Southern Illinois Medical Services NFP
Public records show a registered, tax-exempt organization in good standing.
Points to look into
- It owes more than it owns.
These come from the organization's own tax return. There may be a good explanation; ask the charity.
What it says it does
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)
- Income
- $83.9 million
- Spending
- $151.1 million
- Spent on programs
- 93%
- Reserves
- -36.5 months of spending
- Largest source of income
- fees for its services, 100%
- Employees
- 946
- Volunteers
- 17
- Highest pay
- $1.6 million, physician
Source: Form 990 for the year ending March 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 30 out of 100. Higher than 6% of charities in its peer group (health care, $10m to $100m).
Reserves
0 of 35Spendable reserves are negative: it owes or has committed more than it holds.
Debt
0 of 20It owes 920% of what it owns.
Living within its means
0 of 15Spending exceeded income by 80% of income.
Income trend
15 of 15Income rose 3% on the year before.
Spending floor
15 of 1593% of spending went to programs.
Source: Form 990 for the year ending March 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 95 out of 100. Higher than 39% of charities in its peer group (health care, $10m to $100m).
Independent board
25 of 254 of 6 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
0 of 5Reports no independent review process for its chief executive's pay.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending March 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (5)
- $76.2 million spent. 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) (CONTINUED FROM PART III) THROUGH DAILY OPERATIONS, THE COMMUNITY PHYSICIAN PRACTICES OF SIMS PROVIDE SIGNIFICANT AMOUNTS OF UNCOMPENSATED FINANCIAL ASSISTANCE AND UNCOMPENSATED GOVERNMENT-SPONSORED HEALTH CARE. THE PATIENT POPULATION OF THE COMMUNITY PHYSICIAN PRACTICES OF SIMS IS COMPRISED OF 53% MEDICARE, 17% MEDICAID, 3% SELF-PAY/FINANCIAL ASSISTANCE AND 27% COMMERCIAL/MANAGED CARE. UNCOMPENSATED HEALTH CARE: THE COMMUNITY PHYSICIAN PRACTICES OF SIMS HAVE PROVIDED $26,657,299 OF UNCOMPENSATED HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICARE HEALTH CARE PROGRAM. INDIGENT HEALTH CARE: THE COMMUNITY PHYSICIAN PRACTICES OF SIMS HAVE PROVIDED $11,938,535 OF INDIGENT HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICAID HEALTH CARE PROGRAM AND $605,663 OF INDIGENT FINANCIAL ASSISTANCE. BAD DEBTS: THE COMMUNITY PHYSICIAN PRACTICES OF SIMS WROTE OFF $620,154 FROM PRIVATE PAY ACCOUNTS THAT WERE UNCOLLECTIBLE BUT DID NOT MEET THE CRITERIA TO BE CONSIDERED FINANCIAL ASSISTANCE. SIMS HAS DETERMINED THAT 17.7% OR $109,141 OF THE AMOUNTS WRITTEN OFF AS BAD DEBT WOULD HAVE QUALIFIED AS FINANCIAL ASSISTANCE IF THE PATIENTS WOULD HAVE SUBMITTED THE REQUIRED DOCUMENTATION.
- $41.1 million spent. 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). (CONTINUED FROM PART III) CMA ENCOMPASSES NEARLY 60,000 SQUARE FEET OF SPACE, MAKING IT ONE OF THE AREA'S LARGEST HEALTH CARE FACILITIES. A PROMPT CARE CLINIC IS AVAILABLE WITHIN THE CENTER TO MEET THE IMMEDIATE MEDICAL NEEDS OF PATIENTS ALONG WITH AN IMAGING CENTER AND LABORATORY SERVICES. BOTH PRIMARY CARE AND SPECIALIZED MEDICAL CARE ARE PROVIDED INCLUDING FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, GENERAL SURGERY, AND UROLOGY, AMONG OTHERS. LPC HAS OPERATIONS IN TWO LOCATIONS AND ENCOMPASSES 40,000 SQUARE FEET. LPC BEGAN OPERATIONS IN DECEMBER 1993 AND WAS ACQUIRED BY SOUTHERN ILLINOIS MEDICAL SERVICES IN NOVEMBER 2011. LPC PROVIDES A VARIETY OF SERVICES INCLUDING GENERAL FAMILY PRACTICE MEDICINE, RADIOLOGY, AND LAB. TWO MED STATIONS FOR ACUTE NON-EMERGENCY CARE ARE ALSO OPERATED. UCC OPENED IN OCTOBER 2018 AND PROVIDES TWO SERVICES TO THE COMMUNITY. THE