SIU PHYSICIANS & SURGEONS INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- SIU PHYSICIANS & SURGEONS INC (EIN 36-4143823)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-09
- IRS object ID
- 201141299349300219
- Schema version
- 2009v1.7
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-09T10:24:49-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kerber Eck & Braeckel LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 Myers Building | AddressLine1 |
| City | Springfield | City |
| State | IL | State |
| ZIP Code | 62701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364143823 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIU Physicians & Surgeons Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SIUP | NameControl |
| Phone | 2175458850 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 19639 | AddressLine1 |
| City | Springfield | City |
| State | IL | State |
| ZIP Code | 62794 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Wendy Cox-Largent | Name |
| Title | Treasurer/Chief Financial Officer | Title |
| Phone | 2175458850 | Phone |
| Date Signed | 2011-04-29 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jason D Jones | Name |
| Phone | 2177890960 | Phone |
| Date Prepared | 2011-04-28 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIU HealthCare | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Wendy Cox-Largent | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 19639 | AddressLine1 |
| City | Springfield | City |
| State | IL | State |
| ZIP Code | 627949639 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 86779613 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.siumed.edu/physurg/ | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | Assist Southern Illinois University School of Medicine's medical education activities through providing patient care. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 280 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 81551071 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 85308702 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 181016 | InvestmentIncomePriorYear |
| Investment Income Current Year | 148154 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 81732087 | TotalRevenuePriorYear |
| Total Revenue Current Year | 85456856 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31695121 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 31277684 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 55333169 | OtherExpensePriorYear |
| Other Expenses Current Year | 50283371 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 87028290 | TotalExpensesPriorYear |
| Total Expenses Current Year | 81561055 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -5296203 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3895801 | RevenuesLessExpensesCY |
| Total Assets BOY | 24167445 | TotalAssetsBOY |
| Total Assets EOY | 27080375 | TotalAssetsEOY |
| Total Liabilities BOY | 8524567 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7541320 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15642878 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 19539055 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 81100837 | Expense |
| Revenue | 85308702 | Revenue |
| Description | Health Care Delivery: Physicians and other healthcare providers of SIU Physicians and Surgeons, Inc. assisted in the training of 289 undergraduate medical students and 288 medical residents and fellows while providing medical services in the communities we serve. (347,532 patient visits) | Description |
| Total Program Service Expense | 81100837 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 34 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 280 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southern Illinois University School | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2175455791 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 327 W Calhoun | AddressLine1 |
| City | Springfield | City |
| State | IL | State |
| ZIP Code | 62794 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Carol Posegate | |||||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | ||||
| J Kevin Dorsey MD PhD | |||||||||
| Board Member | 10.00 | X | 0 | 388602 | 40398 | ||||
| Arthur Bunn | |||||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | ||||
| Mark Puczynski MD | |||||||||
