2019-11-10T19:52:44-06:00 2018-12-31 135381590 BDO USA LLP ONE ERDMAN PLACE SUITE 404 MADISON WI 53717 990 2018-01-01 391534744 SHARED MAGNETIC RESONANCE IMAGING FACILITY INC SHAR 6082594376 1104 JOHN NOLEN DRIVE MADISON WI 53713 SARAH FAUST DIRECTOR OF FINANCE 6082594376 2019-11-07 1 KEITH BAUMGARTNER P00187845 6088367500 2019-11-07 38.140.145.178 2019-11-07 11:55:41 CS P C7E2B9F7156051DF37FBE8DB515700B8D869F5C0 EAE841A581B46BF140CD0A236C8B0B897DBD55C6 2018 2020-03-31 21:24:44Z TURVILLE BAY MRI AND RADIATION ONCOLOGY CENTER BARBARA THEIRMANN 1104 JOHN NOLEN DRIVE MADISON WI 53713 20915309 0 X WWW.TURVILLEBAY.COM X 1986 WI TO OPERATE AND MAINTAIN A FACILITY FOR THE PERFORMANCE OF MAGNETIC RESONANCE IMAGING AND RADIATION THERAPY PROCEDURES AND TO PROVIDE ADVANCED MEDICAL TECHNOLOGY FOR ITS PATIENTS. 5 1 78 0 6038 1885 0 0 22004080 20589452 96890 -58831 14653 19187 22115623 20549808 30000 25000 0 0 9407570 8548724 0 0 0 8685523 9459153 18123093 18032877 3992530 2516931 43566277 46180258 1336418 1433468 42229859 44746790 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 7997214 25000 13658722 RADIATION ONCOLOGY SERVICES: TURVILLE BAY RADIATION ONCOLOGY CENTER PROVIDES RADIATION THERAPY TREATMENT SERVICES. THE CENTER PERFORMED 10,473 TREATMENTS IN 2018. 4251150 6930730 MRI SERVICES: TURVILLY BAY MRI CENTER PROVIDES DIAGNOSTIC EXAMINATIONS USING MAGNETIC RESONANCE IMAGING. THE CENTER PERFORMED 7,812 SCANS IN 2018. 12248364 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 37 0 1 78 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 5 1 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X SARAH FAUST 6082594376 1104 JOHN NOLEN DRIVE MADISON WI 53713 MARGO FRANCISCO VICE PRESIDENT 1.00 45.00 X X 0 255583 98516 DAVID CHILDERS PRESIDENT 0.50 45.00 X X 0 241245 53766 STEVEN CALDWELL VICE PRESIDENT 0.50 45.00 X X 0 761249 101957 SUSAN ERICKSON SECRETARY/TREASURER 0.50 45.00 X X 0 618860 74757 JON ROZENFELD DIRECTOR 0.50 45.00 X 0 513658 175504 RICHARD BAKER DIRECTOR/MRI MEDICAL DIREC 0.50 45.00 X 0 0 0 BARBARA THIERMANN EXECUTIVE DIRECTOR 40.00 X 183035 0 26507 SARAH FAUST CONTROLLER 40.00 X 123792 0 38453 MICHELLE MACKAY RADIATION ONCOLOGY MEDICAL 40.00 X 573041 0 42604 RICHARD AUCHTER RADIATION ONCOLOGIST 40.00 X 515278 0 46111 JUNE KIM RADIATION ONCOLOGIST 40.00 X 475414 0 27294 JESSICA KLAERS CHIEF PHYSICIST 40.00 X 218945 0 23851 VIC LIENGSWANGWONG RADIATION ONCOLOGIST 40.00 X 373224 0 31481 JAMES RICHARDSON RADIATION ONCOLOGIST 40.00 X 475814 0 86559 2938543 2390595 827360 16 0 1 0 FCM CORPORATION 4906 FEMRITE DRIVE MADISON WI 53716 CONSTRUCTION 666867 VARIAN MEDICAL SYSTEMS 70140 NETWORK PL CHICAGO IL 606731701 EQUIPMENT MAINTENANCE 599329 SIEMENS MEDICAL SOLUTIONS USA INC DEPT CH 14195 PALATINE IL 600554195 EQUIPMENT MAINTENANCE 583550 CDW COMPUTER CENTERS INC 75 REMITTANCE DRIVE STE 1515 CHICAGO IL 606755723 COMPUTER CONSULTING 