2015-05-15T14:27:18-05:00 2014-06-30 430352985 KERBER ECK & BRAECKEL LLP 1000 MYERS BUILDING SPRINGFIELD IL 62701 990 2013-07-01 364143823 SIU PHYSICIANS & SURGEONS INC SIUP 2175458850 PO BOX 19639 SPRINGFIELD IL 62794 NELSON WEICHOLD TREASURER/EXECUTIVE DIRECTOR 2175458850 2015-05-15 1 DEBORAH J RINGER P00732336 2177890960 2015-05-15 2013 2016-02-25 16:41:14Z SIU HEALTHCARE NELSON WEICHOLD PO BOX 19639 SPRINGFIELD IL 627949639 90956061 0 X WWW.SIUHEALTHCARE.ORG X 1997 IL ASSIST SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE'S MEDICAL EDUCATION ACTIVITIES THROUGH PROVIDING PATIENT CARE. 11 3 294 0 0 0 0 0 97228569 90214767 319486 347907 0 0 97548055 90562674 0 0 0 0 31334478 30063613 0 0 0 61221012 59413626 92555490 89477239 4992565 1085435 51192676 51022218 9506227 8237708 41686449 42784510 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 88588425 90214767 HEALTH CARE DELIVERY: PHYSICIANS AND OTHER HEALTHCARE PROVIDERS OF SIU PHYSICIANS AND SURGEONS, INC. ASSISTED IN THE TRAINING OF 287 UNDERGRADUATE MEDICAL STUDENTS AND 335 MEDICAL RESIDENTS AND FELLOWS WHILE PROVIDING MEDICAL SERVICES IN THE COMMUNITIES WE SERVE. (OVER 521,000 PATIENT VISITS) 88588425 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 45 0 1 294 1 0 0 0 0 0 0 0 0 0 0 X 11 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 X X SOUTHERN ILLINOIS UNIVERSITY SCHOOL 2175455791 327 W CALHOUN SPRINGFIELD IL 62794 BUESCHER MD LUCINDA FACULTY BOARD MEMBER 24.50 25.50 X 143934 146040 27705 BUNN ARTHUR CHAIR 4.00 X X 0 0 0 DECKARD MD ALAN FACULTY BOARD MEMBER 24.50 25.50 X 37977 204470 24514 DORSEY MD PHD J KEVIN BOARD MEMBER 10.00 40.00 X 0 398604 66370 GILCHRIST MD JAMES FACULTY BOARD MEMBER 24.50 25.50 X 44208 348274 64135 HODGSON MD KIM FACULTY BOARD MEMBER 24.50 25.50 X 147959 484642 123712 HOFFMAN ZACHARY BOARD MEMBER 2.00 X 0 0 0 LORET DE MOLA MD RICARDO FACULTY BOARD MEMBER 24.50 25.50 X 329030 508629 127144 MINER MD MICHELLE FACULTY BOARD MEMBER 24.50 25.50 X 91119 123367 20422 POSEGATE CAROL BOARD MEMBER 2.00 X 0 0 0 SOLTYS MD STEPHEN FACULTY BOARD MEMBER 24.50 25.50 X 26656 315331 70285 KRUSE MD JERRY VICE CHAIR/CEO 24.50 25.50 X 204225 365903 65935 WEICHOLD NELSON TREASURER/CHIEF FINANCIAL OFFICER 50.00 X 94843 84173 18445 ALI MD AMAN PHYSICIAN 24.50 25.50 X 372170 272554 69360 COZZENS MD JEFFERY PHYSICIAN 24.50 25.50 X 120005 551022 39895 HAZELRIGG MD STEPHEN PHYSICIAN 24.50 25.50 X 367799 485877 121154 NEUMEISTER MD MICHAEL PHYSICIAN 24.50 25.50 X 306864 747035 135106 SALEH MD KHALED PHYSICIAN 24.50 25.50 X 184869 636340 69672 BRADLEY MD JOHN FORMER FACULTY BOARD MEMBER 24.50 25.50 X 48092 330707 63431 PUCZYNSKI MD MARK FORMER FACULTY BOARD MEMBE 24.50 25.50 X 0 323758 66592 RESCH MD DAVID FORMER FACULTY BOARD MEMBE 24.50 25.50 X 28321 