FIRST IS AN URGENT CARE CENTER THAT PROVIDES CARE OF NON-LIFE- THREATENING ISSUES. THE SECOND IS WORK CARE THAT PROVIDES EVALUATION AND TREATMENT OF INJURED WORKERS AND ALSO PROVIDES SERVICES AIMED AT THE PREVENTION AND REDUCTION OF WORK- RELATED INJURIES. PCG HAS OPERATIONS IN HARRISBURG, IL AND CARRIER MILLS, IL AND ENCOMPASSES 25,000 SQUARE FEET. PCG BEGAN OPERATIONS IN SEPTEMBER 1992 AND WAS ACQUIRED BY SOUTHERN ILLINOIS MEDICAL SERVICES IN FEBRUARY 2014. PCG PROVIDES A VARIETY OF SERVICES INCLUDING GENERAL FAMILY PRACTICE MEDICINE, GENERAL SURGERY, LABORATORY, IMAGING AND CHIROPRACTIC MEDICINE. PHYSICAL THERAPY AND OCCUPATIONAL THERAPY ARE ALSO PROVIDED IN THREE LOCAL COMMUNITIES. HMC CLINICS BEGAIN OPERATIONS IN AUGUST 2021. HMC CLINICS HAS OPERATIONS IN ILLINOIS IN CARBONDALE, HERRIN, AND MURPHYSBORO. PSYCHIATRY SERVICES ARE PROVIDED BY HMC CLINICS. THROUGH DAILY OPERATIONS, THE PHYSICIAN CLINICS PROVIDE SIGNIFICANT AMOUNTS OF UNCOMPENSATED FINANCIAL ASSISTANCE AND UNCOMPENSATED GOVERNMENT-SPONSORED HEALTH CARE. THE PATIENT POPULATION OF THE PHYSICIAN CLINICS IS COMPRISED OF 35% MEDICARE, 25% MEDICAID, 2% SELF-PAY/FINANCIAL ASSISTANCE AND 38% COMMERCIAL/MANAGED CARE. UNCOMPENSATED HEALTH CARE: THE PHYSICIAN CLINICS HAVE PROVIDED $4,012,477 OF UNCOMPENSATED HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICARE HEALTH PROGRAM. INDIGENT HEALTH CARE: THE PHYSICIAN CLINICS HAVE PROVIDED $4,747,808 OF INDIGENT HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICAID HEALTH CARE PROGRAM AND $152,477 OF INDIGENT FINANCIAL ASSISTANCE. BAD DEBTS: THE PHYSICIAN CLINICS WROTE OFF $1.033,554 OF PRIVATE PAY ACCOUNTS THAT WERE UNCOLLECTIBLE BUT DID NOT MEET THE CRITERIA TO BE CONSIDERED FINANCIAL ASSISTANCE. IT HAS BEEN DETERMINED THAT 17.7% OR $138,399 OF THE AMOUNTS WRITTEN OFF AS BAD DEBT WOULD HAVE QUALIFIED AS FINANCIAL ASSISTANCE IF THE PATIENTS WOULD HAVE SUBMITTED THE REQUIRED DOCUMENTATION.
- $11.8 million spent. 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) (CONTINUED FROM PART III) THROUGH DAILY OPERATIONS, THE HOSPITAL PHYSICIAN PRACTICES OF SIMS PROVIDE SIGNIFICANT AMOUNTS OF UNCOMPENSATED FINANCIAL ASSISTANCE AND UNCOMPENSATED GOVERNMENT-SPONSORED HEALTH CARE. THE PATIENT POPULATION OF THE HOSPITAL PHYSICIAN PRACTICES OF SIMS IS COMPRISED OF 40% MEDICARE, 27% MEDICAID, 3% SELF-PAY/FINANCIAL ASSISTANCE AND 30% COMMERCIAL/MANAGED CARE. UNCOMPENSATED HEALTH CARE: THE HOSPITAL PHYSICIANS OF SIMS PROVIDED $5,133,976 OF UNCOMPENSATED HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICARE HEALTH CARE PROGRAM. INDIGENT HEALTH CARE: THE HOSPITAL PHYSICIANS OF SIMS HAVE PROVIDED $5,047,170 OF INDIGENT HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICAID HEALTH CARE PROGRAM AND $267,162 OF INDIGENT FINANCIAL ASSISTANCE. BAD DEBTS: THE HOSPITAL PHYSICIAN PRACTICES OF SIMS WROTE OFF $1,595,362 FROM PRIVATE PAY ACCOUNTS THAT WERE UNCOLLECTIBLE BUT DID NOT MEET THE CRITERIA TO BE CONSIDERED FINANCIAL ASSISTANCE. SIMS HAS DETERMINED THAT 17.7% OR $217,583 OF THE AMOUNTS WRITTEN OFF AS BAD DEBT WOULD HAVE QUALIFIED AS FINANCIAL ASSISTANCE IF THE PATIENTS WOULD HAVE SUBMITTED THE REQUIRED DOCUMENTATION
- $11.0 million spent. SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) ALSO PROVIDES OTHER ADMINISTRATIVE SERVICES AND LEASES SPACE TO ITS RELATED ORGANIZATIONS.
- (Expenses $ 11,015,998 including grants of $ 0)(Revenue $ 11,903,526) SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) ALSO PROVIDES OTHER ADMINISTRATIVE SERVICES AND LEASES SPACE TO ITS RELATED ORGANIZATIONS.
Source: Form 990 for the year ending March 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending March 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since September 2007.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.