2024-11-15T13:01:07-06:00 2023-12-31 990 2023-01-01 391534744 SHARED MAGNETIC RESONANCE IMAGING FACILITY INC SHAR 6082594379 1104 JOHN NOLEN DRIVE MADISON WI 53713 STEPHANIE KING VP-FINANCE 6082594379 2024-11-15 0 2023 2024-10-15 13:58:12Z TURVILLE BAY MRI AND RADIAITON BARBARA THIERMANN 1104 JOHN NOLEN DRIVE MADISON WI 53713 15291650 0 X WWW.TURVILLEBAY.COM X 1986 WI TO OPERATE AND MAINTAIN A FACILITY FOR THE PERFORMANCE OF RADIATION THERAPY PROCEDURES AND TO PROVIDE ADVANCED MEDICAL TECHNOLOGY FOR ITS PATIENTS. 2 0 0 0 0 0 31059 9091 15765965 15259113 199571 22966 0 480 15996595 15291650 0 95 0 0 6851499 7534383 0 0 0 5756964 5355773 12608463 12890251 3388132 2401399 35288483 10727370 6808502 -20154010 28479981 30881380 X THE CORE MISSION OF TURVILLE BAY MRI AND RADIATION ONCOLOGY CENTER IS TO PRESERVE AND IMPROVE HUMAN LIFE. THE MISSION WILL BE ACHIEVED THROUGH PROVIDING PATIENT CARE WITH UNRELENTING ATTENTION TO CLINICAL EXCELLENCE, PATIENT SAFETY AND AN UNPARALLELED PASSION AND COMMITMENT TO ENSURE THE VERY BEST HEALTHCARE FOR THOSE WE SERVE. TURVILLE BAY MRI AND RADIATION ONCOLOGY CENTER IS A NOT FOR PROFIT CENTER PRINCIPALLY FORMED TO PROVIDE QUALITY HEALTHCARE SERVICES. 0 0 10794045 95 15259113 RADIOLOGY ONCOLOGY SERVICES: TURVILLE BAY RADIATION ONCOLOGY CENTER PROVIDES RADIATION THERAPY TREATMENT SERVICES. 10794045 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 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 X 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 2 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X JACKIE TAYLOR 6082416949 1808 WEST BELTLINE HWY MADISON WI 53713 SUE ANDERSON DIRECTOR,CHAIR,REGIONAL PRESIDENT WI 1.00 42.00 X 0 1428914 540322 BARB THIERMANN DIRECTOR, PRESIDENT, CANCER CENTER ADMINISTRATOR 40.00 0.00 X 0 254914 56760 STEVE SMOOT VICE PRESIDENT, COO OF SSM HEALTH 1.00 65.00 X 0 2054358 1204489 RANDY COMBS TREASURER, CFO SSM HEALTH PART YEAR 1.00 69.00 X 0 2182354 1238074 KEVIN SMITH TREASURER, CFO SSM HEALTH PART YEAR 1.00 69.00 X 0 219586 99334 DOUGLAS LONG SECRETARY, GENERAL COUNSEL AT SSM HEALTH 1.00 72.20 X 0 1425239 777013 THOMAS KIRSCHBAUM ASSISTANT SECRETARY, GENERAL COUNSEL - WI 1.00 42.00 X 0 532265 210384 0 8097630 4126376 0 0 1 0 VARIAN MEDICAL SYSTEMS 600 N MCCARTHY BLVD MILPITAS CA 95035 ONCOLOGY SERVICES 1061530 UNLIMITED TECHNOLOGY SYSTEMS LLC 9280 MONTGOMERY RD SUITE 200 CINCINNATI OH 45242 MEDICAL TECHNOLOGY SERVICES 177668 BRAIN LAB INC 2323 MOMENTUM PLACE CHICAGO IL 606895323 DIGITAL MEDICAL TECHNOLOGY 126692 3 9091 9091 RADIATION ONCOLOGY REVENUE 621500 14458302 14458302 CORPORATE FEES 621500 797873 797873 OTHER PROGRAM REVENUE 900099 2938 2938 15259113 10946 10946 12020 0 12020 12020 12020 OTHER OPERATING REVENUE 900099 480 480 480 15291650 15259113 0 23446 X 95 95 6550690 6159778 390912 123173 115823 7350 516058 485262 30796 344462 323906 20556 1432 1432 2024975 1978062 46913 1012 1012 50656 48102 2554 390077 390077 442858 444399 -1541 4621 4277 344 199 199 29 29 1025287 279843 745444 1310236 851347 458889 45857 45857 LICENSES, DUES & SUBSCR 25386 25386 MEDICAL SUPPLIES & EQUI 22052 21735 317 OTHER EXPENSES 8673 8859 -186 BANK FEES 2320 2320 103 103 12890251 10794045 2096206 0 23168365 750 679576 552147 498978 546125 18251518 8844630 10941564 9406888 221460 35288483 10727370 589332 609800 6219170 -20763810 6808502 -20154010 X 28479981 30881380 28479981 30881380 35288483 10727370 2401399 0 X 0 1 X 1 0 X X 1 SSM HEALTH CARE OF WISCONSIN INC 430688874 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1644230 1644230 7731985 2183447 5548538 43245 23429 19816 8832058 6637754 2194304 9406888 THIRD PARTY PAYABLES -20763810 -20763810 X PART X, LINE 