2024-05-15T07:54:36-05:00 2023-06-30 430352985 KERBER ECK & BRAECKEL LLP 3200 ROBBINS ROAD STE 200A SPRINGFIELD IL 62704 990 2022-07-01 364143823 SIU PHYSICIANS & SURGEONS INC SIUP 2175452110 PO BOX 19639 SPRINGFIELD IL 62794 JOHN HORVAT CHIEF FINANCIAL OFFICER 2175452110 2024-05-13 1 JOHN HORVAT 999009999 0 DANIELLE M HUNT P00343541 2177890960 2024-05-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SIU HEALTHCARE JOHN HORVAT 201 E MADISON STE 300 SPRINGFIELD IL 62702 180807849 0 X WWW.SIUMED.ORG X 1997 IL ASSIST SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE'S MEDICAL EDUCATION ACTIVITIES THROUGH PROVIDING PATIENT CARE. 11 3 308 0 0 0 0 0 120790479 153863476 1327459 1736889 0 0 122117938 155600365 0 0 0 0 39669260 41721308 0 0 0 86667481 100027891 126336741 141749199 -4218803 13851166 85083980 95098583 15401624 12348420 69682356 82750163 TO BE A LEADER IN QUALITY HEALTH CARE TO ALL PEOPLE OF CENTRAL AND SOUTHERN ILLINOIS IN SUPPORT OF THE MISSION OF THE SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE. 0 0 123385956 153863476 HEALTH CARE DELIVERY: PHYSICIANS AND OTHER HEALTHCARE PROVIDERS OF SIU PHYSICIANS AND SURGEONS, INC. ASSISTED IN THE TRAINING OF 320 UNDERGRADUATE MEDICAL STUDENTS AND 390 MEDICAL RESIDENTS AND FELLOWS WHILE PROVIDING MEDICAL SERVICES IN THE COMMUNITIES WE SERVE. (OVER 773,000 PATIENT VISITS) 123385956 1 0 0 0 0 0 0 0 0 0 1 0 0 1 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 46 0 1 308 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 3 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X SIU SCHOOL OF MEDICINE 2175452227 801 N RUTLEDGE STREET SPRINGFIELD IL 62702 BATTON MD BEAU TREASURER 24.50 25.50 X X 195438 286573 31471 FLACK MD JOHN FACULTY BOARD MEMBER 24.50 25.50 X 18152 688652 6702 KRUSE MD JERRY DEAN AND CEO 24.50 25.50 X X 251501 553386 127021 LORET DE MOLA MD RICARDO FACULTY BOARD MEMBE 24.50 25.50 X 419705 528166 56206 SMITH JR HD CHAIR 2.00 X X 0 0 0 KHAN MD AZIZ SECRETARY 24.50 25.50 X X 307046 580034 57414 WOLF MD KARI VICE CHAIR 24.50 25.50 X X 26894 608277 8888 PHALEN SARAH BOARD MEMBER 2.00 X 0 0 0 RAKINIC JAN FACULTY BOARD MEMBER 24.50 25.50 X 107824 226317 17432 STAFFORD LUCY BOARD MEMBER 2.00 X 0 0 0 UNAL SHEREF PROFESSOR 24.50 25.50 X 50934 140799 13788 HORVAT JOHN KEY EMPLOYEE 24.50 25.50 X 68568 224958 18508 STEWART MARY KEY EMPLOYEE 24.50 25.50 X 30117 111731 8186 LYNN MICHELLE KEY EMPLOYEE 24.50 25.50 X 0 166153 0 ABRAMS MD ROBERT PHYSICIAN 24.50 25.50 X 455007 518378 63436 NEUMEISTER MD MICHAEL PHYSICIAN 24.50 25.50 X 444344 758826 68986 SCHWARTZ MD BRADLEY PHYSICIAN 24.50 25.50 X 354178 524622 66458 COZZENS MD JEFFREY PHYSICIAN 24.50 25.50 X 215530 555292 34484 SOMMER MD NICOLE PHYSICIAN 24.50 25.50 X 391838 341602 62269 CARLSON MD DOUGLAS FORMER FACULTY BOARD MEMBE 24.50 25.50 X 53033 538386 15422 MINER MD MICHELLE FACULTY BOARD MEMBER 24.50 25.50 X 97279 104434 10728 ETTEMA MD SANDRA FORMER FACULTY BOARD MEMBE 24.50 25.50 X 128307 254752 34088 HAZELRIGG MD STEPHEN FORMER FACULTY BOARD MEMBE 24.50 25.50 X 390680 536028 55403 STEVENS MD WILLIAM FORMER PHYSICIAN 24.50 25.50 X 484380 290754 50426 AMIN MD DEVIN FORMER PHYSICIAN 24.50 25.50 X 423460 364491 61144 CROSBY DANA FORMER PHYSICIAN 24.50 25.50 X 162375 597882 34647 5076590 9500493 903107 115 1 1 0 BDO USA LLP PO BOX 642743 PITTSBURGH