2025-05-14T09:25:57-05:00 2024-06-30 430352985 KERBER ECK & BRAECKEL LLP 3200 ROBBINS ROAD STE 200A SPRINGFIELD IL 62704 990 2023-07-01 364143823 SIU PHYSICIANS & SURGEONS INC SIUP 2175452110 PO BOX 19639 SPRINGFIELD IL 62794 JOHN HORVAT CHIEF FINANCIAL OFFICER 2175452110 2025-05-07 1 0 DANIELLE M HUNT P00343541 2177890960 2025-05-07 2023 2025-03-06 01:10:19Z SIU HEALTHCARE JOHN HORVAT 201 E MADISON STE 300 SPRINGFIELD IL 62702 210403221 0 X WWW.SIUMED.ORG X 1997 IL ASSIST SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE'S MEDICAL EDUCATION ACTIVITIES THROUGH PROVIDING PATIENT CARE. 11 3 315 0 0 0 0 0 153863476 176479827 1736889 2894915 0 0 155600365 179374742 0 0 0 0 41721308 46074099 0 0 0 100027891 113080583 141749199 159154682 13851166 20220060 95098583 120952813 12348420 17270727 82750163 103682086 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 138571941 176479827 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) 138571941 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 57 0 1 315 1 0 0 0 0 0 0 0 0 0 0 1 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 BLACKWELL ROBERT BOARD MEMBER 2.00 X 0 0 0 NIMAVAT DHARMENDRA BOARD MEMBER 24.50 25.50 X 156067 228072 39017 FLACK MD JOHN FACULTY BOARD MEMBER 24.50 25.50 X 14782 687441 5535 KRUSE MD JERRY DEAN AND CEO 24.50 25.50 X X 281064 616933 127300 LORET DE MOLA MD RICARDO FACULTY BOARD MEMBE 24.50 25.50 X 432361 531682 57778 KHAN MD AZIZ BOARD MEMBER 24.50 25.50 X 222777 578650 42278 WOLF MD KARI CHAIR 24.50 25.50 X X 23606 606517 8093 PHALEN SARAH BOARD MEMBER 2.00 X 0 0 0 RAKINIC JAN FACULTY BOARD MEMBER 24.50 25.50 X 87635 230238 14456 STAFFORD LUCY VICE CHAIR 2.00 X X 0 0 0 UNAL SHEREF TREASURER 24.50 25.50 X X 56090 146532 15146 HORVAT JOHN KEY EMPLOYEE 24.50 25.50 X 44198 264399 11992 LYNN MICHELLE KEY EMPLOYEE 24.50 25.50 X 0 216749 0 ABRAMS MD ROBERT PHYSICIAN 24.50 25.50 X 441515 519176 59919 HAZELRIGG MD STEPHEN PROFESSOR 24.50 25.50 X 441818 536335 46667 NEUMEISTER MD MICHAEL PHYSICIAN 24.50 25.50 X 362043 811967 48456 STEVENS MD WILLIAM FORMER PHYSICIAN 24.50 25.50 X 618891 286691 52475 CROSBY DANA FORMER PHYSICIAN 24.50 25.50 X 237085 641249 49619 BATTON MD BEAU FORMER FACULTY BOARD MEMBE 24.50 25.50 X 165297 318007 26978 MINER MD MICHELLE FACULTY BOARD MEMBE 24.50 25.50 X 93660 110083 10433 ETTEMA MD SANDRA FORMER FACULTY BOARD MEMBE 24.50 25.50 X 158995 254650 41822 SCHWARTZ MD BRADLEY FORMER PHYSICIAN 24.50 25.50 X 326449 525722 65314 COZZENS MD JEFFREY FORMER PHYSICIAN 24.50 25.50 X 157418 459281 25254 SOMMER MD NICOLE FORMER PHYSICIAN 24.50 25.50 X 371118 344500 56870 4692869 8914874 805402 125 1 1 0 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 MEDICAL SERVICES 2172217 AQUITY SOLUTIONS LLC PO BOX 536470 PITTSBURGH PA 15253 MEDICAL TRANSCRIPTION 545677 MEMORIAL MEDICAL CENTER 701 N FIRST ST PO BOX 198 SPRINGFIELD IL 62702 REF LAB/CATERING/RESEARCH SUPPORT 417826 GE MEDICAL SYSTEMS ULTRASOUND & PRIMARY PO BOX 641419 PITTSBURGH PA 15264 EQUIPMENT RENTAL/REPAIR & MAINTENANCE 366008 MEMORIAL HEALTH SYSTEM 701 N FIRST ST PO BOX 198 SPRINGFIELD IL 62702 TOUCHWORKS HOSTING FEES/LICENSES 309684 18 MEDICAL FEES 621110 157662513 157662513 CONTRACTUAL SERVICES 621110 9950363 9950363 TRAUMA/ON CALL FEES 621110 