trusted information and treatment advice on potentially harmful substances via a free, confidential 24 hour helpline. Information materials are provided to schools and community groups to spread prevention and poison awareness messages. - Southern Illinois Food Pantry Network is a community-based group that SIHS works in collaboration with to address food security and provide disease prevention and management. A Food Security Summit was held which brought approximately 100 people together to discuss ways to address food security in southern Illinois. Plans to reestablish the program of providing free health screening events at local food pantries and food truck distribution sites that target low income, uninsured and underinsured residents are planned for in the next years. Non-Emergency Medical Transportation Program - The lack of non-emergency medical transportation was identified as a priority in the community health needs assessment. A program that educates SIH staff to identify and assist patients with transportation needs was established. Rides are provided to/from non-emergency medical appointments. In FY22 a total of 1007 ride requests were completed. Community Health Worker Program - Community Health Workers are frontline public health workers from within the community who serve as a liaison to healthcare agencies. The program targets patients living in Jackson County, 18-59 years of age, uninsured or on Medicaid who have frequent inpatient and ED visits. The program is in the early stages with the promotion of the program throughout SIHS being the focus in the current year. Coordinated School Health - This program is directed at reducing the growth of childhood obesity and improving the overall health and well-being of children and adolescents. The ""Illinois CATCH on to Health Consortium (ICHC)"" is a collaborative initiative between the SIU School of Medicine Center for Rural Health and Social Services Development, local health departments and community organizations in southern Illinois. SIH partners with local schools to form School Wellness Committees, complete the CDC's School Health Index, and implement Coordinated School Health Programs and policies to improve health and reduce overweight and obesity among southern Illinois students. During FY22, SIH staff worked with 35 schools, which impacted over 9,900 children, in the 5-county service area. SIH also impacted over 4,550 students/ families through Family Fun Nights, school sponsored 5K's, math and science nights, Family Vacation Nights, school safety days, and much more. ICHC members also worked collaboratively with schools in the SIH coverage area to promote and assist in the implementation of coordinated school health programming by providing training and technical support, and by training staff on the CATCH (Coordinated Approach to Child Health) program and supplying CATCH curriculum and materials. School Based Fitness Assessment and Training for Physical Education Teachers - Southern Illinois Healthcare promotes lifelong fitness by supporting quality physical education is southern Illinois schools and assisting children to meet the surgeon general's recommendation for 60 minutes of daily physical activity. Support for this is provided through: - Awarding stipends for physical education teachers to attend training workshops - Hosting annual physical education workshops that highlight national physical education standards - Hosting networking sessions throughout the year for physical education teachers - Completing System for Observing Fitness Instruction Time evaluations in participating schools. Patient Support Initiative - Southern Illinois Hospital Services provides a Patient Support Initiative (PSI) with the goal of providing patients with adequate care and compensating physicians at reasonable rates for patients that do not have resources available to pay their health care bills. SIHS compensates physicians for the care of patients that enter the healthcare system via the emergency departments at SIHS facilities and are assigned to physicians based upon the on-call rotation coverage. PSI is designed for physician/patient contact that occurs in a hospital based setting when there was no previous relationship between the patient and the physician or the physician's practice. PSI pays compensation for professional fees only, relating directly to the episode of care begun in the Emergency Department, not to exceed 30 days. Indigent Care Funding - Southern Illinois Hospital Services provides funding to purchase prescriptions, medical supplies and transportation to patients deemed financially indigent on a case-by case basis."