PA 15264 PROFESSIONAL SERVICES - PBS INTERIM DIRE 826679 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 MEDICAL SERVICES 556867 MEMORIAL MEDICAL CENTER 701 N FIRST ST SPRINGFIELD IL 62702 REF LAB/CATERING/RESEARCH SUPPORT 369662 MEMORIAL HEALTH SYSTEM 701 N FIRST ST PO BOX 198 SPRINGFIELD IL 62702 TOUCHWORKS HOSTING FEES/LICENSES 298730 GE MEDICAL SYSTEMS ULTRASOUND & PRIMARY PO BOX 641419 PITTSBURGH PA 15264 EQUIPMENT RENTAL/REPAIR & MAINTENANCE 279410 13 MEDICAL FEES 621110 136875132 136875132 CONTRACTUAL SERVICES 621110 9374211 9374211 TRAUMA/ON CALL FEES 621110 5866256 5866256 MANAGEMENT & PROVIDER SVCS 621110 1747877 1747877 153863476 1635835 1635835 25308538 25207015 469 101523 -469 101054 101054 155600365 153863476 0 1736889 1730697 1281397 449300 37794875 21921027 15873848 2195736 1288948 906788 17183 17183 15460 15460 4507167 4507167 90843 90843 5558580 4724793 833787 2022774 2022774 88002 88002 57899 57899 37376 37376 586882 498850 88032 560170 560170 UNIVERSITY OVERHEAD 57054137 57054137 PHARMACEUTICALS 18240054 18240054 ACADEMIC DEVELOPMENT 10598601 10598601 MISCELLANEOUS 592763 592763 141749199 123385956 18363243 0 17517366 10491023 16664273 20744080 1928890 1721407 806037 814518 6365822 3856595 2114439 2509227 34720385 51256440 11332590 7561888 85083980 95098583 10478083 9894881 2800000 2123541 2453539 15401624 12348420 X 67567917 80240936 2114439 2509227 0 0 69682356 82750163 85083980 95098583 13851166 -783359 0 X X 0 1 X 1 1 1 X X 1 BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY 376005961 6 1 67652738 0 1 67652738 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X SCHEDULE A SECTION E1C THE ORGANIZATION OPERATES AS A MULTI-SPECIALTY PHYSICIAN GROUP WHICH BOTH AIDS IN THE TRAINING OF MEDICAL STUDENTS AND RESIDENTS AND PROVIDES CLINICAL SERVICES. THE REVENUES RECEIVED BY SIUHC ARE IN PART USED TO SUPPORT RESEARCH AND EDUCATIONAL ACTIVITIES OF THE SCHOOL OF MEDICINE, WHICH IN TURN, SUPPORTS THE OVERALL EDUCATIONAL MISSION OF THE BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY. 6338483 3836159 2502324 27339 20436 6903 2509227 DEPOSITS WITH SOUTHERN ILLINOIS UNIVERSITY 7173376 ACCRUED INTEREST RECEIVABLE 388512 7561888 DUE TO SOUTHERN ILLINOIS UNIVERSITY 2453539 2453539 154817006 -783359 -783359 155600365 0 155600365 141749199 0 141749199 0 141749199 PART X, LINE 2 SIU PHYSICIANS AND SURGEONS OWES SOUTHERN ILLINOIS UNIVERSITY FOR SERVICES PERFORMED ON OUR BEHALF. THESE SERVICES INCLUDE STAFF, SUPPLIES, AND FACILITIES EXPENSES. X X X X 0 0 0 0 0 0 0 0 0 NEUMEISTER MD MICHAEL PHYSICIAN 444344 758826 0 0 0 0 66822 0 2164 0 513330 758826 0 0 ABRAMS MD ROBERT PHYSICIAN 455007 518378 0 0 0 0 61272 0 2164 0 518443 518378 0 0 LORET DE MOLA MD RICARDO FACULTY BOARD MEMBE 419705 528166 0 0 0 0 54042 0 2164 0 475911 528166 0 0 HAZELRIGG MD STEPHEN FORMER FACULTY BOARD MEMBE 390680 536028 0 0 0 0 53239 0 2164 0 446083 536028 0 0 SCHWARTZ MD BRADLEY PHYSICIAN 354178 524622 0 0 0 0 64294 0 2164 0 420636 524622 0 0 KHAN MD AZIZ SECRETARY 307046 580034 0 0 0 0 55250 0 2164 0 364460 580034 0 0 KRUSE MD JERRY DEAN AND CEO 168171 553386 83330 0 0 0 50132 74725 2164 0 303797 628111 0 0 AMIN MD DEVIN FORMER PHYSICIAN 423460 364491 0 0 0 0 58980 0 2164 0 484604 364491 0 0 STEVENS MD WILLIAM FORMER PHYSICIAN 484380 290754 0 0 0 0 48262 0 2164 0 534806 