2: SHARED MAGNETIC RESONANCE IMAGING FACILITY INC'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEALTH (SSMH), BEGINNING WITH THE 2019 CALENDAR YEAR. SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2023 OR 2022. X 1 1 0 1 0 0 0 0 0 0 0 RANDY COMBS TREASURER, CFO SSM HEALTH PART YEAR 0 1242308 0 669269 0 270777 0 1203989 0 34085 0 3420428 0 669269 STEVE SMOOT VICE PRESIDENT, COO OF SSM HEALTH 0 1173646 0 737192 0 143520 0 1164125 0 40364 0 3258847 0 878090 DOUGLAS LONG SECRETARY, GENERAL COUNSEL AT SSM HE 0 759270 0 495539 0 170430 0 753634 0 23379 0 2202252 0 495539 SUE ANDERSON DIRECTOR,CHAIR,REGIONAL PRESIDENT WI 0 765767 0 330759 0 332388 0 520449 0 19873 0 1969236 0 386663 THOMAS KIRSCHBAUM ASSISTANT SECRETARY, GENERAL COUNSEL 0 388964 0 99618 0 43683 0 172359 0 38025 0 742649 0 99618 KEVIN SMITH TREASURER, CFO SSM HEALTH PART YEAR 0 117134 0 102320 0 132 0 96255 0 3079 0 318920 0 0 BARB THIERMANN DIRECTOR, PRESIDENT, CANCER CENTER A 0 229124 0 22448 0 3342 0 30190 0 26570 0 311674 0 22448 PART I, LINE 1A SEVERAL INDIVIDUALS LISTED ON PART VII, SECTION A, RECEIVED TAX INDEMNIFICATION/GROSS UP PAYMENTS IN 2023, WHICH WERE INCLUDED IN THEIR TAXABLE COMPENSATION. PART I, LINE 4B PENSION RESTORATION PLAN: SSM HEAL TH (SSMH) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMH QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER THE SSMH QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMH OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMH. NO INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 2023. CAPITAL ACCUMULATION PLAN: SSMH PROVIDES THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO EXECUTIVE LEVEL EMPLOYEES. THE ORGANIZATION CONTRIBUTED A PERCENTAGE OF THE EMPLOYEE'S BASE SALARY INTO THEIR CHOICE OF A SELECT LIST OF INVESTMENTS. THE DEPOSITS AND EARNINGS OF THE PLAN ARE OWNED BY SSMH AND ARE TAX-DEFERRED UNTIL A DISTRIBUTION IS MADE TO THE EMPLOYEE. IN ADDITION, THE PLAN HAS SPECIAL SAFEGUARDS IN PLACE TO PROTECT THE FUNDS FROM CONTINGENCIES, OTHER THAN INSOLVENCY. FOR CONTRIBUTIONS MADE TO THE PLAN IN 2014 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF FOUR PLAN YEARS FOR ALL EXECUTIVES THAT ARE STILL ACTIVELY EMPLOYED ON THE DISTRIBUTION DATE. ANY ACTIVE PARTICIPANT 65 YEARS OR OLDER WILL RECEIVE THE CONTRIBUTION IN THE CURRENT YEAR. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DEFERRALS FROM THIS PLAN IN 2023: STEVE SMOOT $249,972 DOUGLAS LONG $161,286 RANDALL COMBS $261,633 KEVIN SMITH $95,493 THOMAS KIRSCHBAUM $37,511 SUE ANDERSON $153,458 THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN IN 2023. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. STEVE SMOOT $140,898 SUE ANDERSON $132,843 FORM 990, PART V, LINE 1A ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER IS SSM HEALTH CARE OF WISCONSIN, INC. SSM HEALTH CARE OF WISCONSIN, INC. IS A NONPROFIT 501(C)(3) ORGANIZATION THAT OPERATES THREE HOSPITALS AND TWO SKILLED NURSING FACILITIES. BOTH THE FILING ORGANIZATION AND SSM HEAL TH CARE OF WISCONSIN, INC. ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS, EXCEPT FOR ANY DIRECTOR WHO SERVES EX OFFICIO, AND TO REMOVE THE DIRECTORS WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER OF THE MEMBER HAS THE FOLLOWING POWERS: A. TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES OF THE CORPORATION. B. TO REVIEW THE EFFECTIVENESS OF THE CORPORATION IN FULFILLING THE MISSION, PHILOSOPHY, AND VALUES OF THE CORPORATION. C. TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS WHICH AFFECT THE RESERVED POWERS OF THE MEMBER. D. TO FIX THE NUMBER OF DIRECTORS OF THIS CORPORATION, APPOINT THE BOARD OF DIRECTORS OF THIS CORPORATION AND REMOVE SUCH DIRECTORS AT ANY TIME WITH OR WITHOUT CAUSE. E. TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE EXECUTIVE DIRECTOR OF THE CORPORATION. F. