2014-11-13T14:08:40-06:00 2013-12-31 420714325 MCGLADREY LLP 227 W FIRST ST STE 700 DULUTH MN 558021919 990 2013-01-01 411901561 SISU MEDICAL SYSTEMS SISU 2185297948 5 WEST FIRST STREET SUITE 200 DULUTH MN 55802 KEVIN BOERBOOM INTERIM CFO 2185297948 2014-11-10 1 JULIE BOYER P01278549 2187275025 2013 2015-11-30 17:44:51Z SCOTT LEE 5 WEST FIRST STREET SUITE 200 DULUTH MN 55802 398578 0 X WWW.SISUNET.ORG X 1997 MN TO PROVIDE MEDICAL SOFTWARE/COMPUTER NETWORK SERVICES TO CERTAIN HEALTHCARE FACILITIES IN NORTHERN MINNESOTA. 13 13 0 0 0 0 0 0 8211215 398578 0 0 0 0 8211215 398578 0 0 0 0 0 0 0 0 0 8233700 493190 8233700 493190 -22485 -94612 5110798 420273 2686234 383643 2424564 36630 TO PROVIDE MEDICAL SOFTWARE/COMPUTER NETWORK SERVICES TO CERTAIN HEALTHCARE FACILITIES IN NORTHERN MINNESOTA. 0 0 294746 398578 SISU MEDICAL SYSTEMS IS A 13 MEMBER CORPORATION ENGAGED PRIMARILY IN THE BUSINESS OF PROVIDING MEDICAL SOFTWARE/COMPUTER NETWORK SERVICES TO CERTAIN NOT FOR PROFIT AND GOVERNMENTAL HEALTHCARE ORGANIZATIONS LOCATED PRIMARILY IN NORTHERN MINNESOTA. THE CORPORATION ALSO SERVES THE MEMBERS AND THEIR COMMUNITIES BY PROVIDING THE MEMBERS THE OPPORTUNITY TO POOL BUYING POWER IN ORDER TO PURCHASE HARDWARE AND SOFTWARE AT PRICING THAT IS COMPETITIVE WITH LARGER HEALTHCARE ORGANIZATIONS. 294746 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X KEVIN BOERBOOM 2185297939 5 WEST FIRST STREET SUITE 200 DULUTH MN 55802 AL VOGT DIRECTOR 1.00 X 0 0 0 RICK BREUER SECRETARY/TREASURER 1.00 X X 0 0 0 MIKE HAGEN VICE PRESIDENT 1.00 X X 0 0 0 RANDY ULSETH DIRECTOR 1.00 X 0 0 0 DAN ODEGAARD PRESIDENT 1.00 X X 0 0 0 STEVEN MUDLER DIRECTOR 1.00 X 0 0 0 JOHN FOSSUM DIRECTOR 1.00 X 0 0 0 JASON DOUGLAS DIRECTOR 1.00 X 0 0 0 SCOTT NIGON DIRECTOR 1.00 X 0 0 0 FRANK LAWATSCH DIRECTOR 1.00 X 0 0 0 CHAD COOPER DIRECTOR 1.00 X 0 0 0 KIMBER WRAALSTAD DIRECTOR 1.00 X 0 0 0 JOHN SOLHEIM DIRECTOR 1.00 X 0 0 0 KRIS OLBERG CIO 1.00 39.00 X 0 56646 3397 DAN RABIDEAUX FORMER CFO 1.00 39.00 X 0 156663 9975 SCOTT LEE CEO 1.00 39.00 X 0 219897 12900 0 433206 26272 0 0 1 0 MEDICAL INFORMATION TECHNOLOGY INC PO BOX 74569 CHICAGO IL 60696 SOFTWARE LICENSING AND IMPLEMENTATION 569055 1 SOFTWARE/COMP FEES 541519 398578 398578 398578 398578 398578 0 0 3500 3500 3768 3768 915 58 857 5338 5338 19578 19578 LICENSES 271739 222129 49610 LOSS ON DEBT EXTINGUISH 121131 121131 MAINTENANCE CONTRACTS 61144 61144 LEASED EQUIPMENT 6077 6077 493190 294746 198444 0 343881 204060 491725 1236279 213981 428259 27940 95541 2232 0 