| Faculty Board Member | 70.00 | X | 0 | 321297 | 41863 | X | |||
| John Bradley MD | |||||||||
| Chair | 70.00 | X | 110490 | 213197 | 68320 | X | X | ||
| Jonathan Goldfarb MD | |||||||||
| Faculty Board Member | 70.00 | X | 219017 | 111861 | 60664 | ||||
| Sergio Pecori | |||||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | ||||
| David Steward MD | |||||||||
| Vice Chair | 70.00 | X | 17330 | 0 | 28098 | X | |||
| Maureen Francis MD | |||||||||
| Board Member | 50.00 | X | 32955 | 110581 | 14509 | ||||
| Michael Neumeister MD | |||||||||
| Physician | 70.00 | X | 595150 | 190541 | 99346 | X | |||
| Alan Deckard MD | |||||||||
| Board Member | 50.00 | X | 45265 | 114622 | 18256 | ||||
| Kathy Mahaffey | |||||||||
| Secretary/Chief Operating | 60.00 | 0 | 128510 | 27622 | X | ||||
| Wendy Cox-Largent | |||||||||
| Treasurer/Chief Financial | 60.00 | 0 | 139645 | 16819 | X | ||||
| Jerry Kruse | |||||||||
| Physician | 70.00 | 66164 | 0 | 51733 | X | ||||
| Casey Younkin MD | |||||||||
| Chief Medical Officer | 60.00 | 0 | 60156 | 28396 | X | ||||
| Ricardo Loret De Mola | |||||||||
| Physician | 70.00 | 152100 | 510022 | 90987 | X | ||||
| Stephen Hazelrigg MD | |||||||||
| Physician | 70.00 | 446332 | 233274 | 72503 | X | ||||
| Dennis Mollman MD | |||||||||
| Physician | 70.00 | 322644 | 474769 | 57355 | X | ||||
| Russell Yang MD | |||||||||
| Physician | 70.00 | 176571 | 569617 | 78196 | X | ||||
| Stephen Soltys MD | |||||||||
| Former Faculty Board Member | 70.00 | 26250 | 231637 | 34225 | X | ||||
| Patrick McKenna MD | |||||||||
| Former Board Member | 70.00 | 255537 | 233960 | 91767 | X | ||||
| Gary Dunnington MD | |||||||||
| Former Member | 70.00 | 113645 | 532273 | 51504 | X | ||||
| Randy Kienstra MD | |||||||||
| Former Member | 50.00 | 7128 | 95688 | 2208 | X | ||||
| David Resch MD | |||||||||
| Physician - Former Director | 50.00 | 33370 | 201623 | 25740 | X | ||||
| Elvin Zook MD | |||||||||
| Former Board Member | 50.00 | 97016 | 21936 | 1020 | X | ||||
| Rueben Bueno MD | |||||||||
| Physician - Form Director | 70.00 | 493772 | 76610 | 57135 | X | ||||
| Robert Buzzell MD | |||||||||
| Physician - Form Director | 70.00 | 425867 | 86270 | 56028 | X | ||||
| Osaretin Idusuyi MD | |||||||||
| Physician - Form Director | 70.00 | 448235 | 56425 | 38646 | X | ||||
| Nicole Sommer MD | |||||||||
| Physician - Form Director | 70.00 | 461664 | 45191 | 52648 | X | ||||
| David Tkach | |||||||||
| Former CEO | 70.00 | 134122 | 152523 | 66351 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4680624 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5300830 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1272337 | TotalOtherCompensation |
| Number Individuals GT100 K | 98 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Springfield Clinic | |||||
| 1025 South 7th Street | Springfield | IL | 62703 | On Call Coverage | 758650 |
| On Time Transcription | |||||
| Dept 4933 | Carol Stream | IL | 60122 | Medical Transcription | 298135 |
| Orthopedic Center of Illinois LTD | |||||
| 1301 S Koke Mill Rd | Springfield | IL | 62707 | On Call Coverage | 241000 |
| Memorial Medical Center | |||||
| 701 North First Street | Springfield | IL | 62781 | Reference lab and answering service | 229398 |
| Healthlink | |||||
| PO Box 66971-N | St Louis | MO | 63166 | Provider administration | 180000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Medical Fees | 621110 | 82977271 | 82977271 |
| Trauma/On Call Fees | 621110 | 2331431 | 2331431 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 85308702 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 150770 | TotalRevenueColumn |
| Exclusion | $150,770 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1250000 | Securities |
| Other | 70141 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1249165 | Securities |
| Other | 73592 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 835 | Securities |
| Other | -3451 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2616 | TotalRevenueColumn |
| Exclusion | -$2,616 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 85456856 | TotalRevenueColumn |
| Related Or Exempt Function Income | 85308702 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $148,154 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1445407 | Total |
| Program Services | 1370407 | ProgramServices |