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
FOR FINANCIAL STATEMENT PURPOSES, SOUTHERN ILLINOIS HOSPITAL SERVICES HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE ON IRS FORM 990, PART IX. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS OF ACCOUNTS RECEIVABLE CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
The cost to charge ratio is calculated utilizing Worksheet 2 included in the Internal Revenue Service's Form 990 Schedule H instructions. This cost to charge ratio is applied to the gross charges that are deemed to be price concessions written off as bad debt. To estimate the amount of these price concessions that was determined to be bad debt that would have been eligible for charity under our policy the following calculation was prepared: - The number of encounters by county at each of our 3 facilities was obtained from our registration system. The percentage of patients from each county varies by facility due to the location of the facility. - An estimate of the amount of bad debt price concessions by county at each hospital was calculated by applying the percentages obtained above to the amount of gross charges written off as bad debt at each facility. - The poverty rate of each county was then applied to these allocated charges to estimate the amount of charges that would have been eligible under our charity policy based on poverty level guidelines.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
Consolidated Audit Report Pages 12-13: The Patient service revenue note details explicit price concessions.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
The expenses from the audited financial statements are adjusted per Medicare regulations. Overheads are allocated based on the step-down method by using Medicare approved statistics. Medicare costs are determined by multiplying the days or charges times the per diem amount or the cost to charge ratio applicable to the department. Home office expenses are allocated to the facilities based on the Home office cost report. Statistics used on the Home office cost report are approved by the Medicare intermediary. One hundred percent of the shortfall of Medicare allowable costs over Medicare revenue is considered to be a community benefit. By continuing to treat patients eligible for Medicare, hospitals alleviate the federal government's burden for directly providing medical services. The IRS has acknowledged that lessening the government burden associated with providing Medicare benefits is a charitable purpose.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
"If SIH determines the individual is eligible for financial assistance, SIH will: -Provide the individual with a billing statement that indicates the amount the individual owes for the care as an individual eligible for financial assistance (""HAP-eligible"") (assuming the individual is eligible for assistance other than free care) and how that amount was determined and states, or describes how the individual can get information regarding, the amounts generally billed for the care -Refund to the individual any amount he or she has paid for the care (whether to the hospital facility or any other party to whom the hospital facility has referred or sold the individual's debt for the care) that exceeds the amount he or she is determined to be personally responsible for paying as a HAP-eligible individual, unless such amount is less than $5 (or such other amount published in the Internal Revenue Bulletin). -Take all reasonable available measures to reverse any extraordinary collection actions (""ECAs"") (with the exception of a sale of debt) taken against the individual to obtain payment for the care. After determining financial assistance eligibility, SIH takes the following actions at least 30 days before first initiating one or more of the above ECAs to obtain payment for care: - Provide the individual with a written notice that indicates financial assistance is available for eligible individuals, identifies the ECA(s) that SIH (or other authorized party) intends to initiate to obtain payment for the care, and states a deadline after which such ECA(s) may be initiated that is no earlier than 30 days after the date that the written notice is provided. -Provide the individual with a plain language summary of the HAP with the written notice described above. -Make a reasonable effort to orally notify the individual about SIH's HAP and about how the individual may obtain assistance with the HAP application process."

Schedule H, Part V, Section B, Line 16a FAP website
A - MEMORIAL HOSPITAL OF CARBONDALE: Line 16a URL: https://www.sih.net/patients-and-visitors/financial-resources/healthcare-assistance-program;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - MEMORIAL HOSPITAL OF CARBONDALE: Line 16b URL: https://www.sih.net/patients-and-visitors/financial-resources/healthcare-assistance-program;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - MEMORIAL HOSPITAL OF CARBONDALE: Line 16c URL: https://www.sih.net/patients-and-visitors/financial-resources/healthcare-assistance-program;

Schedule H, Part VI, Line 2 Needs assessment
A complete copy of the organization's most recently conducted community health needs assessment and implementation strategy can be found at: https://www.sih.net/giving-back/sih-in-the-community/community-benefit-programs The community benefits department at SIHS regularly assesses the needs within the community and provides programs in order to meet the needs in surrounding areas through the following activities: - Monitoring the data and meeting with community coalitions and others to learn about various programs and needs in the communities. - Work with Healthy Southern Illinois Delta Network and others such as local health departments and federally qualified health centers to assess needs on an ongoing basis.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
"SIH takes the following steps to notify patients about the availability of the healthcare assistance policy (""HAP""): -Financial Assistance notices are placed in all departments registering patients. -SIH posts signage in English and Spanish regarding the availability of financial assistance. -SIH's website posts notice of financial assistance through the Healthcare Assistance Program and applications in English, Arabic and Spanish. -Electronic application is also available in MyChart by logging in and selecting Billing and then selecting Financial Assistance. -Information regarding HAP is available in all Patient Intake offices and in other public locations within the hospital, upon request without charge. -Registrars inform all patients of the Healthcare Assistance Program, and offers a plain language summary."