2293312 193861 0 5110798 420273 1430632 354429 100028 29214 1155574 0 2686234 383643 X 2424564 36630 2424564 36630 5110798 420273 X -94612 -2293322 X 0 0 0 X X 0 0 0 0 0 0 0 0 0 DAN RABIDEAUX FORMER CFO 0 155550 0 1113 0 0 0 8748 0 1227 0 166638 0 0 SCOTT LEE CEO 0 202397 0 17500 0 0 0 10500 0 2400 0 232797 0 0 EQUIPMENT, LEASEHOLD IMPROVEMENTS (DETAIL AVAILABLE UPON REQUEST) 2013-01-01 2293312 FMV 412008284 SISU MEDICAL SOLUTIONS LLC 5 WEST FIRST STREET SUITE 200 DULUTH MN 55802 DOMESTIC LLC 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 SISU MEDICAL SYSTEMS IS A NONPROFIT MEMBER CORPORATION MADE UP OF 13 FULL MEMBERS AND 1 ASSOCIATE MEMBER. EACH UNRELATED FULL MEMBER HAS ONE SEAT ON THE BOARD OF DIRECTORS AND ONE VOTE. FORM 990, PART VI, SECTION A, LINE 7A SISU MEDICAL SYSTEMS IS A NONPROFIT MEMBER CORPORATION MADE UP OF 13 FULL MEMBERS AND 1 ASSOCIATE MEMBER. EACH UNRELATED FULL MEMBER HAS ONE SEAT ON THE BOARD OF DIRECTORS AND ONE VOTE. FORM 990, PART VI, SECTION A, LINE 7B SISU MEDICAL SYSTEMS IS A NONPROFIT MEMBER CORPORATION MADE UP OF 13 FULL MEMBERS AND 1 ASSOCIATE MEMBER. EACH UNRELATED FULL MEMBER HAS ONE SEAT ON THE BOARD OF DIRECTORS AND ONE VOTE. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE FINANCE COMMITTEE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PURPOSE OF CONFLICT OF INTEREST: TO ESTABLISH GUIDELINES REGARDING THE ACCEPTANCE OR SOLICITATION OF GIFTS, MERCHANDISE SAMPLES OR OTHER GRATUITIES BY EMPLOYEES OF SISU FROM PATIENTS, VISITORS, AND REPRESENTATIVES OF COMMERCIAL CONCERNS DOING BUSINESS OR WANTING TO DO BUSINESS WITH SISU OR ITS MEMBERS. THIS POLICY IS NOT INTENDED TO BE EXCLUSIVE AND ADDITIONAL LAWS, REGULATIONS, AND POLICIES MAY BE IMPLICATED IN A GIVEN CONFLICT OF INTEREST SITUATION. THE EMPLOYEES OF SISU MEDICAL SOLUTIONS OR SISU MEDICAL SYSTEMS (HEREAFTER COLLECTIVELY REFERRED TO AS SISU) SERVE THE INTEREST OF ITS MEMBERS AND THEREFORE HAVE A RESPONSIBILITY TO AVOID ACTIVITIES AND SITUATIONS WHICH, EITHER ACTUALLY OR COULD BE PERCEIVED TO PUT PERSONAL INTERESTS BEFORE PROFESSIONAL OBLIGATIONS. POLICY: IT IS THE RESPONSIBILITY OF EACH EMPLOYEE TO COMPLY WITH THE GUIDELINES OF THE POLICY. THE DIRECTORS AND MANAGERS WILL BE RESPONSIBLE FOR THE ENFORCEMENT OF THE POLICY. PROCEDURE: 1. SISU MEDICAL SYSTEMS EMPLOYEES MAY NOT SOLICIT OR ACCEPT MONETARY GIFTS THAT WOULD SUGGEST OR CREATE AN OBLIGATION OF THE ORGANIZATION. 2. UNDER NO CIRCUMSTANCES SHOULD ANY GIFT OR GRATUITY BE ACCEPTED WHICH WOULD INFLUENCE OR COULD BE PERCEIVED TO INFLUENCE THE EMPLOYEE'S PROFESSIONAL JUDGMENT. 