220936 26305 STEWARD MD DAVID FORMER CHAIR 24.50 25.50 X 15895 277555 28186 COX-LARGENT WENDY FORMER TREASURER/CHIEF FINANCIAL 10.00 40.00 X 0 203638 16649 KIM MD HYUNG FORMER CHIEF EXECUTIVE OFFICER 50.00 X 176625 226305 60817 YOUNKIN MD CASEY FORMER OFFICER 24.50 25.50 X 233903 54701 28856 SOMMER MD NICOLE FORMER HIGHEST COMPENSATED EMPLOYEE 24.50 25.50 X 316859 181644 106670 BUZZELL MD ROBERT FORMER HIGHEST COMPENSATED EMPLOYEE 24.50 25.50 X 259875 241814 125095 BUENO MD REUBEN FORMER HIGHEST COMPENSATED EMPLOYEE 24.50 25.50 X 334529 231815 75894 3885757 7965134 1642349 103 1 1 0 BEACON PARTNERS INCORPORATED 97 LIBBEY PARKWAY SUITE 400 WEYMOUTH MA 02189 CONSULTING SERVICES 350000 MEMORIAL MEDICAL CENTER 701 NORTH FIRST STREET SPRINGFIELD IL 62702 REFERENCE LAB AND CLINIC STAFFING 288449 PERSHING YOAKLEY & ASSOCIATES PC DEPT 888255 KNOXVILLE TN 37995 CONSULTING SERVICES 272223 BURWOOD GROUP INCORPORATED 125 S WACKER DR SUITE 2950 CHICAGO IL 60606 CONSULTING SERVICES 215395 MEYER CAPEL A PROFESIONAL CORPORATION PO BOX 6750 CHAMPAIGN IL 61826 LEGAL SERVICES 192167 9 MEDICAL FEES 621110 84841895 84841895 MEANINGFUL USE/MGMT & PROVIDER SV 621110 3078773 3078773 TRAUMA/ON CALL FEES 621110 2294099 2294099 90214767 352574 352574 388720 393387 -4667 -4667 -4667 90562674 90214767 0 347907 1381768 961550 420218 27150679 27150679 1531166 1531166 3013504 3013504 44006 44006 8652045 8652045 603471 603471 45236 45236 47218 47218 9716 9716 269892 269892 424590 424590 UNIVERSITY OVERHEAD 37288484 37288484 ACADEMIC DEVELOPMENT 8749317 8749317 MISCELLANEOUS 266147 266147 89477239 88588425 888814 0 14756778 13773762 20300426 14535597 1005796 626456 3387819 2726051 723581 661768 6090390 14406095 15334245 51192676 51022218 5244161 4801682 4262066 3436026 9506227 8237708 X 40962868 42122742 723581 661768 0 0 41686449 42784510 51192676 51022218 1085435 12626 0 X X 0 1 X 1 0 X X X 0 0 0 BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY 376005961 6 1 1 1 46037801 1 46037801 3374042 2712274 661768 13777 13777 0 661768 DEPOSITS WITH SOUTHERN ILLINOIS UNIVERSITY 15278286 ACCRUED INTEREST RECEIVABLE 55959 15334245 DUE TO SOUTHERN ILLINOIS UNIVERSITY 3436026 3436026 90575300 12626 12626 90562674 0 90562674 89477239 0 89477239 0 89477239 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 BUESCHER MD LUCINDA FACULTY BOARD MEMBER 143934 146040 0 0 0 0 14392 11946 1367 0 159693 157986 0 0 DECKARD MD ALAN FACULTY BOARD MEMBER 37977 204470 0 0 0 0 6834 16605 1075 0 45886 221075 0 0 DORSEY MD PHD J KEVIN BOARD MEMBER 0 398604 0 0 0 0 0 66370 0 0 0 464974 0 0 GILCHRIST MD JAMES FACULTY BOARD MEMBER 44208 348274 0 0 0 0 11052 51123 1960 0 57220 399397 0 0 HODGSON MD KIM FACULTY BOARD MEMBER 147959 484642 0 0 0 0 36765 84987 1960 0 186684 569629 0 0 LORET DE