| Management And General | 75000 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28321278 | Total |
| Program Services | 28321278 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1510999 | Total |
| Program Services | 1510999 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113757 | Total |
| Program Services | 113757 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27500 | Total |
| Management And General | 27500 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2481144 | Total |
| Program Services | 2481144 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 600 | Total |
| Management And General | 600 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6421891 | Total |
| Program Services | 6421891 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 631732 | Total |
| Program Services | 631732 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31437 | Total |
| Program Services | 31437 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32452 | Total |
| Program Services | 32452 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2775 | Total |
| Program Services | 2775 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 343568 | Total |
| Program Services | 343568 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 357118 | Total |
| Management And General | 357118 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| University Overhead | 32805245 | 32805245 |
| Academic Development | 6999382 | 6999382 |
| Miscellaneous | 34770 | 34770 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81561055 | Total |
| Program Services | 81100837 | ProgramServices |
| Management And General | 460218 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2360418 | BOY |
| EOY | 3076641 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15918509 | BOY |
| EOY | 14513480 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104097 | BOY |
| EOY | 9838 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2821502 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1579927 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1459695 | BOY |
| EOY | 1241575 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4324726 | BOY |
| EOY | 8238841 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24167445 | BOY |
| EOY | 27080375 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4655246 | BOY |
| EOY | 4734228 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3869321 | BOY |
| EOY | 2807092 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8524567 | BOY |
| EOY | 7541320 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14183183 | BOY |
| EOY | 18297480 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1459695 | BOY |
| EOY | 1241575 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15642878 | BOY |
| EOY | 19539055 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24167445 | BOY |
| EOY | 27080375 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Board of Trustees of Southern Illinois University | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 376005961 | EIN |
| Type Of Organization | 6 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $39,804,627 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 39804627 | SumOfAmounts |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2807725 | OtherCostOrOtherBasis |
| Depreciation | 1566150 | Depreciation |
| Book Value | 1241575 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13777 | OtherCostOrOtherBasis |
| Depreciation | 13777 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1241575 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Deposits with Southern Illinois University | 8233556 |
| Accrued Interest Receivable | 5285 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 8238841 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due to Southern Illinois University | Description |
| Amount | $2,807,092 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2807092 | TotalOfAmounts |
| Total Revenue | 85456856 | TotalRevenue |
| Total Expenses | 81561055 | TotalExpenses |
| Excess Or Deficit For Year | 3895801 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 376 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 376 | TotalAdjustments |
| Excess Or Deficit Per FS | 3896177 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 85457232 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 376 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 376 | RevenueNotRptdF990 |
