2025-03-12T06:50:28-05:00 2024-06-30 430352985 KERBER ECK & BRAECKEL LLP 3401 OFFICE PARK DRIVE MARION IL 62959 990 2023-07-01 370966854 SHAWNEE HEALTH SERVICE & DEVEL CORP SHAW 6189858221 109 CALIFORNIA STREET CARTERVILLE IL 629180577 CHRISTINA CARNEY CEO 6189858221 2025-03-11 1 1 AMBER HALSTEAD P01343727 6185291040 2025-03-11 2023 2025-03-06 01:10:19Z CHRISTINA CARNEY 109 CALIFORNIA STREET CARTERVILLE IL 62918 42110178 0 X WWW.SHSDC.ORG X 1972 IL TO WORK FOR THE PRESERVATION AND ENHANCEMENT OF HEALTH FOR CITIZENS OF SOUTHERN ILLINOIS. 10 10 473 15 0 0 11309535 9696647 30322604 32252502 144240 161029 0 0 41776379 42110178 0 0 0 0 32446603 32899009 0 0 0 11389941 11854848 43836544 44753857 -2060165 -2643679 29351919 25592743 7870954 6755457 21480965 18837286 TO PROVIDE PRIMARY MEDICAL AND DENTAL HEALTHCARE. 0 0 34076488 27354549 FEDERALLY QUALIFIED RURAL HEALTH CLINIC - PROVIDES QUALITY PRIMARY HEALTHCARE, DENTAL SERVICES AND PHARMACY REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY TO UNDERSERVED RURAL COMMUNITIES. 4637287 4897953 SHAWNEE ALLIANCE FOR SENIORS PROGRAMS - SHAWNEE ALLIANCE CARE COORDINATORS HELP OLDER ADULTS AND THEIR CAREGIVERS CONNECT TO SERVICES AVAILABLE IN THE COMMUNITY WHICH ENABLE THEM TO MAINTAIN THEIR INDEPENDENCE. CARE COORDINATORS MAKE HOME VISITS TO EVALUATE THE OLDER ADULTS' ABILITY TO FUNCTION INDEPENDENTLY. THE EVALUATION IS COMPREHENSIVE AND PROVIDES THE CARE COORDINATORS WITH INFORMATION NEEDED TO ADVISE THE OLDER ADULT AND THEIR CAREGIVER ON PROGRAMS AND SERVICES AVAILABLE TO MEET THEIR NEEDS. 38713775 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 76 0 473 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X X JEFF COOPER 6189858221 109 CALIFORNIA STREET CARTERVILLE IL 62918 KELLEY HESSIAN DIRECTOR 1.00 X 0 0 0 DALE RITZEL DIRECTOR 1.00 X 0 0 0 SUSAN MURRAY ASST. SEC/TREAS. 1.00 X 0 0 0 JOSE LLAMAS DIRECTOR 1.00 X 0 0 0 SHANE CARSRUD SECRETARY/TREASURER 1.00 X 0 0 0 KEVIN LIPE VICE PRESIDENT 1.00 X 0 0 0 CAROLIN HARVEY DIRECTOR 1.00 X 0 0 0 JULIAN VALDES PRESIDENT 1.00 X 0 0 0 ARUN SUBRAMANIAN DIRECTOR 1.00 X 0 0 0 GEORGE MARIN DIRECTOR 1.00 X 0 0 0 JEFFREY COOPER CFO 40.00 X 178175 0 18054 CHRISTINA CARNEY CEO 40.00 X 185843 0 32403 CLARE WILLIAMS PHYSICIAN 40.00 X 514918 0 35432 AARON NEWCOMB PHYSICIAN 40.00 X 346343 0 27381 MATIN NEKZAD PHYSICIAN 40.00 X 373255 0 37580 JEFFREY RIPPERDA PHYSICIAN 40.00 X 364022 0 30861 SHERRY JONES PHYSICIAN 40.00 X 448449 0 20834 PATSY JENSEN FORMER CEO 40.00 X 230363 0 42128 2641368 0 244673 54 1 1 0 A&A ABATEMENT LLC 849 WELLS ST RD DU QUOIN IL 62832 ASBESTOS REMOVAL 252000 FRANCIS TSUNG 487 EGRET LAKE RD CARBONDALE IL 62903 OBSTERTICS CALL COVERAGE AT MEMORIAL HOS 238775 DEVIN MILLER PO BOX 531 CARTERVILLE IL 62918 MEDIA 117200 CATHERINE CHARA SCHNEIDER 307 TWIN LAKES RD CARTERVILLE IL 62918 OBSTERTICS CALL COVERAGE AT MEMORIAL HOS 103950 4 9696647 9696647 PATIENT SERVICE REVENUE 621110 19798031 19798031 PHARMACY REVENUE 621110 4777620 4777620 OTHER 621110 3884211 3884211 ASSESSMENT FEES 621110 3792640 3792640 32252502 161029 161029 42110178 32252502 0 161029 575908 575908 25186796 22910809 2275987 676855 586689 90166 5023478 4354287 669191 1435972 1244682 191290 43536 38312 5224 60183 60183 2867502 2579369 288133 4079105 3662430 416675 1410341 905361 504980 259026 212909 46117 193442 170060 23382 134073 134073 685097 685097 269002 61253 207749 MISCELLANEOUS 1745987 1745987 0 SMALL