8622344 8622344 MANAGEMENT & PROVIDER SVCS 621110 244607 244607 176479827 2435654 2435654 31487740 31025721 2758 462019 -2758 459261 459261 179374742 176479827 0 2894915 1510887 1142809 368078 42229372 24493036 17736336 2333840 1367847 965993 32710 32710 1890 1890 4356882 4356882 204121 204121 6186431 5258466 927965 2194066 2194066 245712 245712 71369 71369 17942 17942 666240 566304 99936 626053 626053 UNIVERSITY OVERHEAD 58274353 58274353 PHARMACEUTICALS 26582571 26582571 ACADEMIC DEVELOPMENT 12616272 12616272 MISCELLANEOUS 1003971 1003971 159154682 138571941 20582741 0 10491023 13688772 20744080 26310827 1721407 2340755 814518 905703 6605473 4321949 2509227 2283524 51256440 66197466 7561888 9225766 95098583 120952813 9894881 11734500 2453539 5536227 12348420 17270727 X 80240936 101398562 2509227 2283524 0 0 82750163 103682086 95098583 120952813 20220060 711863 0 X X 0 1 X 1 1 1 X X 1 BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY 376005961 6 1 70890626 0 1 70890626 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. 6578134 4299920 2278214 27339 22029 5310 2283524 DEPOSITS WITH SOUTHERN ILLINOIS UNIVERSITY 8783568 ACCRUED INTEREST RECEIVABLE 442198 9225766 DUE TO SOUTHERN ILLINOIS UNIVERSITY 5536227 5536227 180086605 711863 711863 179374742 0 179374742 159154682 0 159154682 0 159154682 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 362043 811967 0 0 0 0 46265 0 2191 0 410499 811967 0 0 KRUSE MD JERRY DEAN AND CEO 197734 616933 83330 0 0 0 44836 80273 2191 0 328091 697206 0 0 HAZELRIGG MD STEPHEN PROFESSOR 441818 536335 0 0 0 0 44476 0 2191 0 488485 536335 0 0 LORET DE MOLA MD RICARDO FACULTY BOARD MEMBE 432361 531682 0 0 0 0 55587 0 2191 0 490139 531682 0 0 ABRAMS MD ROBERT PHYSICIAN 441515 519176 0 0 0 0 57728 0 2191 0 501434 519176 0 0 STEVENS MD WILLIAM FORMER PHYSICIAN 618891 286691 0 0 0 0 50284 0 2191 0 671366 286691 0 0 CROSBY DANA FORMER PHYSICIAN 237085 641249 0 0 0 0 47428 0 2191 0 286704 641249 0 0 SCHWARTZ MD BRADLEY FORMER PHYSICIAN 326449 525722 0 0 0 0 63123 0 2191 0 391763 525722 0 0 KHAN MD AZIZ BOARD MEMBER 222777 578650 0 0 0 0 40087 0 2191 0 265055 578650 0 0 SOMMER MD NICOLE FORMER PHYSICIAN 371118 344500 0 0 0 0 54679 0 2191 0 427988 344500 0 0 FLACK MD JOHN FACULTY BOARD MEMBER 14782 687441 0 0 0 0 3344 0 2191 0 20317 687441 0 0 COZZENS MD JEFFREY FORMER PHYSICIAN 157418 459281 0 0 0 0 23063 0 2191 0 182672 459281 0 0 WOLF MD KARI CHAIR 23606 606517 0 0 0 0 5902 0 2191 0 31699 606517 0 0 BATTON MD BEAU FORMER FACULTY BOARD MEMBE 165297 318007 0 0 0 0 24787 0 2191 0 192275 318007 0 0 ETTEMA MD SANDRA FORMER FACULTY BOARD MEMBE 158995 254650 0 0 0 0 39749 0 2073 0 200817 254650 0 0 NIMAVAT DHARMENDRA BOARD MEMBER 156067 228072 0 0 0 0 39017 0 0 0 195084 228072 0 0 RAKINIC JAN FACULTY BOARD MEMBER 87635 230238 0 0 0 0 13006 0 1450 0 102091 230238 0 0 HORVAT JOHN KEY EMPLOYEE 12198 264399 32000 0 0 0 11049 0 943 0 56190 264399 0 0 UNAL SHEREF TREASURER 56090 146532 0 0 0 0 14023 0 1123 0 71236 146532 0 0 LYNN MICHELLE KEY EMPLOYEE 0 216749 0 0 0 0 0 0 0 0 0 216749 0 0 MINER MD MICHELLE FACULTY BOARD MEMBE 93660 110083 0 0 0 0 9365 0 1068 0 104093 110083 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 58274353 CASH SOUTHERN ILLINOIS UNIVERSITY R 12616272 CASH