321156 TOMOTHERAPY INCORPORATED PO BOX 204793 DALLAS TX 753204793 SERVICE CONTRACT 275000 14 RADIATION ONCOLOGY REVENUE 621500 13658722 13658722 MRI REVENUE 621500 6930730 6930730 20589452 211569 211569 95101 365501 -270400 -270400 -270400 MISCELLANEOUS REVENUE 900099 13149 13149 STANDARD IMAGING, SCANDIDOS 621500 6038 6038 19187 20549808 20589452 6038 -45682 25000 25000 1002242 613061 389181 6157812 5039451 1118361 284036 227110 56926 693830 468830 225000 410804 303784 107020 1350 1350 92801 92801 494710 375914 118796 414263 414263 438743 67264 371479 821376 821376 1054322 557400 496922 31498 4829 26669 37523 24327 13196 2881516 2071595 809921 147931 68467 79464 MAINTENANCE CONTRACTS 1588212 1588212 LOSS ON LEASE TERMINATI 481150 481150 BAD DEBT EXPENSE 474464 474464 PHARMACEUTICALS 163576 163576 335718 175080 160638 18032877 12248364 5784513 0 24544811 26715902 1002684 3500000 2637611 2266731 833600 759991 35799224 24100961 14239199 11698263 308372 1239371 43566277 46180258 1336418 1433468 1336418 1433468 X 42229859 44746790 42229859 44746790 43566277 46180258 2516931 0 X 0 1 X 1 0 X X 2 MERITER HOSPITAL INC 390806367 3 0 0 0 SSM HEALTHCARE OF WISCONSIN 430688874 3 0 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 822982 822982 8156840 5193840 2963000 26760626 18863615 7897011 58776 43506 15270 11698263 20345744 0 20345744 204064 204064 20549808 17828813 0 17828813 204064 204064 18032877 PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE (SHOWN NET FOR AUDIT) 474,464. LOSS ON DISPOSAL OF FIXED ASSETS -270,400. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE (SHOWN NET FOR AUDIT) 474,464. LOSS ON DISPOSAL OF FIXED ASSETS -270,400. 0 MERITER HOSPITAL FOUNDATION 202 S PARK ST MADISON WI 53715 390806367 501(C)3 5000 GENERAL OPERATIONS ST MARY'S FOUNDATION 700 S PARK ST MADISON WI 53713 431940686 501(C)3 5000 GENERAL OPERATIONS SUSAN G KOMEN WISCONSIN 2025 W OKLAHOMA AVE MILWAUKEE WI 53215 752844639 501(C)3 5000 GENERAL OPERATIONS FREE TO BREATHELUNG CANCER RESEARCH FOUNDATION 155 E 55TH ST NEW YORK NY 10022 141935776 501(C)3 5000 GENERAL OPERATIONS X X X 0 0 0 1 0 0 0 0 0 MARGO FRANCISCO VICE PRESIDENT 0 249263 0 0 0 6320 0 71545 0 26971 0 354099 0 0 DAVID CHILDERS PRESIDENT 0 209223 0 18374 0 13648 0 29538 0 24228 0 295011 0 0 STEVEN CALDWELL VICE PRESIDENT 0 571079 0 0 0 190170 0 83368 0 18589 0 863206 0 0 SUSAN ERICKSON SECRETARY/TREASURER 0 453795 0 92330 0 72735 0 53500 0 21257 0 693617 0 0 JON ROZENFELD DIRECTOR 0 489518 0 0 0 24140 0 150554 0 24950 0 689162 0 0 BARBARA THIERMANN EXECUTIVE DIRECTOR 167425 0 8802 0 6808 0 0 0 26507 0 209542 0 0 0 SARAH FAUST CONTROLLER 114650 0 8592 0 550 0 8112 0 30341 0 162245 0 0 0 MICHELLE MACKAY RADIATION ONCOLOGY MEDICAL 572987 0 0 0 54 0 19084 0 23520 0 615645 0 0 0 RICHARD AUCHTER RADIATION ONCOLOGIST 515020 0 0 0 258 0 16500 0 29611 0 561389 0 0 0 JUNE KIM RADIATION ONCOLOGIST 