Southern Illinois Hospital Services v. Q.E.D. Medical Physics, Inc.

2026 IL App (5th) 240336-U
CourtAppellate Court of Illinois
DecidedMarch 25, 2026
Docket5-24-0336
StatusUnpublished

This text of 2026 IL App (5th) 240336-U (Southern Illinois Hospital Services v. Q.E.D. Medical Physics, Inc.) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Southern Illinois Hospital Services v. Q.E.D. Medical Physics, Inc., 2026 IL App (5th) 240336-U (Ill. Ct. App. 2026).

Opinion

NOTICE 2026 IL App (5th) 240336-U NOTICE Decision filed 03/25/26. The This order was filed under text of this decision may be NO. 5-24-0336 Supreme Court Rule 23 and is changed or corrected prior to the filing of a Petition for not precedent except in the

Rehearing or the disposition of IN THE limited circumstances allowed the same. under Rule 23(e)(1). APPELLATE COURT OF ILLINOIS

FIFTH DISTRICT ______________________________________________________________________________

SOUTHERN ILLINOIS HOSPITAL SERVICES, ) Appeal from the d/b/a Memorial Hospital of Carbondale, ) Circuit Court of ) Jackson County. Plaintiff-Appellee, ) ) v. ) No. 15-L-51 ) Q.E.D. MEDICAL PHYSICS, INC., and CAREY ) MOSLEY, ) ) Defendants ) Honorable ) Christy J. Solverson, (Q.E.D. Medical Physics, Inc., Defendant-Appellant). ) Judge, presiding. ______________________________________________________________________________

JUSTICE CLARKE * delivered the judgment of the court. Justices Boie and McHaney concurred in the judgment.

ORDER

¶1 Held: Where QED did not raise an argument in the circuit court, the argument was forfeited on appeal. Where privity did not exist between SIH and the parties to a prior federal criminal case, QED was not entitled to summary judgment on collateral estoppel grounds. Where there are remaining material questions of fact surrounding the application of an affirmative defense, QED was not entitled to summary judgment. Where there were remaining questions of fact surrounding the applicability of valid affirmative defenses to SIH’s recovery, SIH was not entitled to summary judgment.

* Justice Moore was originally assigned to the panel prior to his retirement. Justice Clarke was substituted on the panel, has read the briefs, and listened to the oral argument. 1 ¶2 The defendant-appellant, Q.E.D. Medical Physics, Inc. (QED), appeals from the February

17, 2022, order (1) denying its motions for summary judgment filed January 2, 2019, and June 23,

2020, respectively, and (2) granting Southern Illinois Hospital Services’ (SIH) motion for

summary judgment filed September 21, 2020. Additionally, QED appeals the denial of its March

21, 2022, motion to reconsider the February 17, 2022, order entered on October 24, 2022. An order

of default was entered against defendant Carey Mosley in the circuit court on August 10, 2017,

and he does not participate in this appeal.

¶3 I. BACKGROUND

¶4 We limit our recitation of the facts to those relevant and necessary to understanding the

major events of the case and, subsequently, to the disposition of this appeal. The plaintiff-appellee

in this action is Southern Illinois Hospital Services, an Illinois corporation with its principal place

of business located in Carbondale, Illinois, that provides treatment to patients through its medical

facilities in southern Illinois. The defendant-appellant in this action is Q.E.D. Medical Physics,

Inc., a Tennessee corporation with its principal place of business in Lebanon, Tennessee, that

provides contractual medical physics and dosimetry services to hospital radiation oncology

departments. Defendant Carey Mosley, who previously had a default judgment entered against

him and does not participate in this appeal, was an employee of SIH and performed work as a

contracted dosimetrist on behalf of QED at various hospitals in Kentucky and Tennessee.

¶5 Starting in 2002, QED licensed an internet-based timekeeping system called Journyx,

which was used by QED’s independent contractors to log the hours and work performed on behalf

of QED. QED’s bookkeeper would then retrieve the service hour data from Journyx and create a

detailed monthly statement of fees entitled “Hours and Details Sorted by Date,” which contained

the date the charge was incurred, the type of charge it was (i.e., work performed, travel expenses,

2 etc.), the name of the consultant who charged it, and the hours spent if applicable. These detailed

statements of fees were sent to QED’s clients along with an invoice that summarized the charges

contained in the amount due for services rendered the previous month. The charges in the invoice

were broken down by location, type of charge (physics work, travel time, per diem, etc.), hours

charged, hourly rate charged, and total amount charged.

¶6 On January 1, 2003, SIH and QED entered into a contract with one another. Under the

contract, QED was to provide up to 24 hours of physics services per week at SIH’s Carbondale

location. Additionally, there was an implied contract for QED to provide physics services at SIH’s

Marion location, and this contract did not contain a cap on hours. In return, SIH was to pay QED

for the physicists’ services at a rate of $125 per hour (along with an option to increase the hourly

rate upon proper notice and within certain time constraints). Additionally, SIH was to pay QED

for its consultants’ travel time at one-half the physics rate, mileage, hotel accommodations, and

per diem charges, if applicable. Further, under the contract, QED was to provide SIH with “a

monthly report detailing all hours billed at each facility” (statement of fees) upon which SIH was

to make payment for QED’s services. Absent any dispute as to the accuracy of the statement of

fees, SIH was then required to make payment within 15 days of receipt of the statement of fees.

¶7 In 2004, Mosley, a dosimetrist employed by SIH since 1998, became a part-time

dosimetrist consultant providing fill-in dosimetry services for QED. In that part-time role, Mosley

worked as a QED consultant providing locum tenens dosimetry services to hospitals in Tennessee

and Kentucky. QED claims that it did not authorize, nor did Mosley perform, dosimetry services

at SIH facilities. Meanwhile, SIH claims it was not made aware of Mosley’s work on behalf of

QED and the potential conflicts of interest that the work created. Later, in 2005, Mosley was

promoted by SIH to become the director of SIH’s radiation oncology department.

3 ¶8 Starting in November of 2006 and continuing until July of 2013, Mosley made false time

entries into QED’s Journyx program, claiming that he performed dosimetry services on behalf of

QED at SIH’s Carbondale and Marion locations, services which both parties agree Mosley never

actually performed. These false time entries were then included by QED’s bookkeeper in QED’s

monthly statement of fees and correspondingly, were included in the total of the monthly invoice

sent to SIH. As a QED consultant, Mosley knew that QED’s president, Kim Working, did not

review the statements of fees sent to clients unless a client questioned or complained of the charges.

As head of SIH’s radiation oncology department, Mosley was the party designated by SIH to

review QED’s statements of fees and invoices and approve them for payment by SIH’s accounts

payable department. Before approving the invoice and statement of fees for payment at SIH,

Mosley would alter the statement of fees to remove his name and insert the name of one of QED’s

consultant physicists, making the statement of fees appear to reflect that QED charged SIH only

for physics services. Based on the record before us, Mosley did not alter the invoice that was

attached to the statement of fees. After altering the statement of fees, Mosley would then approve

the invoice and the altered statement of fees and send the documents to the SIH accounts payable

department for payment.

¶9 Beginning in November 2011, Mosley realized that he could further avoid detection and

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2026 IL App (5th) 240336-U, Counsel Stack Legal Research, https://law.counselstack.com/opinion/southern-illinois-hospital-services-v-qed-medical-physics-inc-illappct-2026.