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS. G. TO APPROVE THE ESTABLISHMENT OF ANY NEW SUBSIDIARY OF AFFILIATE OF THE CORPORATION. H. TO APPROVE ANY ACQUISITIONS, JOINT VENTURES, OR OTHER CORPORATE AFFILIATIONS. I. TO REVIEW AND APPROVE THE STRATEGIC, LONG-RANGE PLAN OF THE CORPORATION. J. TO RECEIVE AND REVIEW THE ANNUAL REPORT PREPARED BY THE EXECUTIVE DIRECTOR OF THE CORPORATION. K. TO APPROVE ANY AGREEMENT PURSUANT TO WHICH A THIRD PARTY OBTAINS THE RIGHT OR OBLIGATION TO MANAGE ALL OR SUBSTANTIALLY ALL OF THE OPERATIONS OF THE CORPORATION OR APPROVE ANY AGREEMENT PURSUANT TO WHICH THE CORPORATION MANAGES ANY ENTITY OR INSTITUTION NOT SPONSORED BY SSMHCC OR ITS AFFILIATE, SSM HEAL TH MINISTRIES. L. TO APPROVE FOR THIS CORPORATION, OR FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING SHAREHOLDER OR MEMBER, THE ACQUISITION OF LAND OR BUILDINGS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE, TRANSFER, ASSIGNMENT, OR ENCUMBRANCE OF THE ASSETS OF SUCH CORPORATION. M. TO APPROVE THE DISSOLUTION AND/OR LIQUIDATION OF THIS CORPORATION OR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING SHAREHOLDER OR MEMBER OR THE CONSOLIDATION OR MERGER OF THIS CORPORATION WITH ANOTHER CORPORATION OR ENTITY OR THE CLOSURE OF ANY INSTITUTION OR MAJOR MINISTRY OR WORK CONDUCTED BY THE CORPORATION. N. TO REMOVE AND APPOINT THE VICE PRESIDENT, SECRETARY, AND TREASURER OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION (SSM). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SSM PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY TO THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ONLINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, LINE 15A- PROCESS FOR DETERMINING COMPENSATION A RELATED ORGANIZATION UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSUL TANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, LINE 15B - PROCESS FOR DETERMINING COMPENSATION A RELATED ORGANIZATION UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSUL TANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEAL TH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, LINE 19 - REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEAL TH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 1,978,062. MANAGEMENT AND GENERAL EXPENSES 46,913. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,024,975. SSM HEALTH CARE CORPORATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 466029223 HEALTH CARE MO 501(C)(3) LINE 12A, I SSM HEALTH MINISTRIES 0 SSMHC LIABILITY TRUST I 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 436331003 INSURANCE MO 501(C)(3) LINE 12A, I SSM HEALTH CARE CORPORATION 0 SSM CONSOLIDATED HEALTH SERVICES 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431473657 HEALTH CARE MO 501(C)(3) LINE 10 SSM HEALTH CARE CORPORATION 0 SSM POLICY INSTITUTE 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431788151 HEALTH CARE MO 501(C)(4) SSM HEALTH CARE CORPORATION 0 SSM HEALTH CARE PORTFOLIO MANAGEMENT CO 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431825256 MANAGEMENT MO 501(C)(3) LINE 12A, I SSM HEALTH CARE CORPORATION 0 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 430738490 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE ST LOUIS 0 CARDINAL GLENNON CHILDREN'S FOUNDATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431754347 FUNDRAISING MO 501(C)(3) LINE 7 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 0 SSM HEALTH FOUNDATION - 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