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SIU PHYSICIANS & SURGEONS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SIU PHYSICIANS & SURGEONS INC (EIN 36-4143823)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201211369349305706
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T14:28:01-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KERBER ECK & BRAECKEL LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11000 MYERS BUILDINGAddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code62701ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN364143823EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SIU PHYSICIANS & SURGEONS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSIUPNameControl
Phone2175458850Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 19639AddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code62794ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWENDY COX-LARGENTName
TitleTREASURER/CHIEF FINANCIAL OFFICERTitle
Phone2175458850Phone
Date Signed2012-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJASON D JONESName
Phone2177890960Phone
Date Prepared2012-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SIU HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonWENDY COX-LARGENTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 19639AddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code627949639ZIPCode
FieldValueIRS element (for citing)
Gross Receipts106299657GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SIUMED.EDU/PHYSURG/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionASSIST SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE'S MEDICAL EDUCATION ACTIVITIES THROUGH PROVIDING PATIENT CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees301TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year85308702ProgramServiceRevenuePriorYear
Program Service Revenue CY105989374ProgramServiceRevenueCY
Investment Income Prior Year148154InvestmentIncomePriorYear
Investment Income Current Year154897InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year85456856TotalRevenuePriorYear
Total Revenue Current Year106144271TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year31277684SalariesEtcPriorYear
Salaries Etc Current Year31813578SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year50283371OtherExpensePriorYear
Other Expenses Current Year58027586OtherExpensesCurrentYear
Total Expenses Prior Year81561055TotalExpensesPriorYear
Total Expenses Current Year89841164TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3895801RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16303107RevenuesLessExpensesCY
Total Assets BOY27080375TotalAssetsBOY
Total Assets EOY45596220TotalAssetsEOY
Total Liabilities BOY7541320TotalLiabilitiesBOY
Total Liabilities EOY9760834TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19539055NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY35835386NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense89253804Expense
Revenue105989374Revenue
DescriptionHEALTH CARE DELIVERY: PHYSICIANS AND OTHER HEALTHCARE PROVIDERS OF SIU PHYSICIANS AND SURGEONS, INC. ASSISTED IN THE TRAINING OF 291 UNDERGRADUATE MEDICAL STUDENTS AND 293 MEDICAL RESIDENTS AND FELLOWS WHILE PROVIDING MEDICAL SERVICES IN THE COMMUNITIES WE SERVE. (364,519 PATIENT VISITS)Description
Total Program Service Expense89253804TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109633NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees301NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN ILLINOIS UNIVERSITY SCHOOLBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2175455791TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1327 W CALHOUNAddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code62794ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
CAROL POSEGATE
BOARD MEMBER2.00X000
J KEVIN DORSEY MD PHD
BOARD MEMBER10.00X038855363592
ARTHUR BUNN
CHAIR2.00X000
JOHN BRADLEY MD
BOARD MEMBER50.00X6193029556340615XX
SERGIO PECORI
BOARD MEMBER2.00X000
DAVID STEWARD MD
PHYSICIAN70.00X24876029041X
GARY DUNNINGTON MD
MEMBER70.00X11315253217554333
MICHAEL NEUMEISTER MD
FACULTY BOARD MEMBER70.00X58508319198999176
LUCINDA BUESCHER
FACULTY BOARD MEMBER70.00X1101708980619386
ALAN DECKARD
FACULTY BOARD MEMBER50.00X5182715820722805
KATHY MAHAFFEY
SECRETARY/CHIEF OPERATING60.00013326627997X
WENDY COX-LARGENT
TREASURER/CHIEF FINANCIAL60.00015525628950X
JERRY KRUSE
VICE CHAIR70.0067653053274X
RICARDO LORET DE MOLA
PHYSICIAN70.0017773150984998308X
RUSSELL YANG
PHYSICIAN70.0024349160351866403X
KHALED SALEH
PHYSICIAN70.0017101159639185628X
REUBEN BUENO
PHYSICIAN70.006241636606656002X
STEPHEN HAZELRIGG
PHYSICIAN70.0035636330234973649X
MARK PUCZNSKI MD
FORMER PHYSICIAN70.00032290755678X