EQUIPMENT 107554 107554 0 44753857 38713775 6040082 0 9219730 4083729 1065213 1119503 775097 469589 3032455 3832395 227710 478594 371640 454791 23816902 9119702 14164890 14697200 240222 287578 254962 169364 29351919 25592743 886285 922150 277411 108425 3106086 2769185 3601172 2955697 7870954 6755457 X 21480965 18837286 21480965 18837286 29351919 25592743 -2643679 0 X 0 1 X 1 1 1 X 7735553 10671460 11753067 11309535 9696647 51166262 7735553 10671460 11753067 11309535 9696647 51166262 51166262 82892 39662 14003 144240 161029 441826 51608088 28459862 0.99140 0.99320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 952232 952232 17199301 5581256 11618045 723991 374252 349739 4941378 3164194 1777184 14697200 ACCRUED PAYROLL 1192618 ACCRUED FRINGE BENEFITS 1593625 ACCRUED INTEREST 2004 OPERATING LEASE 47024 FINANCING LEASE 86819 CURRENT PORTION OF FINANCING LEASE 33607 2955697 42110178 0 42110178 0 42110178 44753857 0 44753857 0 44753857 PART XII, LINE 2B THE CORPORATION HAS BEEN GRANTED EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THEREFORE, NO PROVISION FOR FEDERAL INCOME TAX HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. AT JUNE 30, 2024, NO INTEREST OR PENALTIES WERE ATTRIBUTED TO THE CORPORATION. THE CORPORATION DOES NOT BELIEVE THERE ARE ANY UNCERTAIN TAX POSITIONS FOR WHICH A LIABILITY SHOULD BE RECORDED. X X X X 0 0 0 0 0 0 0 1 0 CLARE WILLIAMS PHYSICIAN 310858 0 92998 0 111062 0 30000 0 5432 0 550350 0 0 0 SHERRY JONES PHYSICIAN 368534 0 9274 0 70641 0 10896 0 9938 0 469283 0 0 0 MATIN NEKZAD PHYSICIAN 292091 0 7320 0 73844 0 24480 0 13100 0 410835 0 0 0 JEFFREY RIPPERDA PHYSICIAN 183512 0 99552 0 80958 0 18480 0 12381 0 394883 0 0 0 AARON NEWCOMB PHYSICIAN 185178 0 97415 0 63750 0 14247 0 13134 0 373724 0 0 0 PATSY JENSEN FORMER CEO 211891 0 18472 0 0 0 29293 0 12835 0 272491 0 0 0 CHRISTINA CARNEY CEO 185843 0 0 0 0 0 23821 0 8582 0 218246 0 0 0 JEFFREY COOPER CFO 178175 0 0 0 0 0 12000 0 6054 0 196229 0 0 0 PART I, LINE 7 PHYSICIANS RECEIVE INCENTIVE BONUSES BASED ON PRODUCTIVITY LEVELS FORM 990, PART VI, SECTION B, LINE 11B BOARD OF DIRECTORS WERE GIVEN A COPY OF THE 990 FOR THEIR REVIEW AND APPROVAL AT THE BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C SHAWNEE REQUIRES THAT ALL DIRECTORS, OFFICERS, COMMITTEE MEMBERS AND CANDIDATES FOR BOARD SEATS DISCLOSE IN WRITING, AND UPDATE THE WRITTEN DISCLOSURE IF CONDITIONS CHANGE, BUSINESS AND FAMILY RELATIONSHIPS WHICH WOULD CREATE A CONFLICT OF INTEREST AND, WHERE APPLICABLE, PROVIDE A STATEMENT SUGGESTING HOW SUCH CONFLICT COULD BE AVOIDED OR MITIGATED. IN ORDER TO FACILITATE SUCH FULL DISCLOSURE, SHAWNEE REQUIRES DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS TO COMPLETE A DISCLOSURE FORM. COMPLETION OF A DISCLOSURE FORM DOES NOT RELIEVE INDIVIDUALS OF THE OBLIGATION TO COMPLY WITH THESE STANDARDS OF CONDUCT WITH REGARD TO CONFLICTS THAT OCCUR AFTER THE FILING OF THE DISCLOSURE FORM. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS WILL REVIEW THE CEO'S PERFORMANCE, REVIEW SALARY SURVEYS AND DOCUMENT ALL STAGES OF THE REVIEW PROCESS. THESE ARE PERFORMED BY THE GOVERNANCE COMMITTEE AND THE FULL BOARD HAS INPUT ABILITY. THE CEO WILL REVIEW THE CFO'S PERFORMANCE AND COMPARABLE DATA. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. CHC ACCESS PARTNERSHIP LLC 500 S 9TH STREET SPRINGFIELD IL 62701 473229670 CONTRACT IL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0