MOLA MD RICARDO FACULTY BOARD MEMBER 329030 508629 0 0 0 0 59169 66015 1960 0 390159 574644 0 0 MINER MD MICHELLE FACULTY BOARD MEMBER 91119 123367 0 0 0 0 9111 10266 1045 0 101275 133633 0 0 SOLTYS MD STEPHEN FACULTY BOARD MEMBER 26656 315331 0 0 0 0 2665 65907 1713 0 31034 381238 0 0 KRUSE MD JERRY VICE CHAIR/CEO 204225 365903 0 0 0 0 40675 23300 1960 0 246860 389203 0 0 WEICHOLD NELSON TREASURER/CHIEF FINANCIAL OFFICER 94843 84173 0 0 0 0 10459 6957 1029 0 106331 91130 0 0 ALI MD AMAN PHYSICIAN 372170 272554 0 0 0 0 36234 31166 1960 0 410364 303720 0 0 COZZENS MD JEFFERY PHYSICIAN 120005 551022 0 0 0 0 17995 19940 1960 0 139960 570962 0 0 HAZELRIGG MD STEPHEN PHYSICIAN 367799 485877 0 0 0 0 33932 85262 1960 0 403691 571139 0 0 NEUMEISTER MD MICHAEL PHYSICIAN 306864 747035 0 0 0 0 66346 66800 1960 0 375170 813835 0 0 SALEH MD KHALED PHYSICIAN 184869 636340 0 0 0 0 45992 21720 1960 0 232821 658060 0 0 BRADLEY MD JOHN FORMER FACULTY BOARD MEMBER 48092 330707 0 0 0 0 11798 49882 1751 0 61641 380589 0 0 PUCZYNSKI MD MARK FORMER FACULTY BOARD MEMBE 0 323758 0 0 0 0 0 65000 1592 0 1592 388758 0 0 RESCH MD DAVID FORMER FACULTY BOARD MEMBE 28321 220936 0 0 0 0 7080 17956 1269 0 36670 238892 0 0 STEWARD MD DAVID FORMER CHAIR 15895 277555 0 0 0 0 2384 24264 1538 0 19817 301819 0 0 COX-LARGENT WENDY FORMER TREASURER/CHIEF FINANCIAL 0 203638 0 0 0 0 0 16649 0 0 0 220287 0 0 KIM MD HYUNG FORMER CHIEF EXECUTIVE OFFICER 176625 226305 0 0 0 0 44100 15197 1520 0 222245 241502 0 0 YOUNKIN MD CASEY FORMER OFFICER 233903 54701 0 0 0 0 23388 4622 846 0 258137 59323 0 0 SOMMER MD NICOLE FORMER HIGHEST COMPENSATED EMPLOYEE 316859 181644 0 0 0 0 54897 49813 1960 0 373716 231457 0 0 BUZZELL MD ROBERT FORMER HIGHEST COMPENSATED EMPLOYEE 259875 241814 0 0 0 0 61434 61701 1960 0 323269 303515 0 0 BUENO MD REUBEN FORMER HIGHEST COMPENSATED EMPLOYEE 334529 231815 0 0 0 0 55107 18827 1960 0 391596 250642 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 11 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. AT BOARD OF DIRECTORS MEETINGS, THE DIRECTORS ARE ASKED AT EACH MEETING OF ANY POTENTIAL CONFLICTS RELATED TO THE MEETING AGENDA. POTENTIAL CONFLICTS ARE DISCUSSED AND WHEN THEY EXIST, BOARD MEMBERS EITHER RECUSE THEMSELVES FROM DISCUSSION,VOTING, OR THE MEETING AS APPROPRIATE. 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 SIU PHYSICIANS AND SURGEONS MAKES ITS MOST RECENT BOARD MEEETING MINUTES, BYLAWS AND CONFLICT OF INTEREST POLICY AVAILABLE ON ITS PUBLIC WEBSITE. EACH BOARD MEETING STARTS WITH A REQUEST FOR DISCLOSURE OF CONFLICTS OF INTEREST FOR THE MEETING AGENDA. FINANCIAL STATEMENTS ARE POSTED ON ANOTHER WEBSITE, GUIDESTAR. 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 37288484 CASH SOUTHERN ILLINOIS UNIVERSITY R 8749317 CASH