STEPHEN SOLTYS MD
FORMER PHYSICIAN70.003379823131035045X
JONATHAN GOLDFARB MD
FORMER FACULTY BOARD MEMBER70.0017396513364481767X
PATRICK MCKENNA MD
FORMER BOARD MEMBER70.0026442723431780371X
ROBERT BUZZELL MD
FORMER PHYSICIAN70.0030533015087934952X
OSARETIN IDUSUYI
FORMER PHYSICIAN70.003514755654437739X
NICOLE SOMMER
FORMER PHYSICIAN70.003971274509346673X
HYUNG KIM
FORMER CEO70.00000X
ELVIN ZOOK MD
FORMER MEMBER50.0014984022986702X
DAVID RESCH MD
FORMER PHYSICIAN50.002665521062624615X
DAVID TKACH
FORMER CEO70.0015575813430284409X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4445825TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5565596TotalReportableCompFrmRltdOrgs
Total Other Compensation1301110TotalOtherCompensation
Number Individuals GT100 K15NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SPRINGFIELD CLINIC
1025 SOUTH 7TH STREETSPRINGFIELDIL62703ON CALL COVERAGE623050
ON TIME TRANSCRIPTION
DEPT 4933CAROL STREAMIL60122MEDICAL TRANSCRIPTION283276
HEALTHLINK
PO BOX 66971-NST LOUISMO63166PROVIDER ADMINISTRATION240000
MEMORIAL MEDICAL CENTER
701 NORTH FIRST STREETSPRINGFIELDIL62781REFERENCE LAB AND ANSWERING SERVICE202848
ORTHOPEDIC CENTER OF ILLINOIS LTD
1301 S KOKE MILL RDSPRINGFIELDIL62707ON CALL COVERAGE200000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL FEES621110103376149103376149
TRAUMA/ON CALL FEES62111026132252613225
FieldValueIRS element (for citing)
Total Program Service Revenue105989374TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column155278TotalRevenueColumn
Exclusion$155,278ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities155005Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities155386Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-381Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-381TotalRevenueColumn
Exclusion-$381ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column106144271TotalRevenueColumn
Related Or Exempt Function Income105989374RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$154,897ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1233801Total
Program Services1063718ProgramServices
Management And General170083ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total29045488Total
Program Services29045488ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1534289Total
Program Services1534289ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total16443Total
Program Services16443ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29500Total
Management And General29500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2551025Total
Program Services2551025ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total13795Total
Management And General13795ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7424336Total
Program Services7424336ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total909309Total
Program Services909309ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total37626Total
Program Services37626ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total28573Total
Program Services28573ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2049Total
Program Services2049ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total311473Total
Program Services311473ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total373982Total
Management And General373982ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
UNIVERSITY OVERHEAD3830006338300063
ACADEMIC DEVELOPMENT80106708010670
MISCELLANEOUS1874218742

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total89841164Total
Program Services89253804ProgramServices
Management And General587360ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3076642BOY
EOY4726561EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14513480BOY
EOY28613554EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY9838BOY
EOY116553EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2919190LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1891400LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1241574BOY
EOY1027790EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8238841BOY
EOY11111762EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27080375BOY
EOY45596220EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4734228BOY
EOY4829704EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2807092BOY
EOY4931130EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7541320BOY
EOY9760834EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY18297480BOY
EOY34807596EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY1241575BOY
EOY1027790EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19539055BOY
EOY35835386EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27080375BOY