| Revenue Subtotal | 85456856 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 85456856 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 81561055 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 81561055 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 81561055 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | SIU 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| J Kevin Dorsey MD PhD | |||||||||||||
| 0 | 388602 | 0 | 0 | 0 | 0 | 0 | 40398 | 0 | 0 | 0 | 429000 | 0 | 0 |
| Mark Puczynski MD | |||||||||||||
| 0 | 321297 | 0 | 0 | 0 | 0 | 0 | 40401 | 1462 | 0 | 1462 | 361698 | 0 | 300000 |
| John Bradley MD | |||||||||||||
| 110490 | 213197 | 0 | 0 | 0 | 0 | 27547 | 39298 | 1475 | 0 | 139512 | 252495 | 117764 | 189180 |
| Jonathan Goldfarb MD | |||||||||||||
| 219017 | 111861 | 0 | 0 | 0 | 0 | 31846 | 27094 | 1724 | 0 | 252587 | 138955 | 240530 | 106806 |
| Maureen Francis MD | |||||||||||||
| 32955 | 110581 | 0 | 0 | 0 | 0 | 4897 | 8910 | 702 | 0 | 38554 | 119491 | 40640 | 81355 |
| Michael Neumeister MD | |||||||||||||
| 595150 | 190541 | 0 | 0 | 0 | 0 | 49000 | 48546 | 1800 | 0 | 645950 | 239087 | 610599 | 107811 |
| Alan Deckard MD | |||||||||||||
| 45265 | 114622 | 0 | 0 | 0 | 0 | 8145 | 9349 | 762 | 0 | 54172 | 123971 | 0 | 0 |
| Kathy Mahaffey | |||||||||||||
| 0 | 128510 | 0 | 0 | 0 | 0 | 0 | 27622 | 0 | 0 | 0 | 156132 | 0 | 130405 |
| Wendy Cox-Largent | |||||||||||||
| 0 | 139645 | 0 | 0 | 0 | 0 | 0 | 16235 | 0 | 584 | 0 | 156464 | 0 | 76917 |
| Ricardo Loret De Mola | |||||||||||||
| 152100 | 510022 | 0 | 0 | 0 | 0 | 37800 | 51387 | 1800 | 0 | 191700 | 561409 | 118773 | 250000 |
| Stephen Hazelrigg MD | |||||||||||||
| 446332 | 233274 | 0 | 0 | 0 | 0 | 36240 | 34463 | 1800 | 0 | 484372 | 267737 | 0 | 0 |
| Dennis Mollman MD | |||||||||||||
| 322644 | 474769 | 0 | 0 | 0 | 0 | 23742 | 32113 | 1500 | 0 | 347886 | 506882 | 0 | 0 |
| Russell Yang MD | |||||||||||||
| 176571 | 569617 | 0 | 0 | 0 | 0 | 44143 | 32253 | 1800 | 0 | 222514 | 601870 | 0 | 0 |
| Stephen Soltys MD | |||||||||||||
| 26250 | 231637 | 0 | 0 | 0 | 0 | 2625 | 30416 | 1184 | 0 | 30059 | 262053 | 30033 | 221531 |
| Patrick McKenna MD | |||||||||||||
| 255537 | 233960 | 0 | 0 | 0 | 0 | 49585 | 40382 | 1800 | 0 | 306922 | 274342 | 209223 | 178039 |
| Gary Dunnington MD | |||||||||||||
| 113645 | 532273 | 0 | 0 | 0 | 0 | 11303 | 38401 | 1800 | 0 | 126748 | 570674 | 144148 | 462766 |
| Randy Kienstra MD | |||||||||||||
| 7128 | 95688 | 0 | 0 | 0 | 0 | 1782 | 0 | 426 | 0 | 9336 | 95688 | 0 | 0 |
| David Resch MD | |||||||||||||
| 33370 | 201623 | 0 | 0 | 0 | 0 | 8342 | 16341 | 1057 | 0 | 42769 | 217964 | 0 | 0 |
| Elvin Zook MD | |||||||||||||
| 97016 | 21936 | 0 | 0 | 0 | 0 | 0 | 0 | 1020 | 0 | 98036 | 21936 | 0 | 0 |
| Rueben Bueno MD | |||||||||||||
| 493772 | 76610 | 0 | 0 | 0 | 0 | 49000 | 6335 | 1800 | 0 | 544572 | 82945 | 0 | 0 |
| Robert Buzzell MD | |||||||||||||
| 425867 | 86270 | 0 | 0 | 0 | 0 | 47017 | 7211 | 1800 | 0 | 474684 | 93481 | 0 | 0 |
| Osaretin Idusuyi MD | |||||||||||||
| 448235 | 56425 | 0 | 0 | 0 | 0 | 32027 | 4819 | 1800 | 0 | 482062 | 61244 | 0 | 0 |
| Nicole Sommer MD | |||||||||||||
| 461664 | 45191 | 0 | 0 | 0 | 0 | 47058 | 3790 | 1800 | 0 | 510522 | 48981 | 0 | 0 |
| David Tkach | |||||||||||||
| 134122 | 152523 | 0 | 0 | 0 | 0 | 22335 | 42559 | 1457 | 0 | 157914 | 195082 | 139668 | 156669 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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 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 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 reviewed first by the Chief Financial Officer. A copy is provided to the Finance Committee of the Board of Directors for their review. 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southern Illinois University | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 19607 327 W Calhoun | AddressLine1 |
| City | Springfield | City |
| State | IL | State |
| ZIP Code | 627949607 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 376005961 | EIN |
| Primary Activities | Higher Education | PrimaryActivities |
| Legal Domicile State | IL | LegalDomicileState |
| Exempt Code Section | 170(b)(1)(A)(v) | ExemptCodeSection |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Southern Illinois University | |
| O | 32805245 |
| Southern Illinois University | |
| Q | 6999382 |