290754 0 0 COZZENS MD JEFFREY PHYSICIAN 215530 555292 0 0 0 0 32320 0 2164 0 250014 555292 0 0 SOMMER MD NICOLE PHYSICIAN 391838 341602 0 0 0 0 60105 0 2164 0 454107 341602 0 0 CROSBY DANA FORMER PHYSICIAN 162375 597882 0 0 0 0 32483 0 2164 0 197022 597882 0 0 FLACK MD JOHN FACULTY BOARD MEMBER 18152 688652 0 0 0 0 4538 0 2164 0 24854 688652 0 0 WOLF MD KARI VICE CHAIR 26894 608277 0 0 0 0 6724 0 2164 0 35782 608277 0 0 CARLSON MD DOUGLAS FORMER FACULTY BOARD MEMBE 53033 538386 0 0 0 0 13258 0 2164 0 68455 538386 0 0 BATTON MD BEAU TREASURER 195438 286573 0 0 0 0 29307 0 2164 0 226909 286573 0 0 ETTEMA MD SANDRA FORMER FACULTY BOARD MEMBE 128307 254752 0 0 0 0 32077 0 2011 0 162395 254752 0 0 RAKINIC JAN FACULTY BOARD MEMBER 107824 226317 0 0 0 0 16034 0 1398 0 125256 226317 0 0 HORVAT JOHN KEY EMPLOYEE 20568 224958 48000 0 0 0 17142 0 1366 0 87076 224958 0 0 MINER MD MICHELLE FACULTY BOARD MEMBER 97279 104434 0 0 0 0 9727 0 1001 0 108007 104434 0 0 UNAL SHEREF PROFESSOR 50934 140799 0 0 0 0 12733 0 1055 0 64722 140799 0 0 LYNN MICHELLE KEY EMPLOYEE 0 166153 0 0 0 0 0 0 0 0 0 166153 0 0 STEWART MARY KEY EMPLOYEE 30117 111731 0 0 0 0 7529 0 657 0 38303 111731 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS AS DESCRIBED IN THE ORGANIZATIONAL BYLAWS. THESE BYLAWS LAY OUT THE SPECIFIC REQUIREMENT FOR MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A FOUR DIRECTORS ARE ELECTED BY THE MEMBERSHIP REPRESENTING EACH OF THE MAJOR PRIMARY CARE OR SPECIALTY DEPARTMENTS AND 1 MEMBER-AT-LARGE. A NOMINATING COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS WHO SOLICITS NOMINATIONS FROM THE MEMBERSHIP. THE MEMBERS THEN VOTE IN ONE OF THE CATEGORIES FOR A DIRECTOR. EACH DIRECTOR IS ELECTED TO A THREE YEAR TERM AND CAN SERVE NO MORE THAN TWO CONSECUTIVE TERMS. FORM 990, PART VI, SECTION A, LINE 7B THE ONLY DECISION OF THE GOVERNING BOARD THAT IS SUBJECT TO THE MEMBERSHIP IS A CHANGE IN THE BYLAWS. A BYLAWS CHANGE REQUIRES A SIMPLE MAJORITY OF THE VOTING MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS INITIALLY REVIEWED BY THE CHIEF FINANCIAL OFFICER. A COPY IS PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND RECOMMENDATION TO THE BOARD FOR APPROVAL. ANY QUESTIONS OR CHANGES ARE ADDRESSED BY THE CFO. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED ANNUALLY TO THE CORPORATE COMPLIANCE OFFICER WHO REVIEWS FOR POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 EXTERNAL COMPENSATION DATA IS USED FOR ALL DIRECTORS AND OFFICERS. DATA TYPICALLY USED WOULD INCLUDE NATIONAL TRADE ASSOCIATION DATA SUCH AS MGMA OR AAMC. COMPENSATION CAPS ARE SET FROM MEDIUM TO NO GREATER THAN THE 90 PERCENTILE. ONCE AN EMPLOYEE EXCEEDS THE ABSOLUTE COMPENSATION CAP, NO ADDITIONAL INCOME CAN BE EARNED. THE COMPENSATION COMMITTEE, WHICH CONSISTS OF INDEPENDENT VOTING MEMBERS OF THE BOARD OF DIRECTORS, REVIEWS THE RECOMMENDATIONS AND MAKE CHANGES OR APPROVE. THIS PROCESS OCCURS ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 BYLAWS, BOARD MEETING MINUTES, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. SOUTHERN ILLINOIS UNIVERSITY 1263 LINCOLN DRIVE CARBONDALE IL 629016899 376005961 HIGHER EDUCATION IL 170(B)(1)(A)(V) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 SOUTHERN ILLINOIS UNIVERSITY P 57054137 CASH SOUTHERN ILLINOIS UNIVERSITY R 10598601 CASH