EOY45596220EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16303107ReconcilationRevenueExpenses
Reconcilation Other Changes-6776ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITYBusinessNameLine1
FieldValueIRS element (for citing)
EIN376005961EIN
Type Of Organization6TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$46,310,733Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts46310733SumOfAmounts

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2905413OtherCostOrOtherBasis
Depreciation1877623Depreciation
Book Value1027790BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13777OtherCostOrOtherBasis
Depreciation13777Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1027790TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DEPOSITS WITH SOUTHERN ILLINOIS UNIVERSITY11103176
ACCRUED INTEREST RECEIVABLE8586
FieldValueIRS element (for citing)
Total Book Value Other Assets11111762TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO SOUTHERN ILLINOIS UNIVERSITYDescription
Amount$4,931,130Amount
FieldValueIRS element (for citing)
Total Of Amounts4931130TotalOfAmounts
Total Revenue106144271TotalRevenue
Total Expenses89841164TotalExpenses
Excess Or Deficit For Year16303107ExcessOrDeficitForYear
Net Unrealized GL On Investments-6776NetUnrealizedGLOnInvestments
Total Adjustments-6776TotalAdjustments
Excess Or Deficit Per FS16296331ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt106137495TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-6776NetUnrealizedGainsInvestments
Revenue Not Rptd F990-6776RevenueNotRptdF990
Revenue Subtotal106144271RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990106144271TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt89841164TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal89841164ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99089841164TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationSIU PHYSICIANS AND SURGEONS OWES SOUTHERN ILLINOIS UNIVERSITY FOR SERVICES PERFORMED ON OUR BEHALF. THESE SERVICES INCLUDE STAFF, SUPPLIES, AND FACILITIES EXPENSES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
J KEVIN DORSEY MD PHD
038855300000635920004521450429000
JOHN BRADLEY MD
61930295563000015258240031354078542319566139512252495
GARY DUNNINGTON MD
1131525321750000112344159915000125886573774126749570674
MICHAEL NEUMEISTER MD
5850831919890000490004867615000635583240665645950239087
LUCINDA BUESCHER
11017089806000011016750786301220499731300
ALAN DECKARD
51827158207000093261284463506178817105154172123971
KATHY MAHAFFEY
0133266000002799700016126300
WENDY COX-LARGENT
015525600000289500001842060156464
RICARDO LORET DE MOLA
17773150984900004420852600150002234395624491917010
RUSSELL YANG
2434916035180000453031960015000290294623118222514601870
KHALED SALEH
171011596391000042528416001500021503963799100
REUBEN BUENO
624163660660000490005502150006746637156854457282945
STEPHEN HAZELRIGG
3563633023490000321523999715000390015342346484372267737
MARK PUCZNSKI MD
032290700000544591219012193773661462361698
STEPHEN SOLTYS MD
33798231310000033793069297403815126200230058262053
JONATHAN GOLDFARB MD
1739651336440000260875424314370201489187887252588138955
PATRICK MCKENNA MD
2644272343170000377744109715000303701275414306922274342
ROBERT BUZZELL MD
305330150879000021067123851500032789716326447468493481
OSARETIN IDUSUYI
351475565440000314014838150003843766138248206261244
NICOLE SOMMER
397127450930000413833790150004400104888351052248981
ELVIN ZOOK MD
149840229860000007020150542229869803621936
DAVID RESCH MD
26655210626000066641706988203420122769542770217964
DAVID TKACH
1557581343020000389404425512140195912178557157915195082

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE 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 7AFOUR 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 HE 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 7BTHE 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 11FORM 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.
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 12C
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 B, LINE 15
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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -6,776.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN ILLINOIS UNIVERSITYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 19607 327 W CALHOUNAddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code627949607ZIPCode
FieldValueIRS element (for citing)
EIN376005961EIN
Primary ActivitiesHIGHER EDUCATIONPrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section170(B)(1)(A)(V)ExemptCodeSection
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SOUTHERN ILLINOIS UNIVERSITY
O38300063CASH
SOUTHERN ILLINOIS UNIVERSITY
Q8010670CASH