Schedule H, Part VI, Line 4 Community information
The primary service area of Southern Illinois Healthcare is an eleven-county region surrounding our hospitals. Most of the inpatient and outpatient visits come from our rural area that includes Perry, Jackson, Franklin, Williamson, Union, Johnson, Saline, Gallatin, Hardin, Pope and White counties. The combined population of this area is approximately 260,000. Median household incomes in the area average $46,666 which is substantially less than the $65,886 statewide average. Residents living in poverty in the eleven counties range from a low of 12.9% to a high of 25.4%, with an average of 16.71% compared to the 11.5% state average. Approximately 8.98% of the population of these counties are uninsured, with approximately 64.7% of the insured population being covered by medicare and medicaid. Seven non-SIH hospitals exist within the 11-county primary market area. The Marion VA Medical Center in Marion (Williamson County) is a 55-bed bed acute care facility owned and operated by the US Department of Veterans Affairs. Heartland Regional Medical Center, also located in Marion, is a 92-bed acute care hospital owned by Community Health Systems (CHS). The remaining facilities are 25-bed Critical Access Hospitals: Ferrell Hospital in Eldorado (Saline County); Franklin Hospital in Benton (Franklin County); Marshall Browning Hospital in Du Quoin (Perry County); Pinckneyville Community Hospital in Pinckneyville (Perry County); and CHS-owned Union County Hospital District in Anna (Union County). Marshall Browning Hospital has an affiliation agreement with Southern Illinois Healthcare. In August 2021 Harrisburg Medical Center in Harrisburg (Saline County) became a part of Southern Illinois Healthcare after 10 years of collaborating with SIH. A joint CHNA was conducted that include the three SIH hospitals reported on this return and Harrisburg Medical Center which is filed on a separate 990 return. The Harrisburg Medical Center is licensed for 45 acute care beds plus 31 acute mental illness beds. Each of the eleven counties within the primary market area has been federally designated as a Health Professional Shortage Area, and at least a portion of each county has been federally designated as a Medically Underserved Area or having a Medically Underserved Population.

Schedule H, Part VI, Line 6 Affiliated health care system
Southern Illinois Hospital Services (SIHS) is part of a larger system that provides health services to the population of Southern Illinois. SIHS provides care through its four hospitals and one community health center. Three of the hospitals are reported as Southern Illinois Hospital Services and one is reported as Harrisburg Medical Center. Southern Illinois Medical Services (SIMS) provides care through physician practices. These practices are comprised of the Center for Medical Arts, Logan Primary Care, Physician Care Group, individual physician practices, hospital physicians and emergency room physicians. SIHS and SIMS work together in providing care and treatment of the medically sick, injured or afflicted. Both provide quality health services to people throughout Southern Illinois regardless of race, creed, sex, national origin, handicap, age or ability to pay.