3. EMPLOYEES MAY NOT ACCEPT OR SOLICIT SAMPLES OF MERCHANDISE FOR THEIR PERSONAL USE NOR MAY THEY ACCEPT MONEY FROM PATIENTS OR THE GENERAL PUBLIC FOR THEIR SERVICES AS A SISU EMPLOYEE. 4. NON-MONETARY UNSOLICITED GIFTS OF INSIGNIFICANT VALUE (E.G., CALENDARS, PENS, PENCIL, RULES AND SCRATCH PADS) MAY BE ACCEPTED BY EMPLOYEES IF OFFERED FREELY AND DO NOT IMPLY FUTURE OBLIGATION. 5. FLOWERS, CARDS, CANDY, FRUIT OR OTHER SIMILAR EXPRESSIONS OF APPRECIATION WHICH DO NOT IMPLY FUTURE OBLIGATIONS MAY BE ACCEPTED ON BEHALF OF SISU AND SHARED WITH SISU EMPLOYEES. 6. VENDOR PROVIDED ACTIVITIES, SUCH AS SPORTING EVENTS, GOLF, PLAYS, FISHING, HUNTING, ETC. ARE NOT PERMISSIBLE UNLESS APPROVED BY A DIRECTOR. LEISURE ACTIVITIES, ON EMPLOYEES OWN TIME, WILL BE LIMITED TO 2 EVENTS PER YEAR WITH APPROVAL FROM A DIRECTOR. 7. BUSINESS LUNCHES AND DINNERS OFFERED BY A VENDOR THAT SISU IS CURRENTLY DOING BUSINESS WITH, MAY BE ACCEPTED BY AN EMPLOYEE WHEN THEY ARE REASONABLE, ARE ASSOCIATED WITH A BONA FIDE BUSINESS MEETING, AND ARE PROVIDED BY THE VENDOR TO OTHERS AS A NORMAL PART OF ITS BUSINESS. ANY EXCESSIVE MEALS OR ENTERTAINMENT PAID FOR BY A VENDOR MAY NOT BE ACCEPTED. 8. VENDOR-SUPPORTED TRAINING. - SISU EMPLOYEES MAY PARTICIPATE IN VENDOR-SPONSORED TRAINING WHERE THE TRAINING IS DIRECTLY RELATED TO PRODUCT OR SERVICES CURRENTLY BEING USED BY SISU OR ITS MEMBERS. A. IF SPECIFICALLY ADDRESSED IN A WRITTEN CONTRACT BETWEEN SISU OR ITS MEMBERS AND THE VENDOR, THE EMPLOYEE IS ALLOWED TO ACCEPT PAYMENT FOR THE TRAINING COURSE, TRAVEL, LODGING, ETC. 9. SISU EMPLOYEES MAY NOT ACCEPT PAYMENT OR REIMBURSEMENT FOR REGISTRATION FEES, OR RELATED TRAVEL OR LODGING, FOR GENERAL TRADE OR PROFESSIONAL ASSOCIATION CONFERENCES FROM CURRENT OR PROSPECTIVE VENDORS. 10. AN EMPLOYEE WHO RECEIVES A GIFT PROHIBITED BY THESE GUIDELINES, OR IS OFFERED PAYMENT OR REIMBURSEMENT OF REGISTRATION FEE, OR RELATED TRAVEL OR LODGING, SHOULD REPORT THAT INFORMATION TO HIS/HER IMMEDIATE SUPERVISOR. A DECISION WILL BE MADE BY MANAGEMENT TO RESOLVE THE CONFLICT. THE ORGANIZATION'S OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REMINDED ANNUALLY OF THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT COMPENSATE ANY OFFICERS OR KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 18 FORMS 1023 & 990 ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: DISTRIBUTION TO MEMBER ORGANIZATIONS -2,293,322. 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