475186 0 0 0 228 0 16500 0 10794 0 502708 0 0 0 JESSICA KLAERS CHIEF PHYSICIST 198553 0 8802 0 11590 0 13242 0 10609 0 242796 0 0 0 VIC LIENGSWANGWONG RADIATION ONCOLOGIST 373073 0 0 0 151 0 16500 0 14981 0 404705 0 0 0 JAMES RICHARDSON RADIATION ONCOLOGIST 475506 0 50 0 258 0 75787 0 10772 0 562373 0 0 0 PART I, LINE 5 NO COMPENSATION IS PAID OR ACCRUED BASED ON ACTUAL REVENUE AMOUNTS. THE PHYSICIANS RECEIVE A BONUS WHICH IS BASED ON VOLUME (WRVUS) WHICH IS INDIRECTLY RELATED TO REVENUE IN THAT THE MORE PATIENTS, TREATMENTS, ETC. THERE ARE, THE MORE WRVUS THERE ARE AND THEREFORE, THE MORE REVENUE THERE IS. THERE IS NO CALCULATION TO DETERMINE THE BONUS WHICH USES THE REVENUE DOLLAR AMOUNT. FORM 990, PART VI, SECTION A, LINE 7A BOTH MERITER HOSPITAL AND SSM HEALTHCARE EACH HAVE THE RIGHT TO APPOINT TWO MEMBERS OF THE ORGANIZATION'S GOVERNING BODY, PERIODICALLY, OR AS VACANCIES ARISE. FORM 990, PART VI, SECTION B, LINE 11B AFTER THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S ACCOUNTING FIRM, AND PRIOR TO FILING THE FORM 990, THE DIRECTOR OF FINANCE PERFORMED AN IN-DEPTH REVIEW; AND THEN THE EXECUTIVE DIRECTOR PERFORMED A CURSORY REVIEW. THE CONTROLLER COMMUNICATED THESE CHANGES TO THE PREPARING ACCOUNTING FIRM, BDO USA, LLP. THE ORGANIZATION'S DIRECTOR OF FINANCE WAS PROVIDED A COPY OF THE RETURN BY EMAIL BY THE ORGANIZATION'S TAX PREPARER. THE DIRECTOR OF FINANCE REVIEWED THE FINAL COPY OF FORM 990 TO ENSURE THAT ALL CHANGES HAD BEEN MADE. FINALLY THE ORGANIZATION E-FILED THE RETURN PROVIDED BY THE ORGANIZATION'S TAX PREPARER WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES COMPLIANCE TRAINING AND EDUCATION INITIALLY ON HIRE AND ANNUALLY THEREAFTER. ALL EMPLOYEES, OFFICERS, AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. DETERMINATIONS ABOUT WHETHER A CONFLICT OF INTEREST EXISTS ARE MADE BY THE ORGANIZATION'S BOARD OF DIRECTORS UPON REVIEW BY MANAGEMENT. PERSONS FOUND TO HAVE A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BOARD'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION OR MATTER UNDER CONSIDERATION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS DETERMINES COMPENSATION FOR THE EXECUTIVE DIRECTOR, MEDICAL DIRECTOR, AND OTHER PHYSICIANS WITH INPUT FROM THE HUMAN RESOURCES MANAGER AND AN OUTSIDE CONSULTANT. THE PROCESS FOR DETERMINING, REVIEWING, AND APPROVING COMPENSATION OF THE EXECUTIVE DIRECTOR IS CONDUCTED ANNUALLY. WITH RESPECT TO PHYSICIANS, THE PROCESS DESCRIBED ABOVE IS CONDUCTED EVERY THREE YEARS DURING THE PHYSICIAN CONTRACT RENEWAL PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. SSM HEALTHCARE OF WISCONSIN 700 S PARK ST MADISON WI 53715 430688874 HOSPITAL MO 501(C)(3) LINE 3 N/A 0 MERITER HOSPITAL INC 202 S PARK ST MADISON WI 53715 390806367 HOSPITAL WI 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 MERITER HOSPITAL K 297110 SSM HEALTHCARE OF WISCONSIN K 160493