Schedule H, Part VI, Line 7 State filing of community benefit report
IL

Schedule H, Part VI, Line 5 Promotion of community health
"Southern Illinois Hospital Services (SIHS) is dedicated to promoting the health and well-being of all of the people in the communities we serve. Our mission is guided by our values: compassion, collaboration, quality, stewardship, integrity, accountability and respect. Over 3,000 employees, along with physicians and volunteers, are working together to achieve our missions and ensure that the health care needs of those we serve are met by treating patients in SIHS facilities, by offering services in rural clinics, by collaborating with some of America's best hospitals and by improving the quality of life in our communities with our charitable community benefits programs. SIHS provides quality health services to people throughout Southern Illinois regardless of race, creed, sex, national origin, handicap, age or ability to pay. SIHS operates 3 community hospitals with a combined total of 301 beds. Each hospital operates a full time emergency room. No one is denied care or treatment within the hospitals or emergency rooms. Medical staff privileges are available to all qualified physicians in the area, consistent with the services provided at each facility. The Board of Trustees of SIHS is comprised of 13 members. These members are comprised of local community leaders, physicians and our CEO. The majority of the Board is comprised of persons who are neither employees nor independent contractors of the organization or family members thereof. SIHS invests excess funds from operations into the expansion and replacement of existing facilities and equipment, repayment of debt and improvement in patient care. Southern Illinois Hospital Services has also extended its services beyond hospital walls and into the neighborhoods where people live and work. Annually operating funds are allocated specifically to bring health-related programs to the areas in which they are most needed. Our goal is to respond to identified community health needs, increase access to care, lead and serve as an example to others in service to the community and improve the overall health status of those in the communities served by SIH facilities. Currently, the Community Benefits Department of SIHS collaborates with Southern Illinois schools to address childhood obesity. Included in this initiative are the Coordinated School Health program, CATCH (Coordinated Approach to Child Health) program and School Based Fitness Assessment and Training for Physical Education Teachers. A Health Ministry Program supports ministries of health, healing and wholeness in area faith communities. Education and program resources are provided with the goal of increasing positive health behaviors. Over the last three year, Health Connectors and Parish nurses have made over 98,000 one-on-one contacts that include blood pressure screening and educational events. Faith communities have developed safety plans, trained in emergency preparedness and CPR, and received AEDs. Also the department is active in the creation and facilitation of Healthy Community Coalitions. These groups include health providers, social service agencies, concerned citizens and other community groups interested in improving the health of their respective communities. The groups seek to meet locally identified community health needs and through the implementation of programs that address the demonstrated unmet health needs of the residents of the communities served. These coalitions make a significant impact on the lives of those within the communities served by SIHS. Currently, staff is engaged in numerous community health promotion, education, and prevention initiatives. An increase in access to primary health, behavioral health, and oral health care services has been affected through the SIHS support of existing and developing community-based interventions. Increased numbers of collaborative partnerships that support increased individual and community capacity to achieve a healthy community vision are ongoing. In addition to the above, in order to accomplish the organization's mission as well as the overall goals previously outlined, the Community Benefits Department of Southern Illinois Healthcare implements a number of directed initiatives. Following is a description of these initiatives, the specific goals and objectives to be achieved for FY22, and an outline of the means by which department staff will work to plan, implement, and evaluate these programs. The focus of the SIH Health Communities Program is to improve the community health through timely assessment of needs and facilitating the planning, implementation, and evaluation of community based programs and services. The goal is to increase collaborative capacity of local agencies and to develop a regional chronic disease/diabetes self-management program. SIH provides funding to sponsor activities and events in the community to promote and encourage healthy and active lifestyles. Sponsored efforts help build a sustainable community-linked infrastructure and a health enhancing environment. On an on-going basis, Community Benefit Department staff participates in and facilitates a variety of boards, coalitions, networks, commissions, committees, partnerships and panels. Spending time in the community enable staff to bring back first-hand knowledge of community needs, existing resources, and identify opportunities for clinical and community linkages. Southern Illinois Hospital Services responded to the COVID pandemic by providing health care and support to our communities. Our facilities adapted to the surge in patients through adapting our facilities to care for COVID patients in a safe environment for our staff and community. Elective procedures were delayed ensuring all beds were available for COVID patients. Southern Illinois Hospital Services established testing sites and established a COVID hotline for the community. SIH Marketing developed a COVID website for community members and medical providers to obtain information and updates from SIH. A COVID at Home program was developed in FY21 and served its first patents in March of 2021 and throughout FY22. Through the SIH COVID at Home program, thermometers, pulse oximeters and educational materials were provided to patients discharging from Inpatient. Follow-up calls were then made to these patients to ensure they knew how to use their kit and that they had followed up with their primary care provider. In FY22, SIH partnered with many community members, healthcare agencies, and clinics to begin development and promotion of the ""Our Shot"" vaccination campaign. The purpose of the campaign is to increase vaccine confidence and promote the availability of COVID-19 vaccine by providing information thru various types of media such as radio, television and social media ads. Through ""Our Shot"" vaccine champions were identified and assisted in promoting COVID vaccinations throughout Southern Illinois with a focus on the lower 16 counties. For more information visit www.ourshotsi.com. Behavioral Health is being addressed through providing access to clinical social workers, CME events to increase awareness of opiod/substance misuse and trained law enforcement and first responders in the use of Narcan. A non-emergency medical transportation program was established for medical appointments and patient discharges."