Wisconsin Dialysis Inc: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- Wisconsin Dialysis Inc (EIN 30-0072647)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2015-11-09
- IRS object ID
- 201513139349300231
- Schema version
- 2014v5.0
- 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) |
|---|---|---|
| Return | 2015-11-09T08:44:44-06:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SVA CERTIFIED PUBLIC ACCOUNTANTS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1221 JOHN Q HAMMONS DRIVE | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53717 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300072647 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WISCONSIN DIALYSIS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MEGAN DAVIS | InCareOfNm |
| Business Name Control | WISC | BusinessNameControlTxt |
| Phone | 6082705600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3034 FISH HATCHERY ROAD | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 537133125 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK HAMILTON | PersonNm |
| Person Title | SECRETARY | PersonTitleTxt |
| Phone | 6082705600 | PhoneNum |
| Signature | 2015-11-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KIRSTEN HOUGHTON | PreparerPersonNm |
| PTIN | P01273230 | PTIN |
| Phone | 6088318181 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK HAMILTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3034 FISH HATCHERY ROAD | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 537133125 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,240,397 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.wisconsindialysis.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE OUTPATIENT KIDNEY DIALYSIS TREATMENTS FOR PATIENTS IN A CLINIC OR HOME BASED SETTING ACCORDING TO THE REGULATIONS ESTABLISHED BY THE CENTERS FOR MEDICARE & MEDICAID. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 2 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,441 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,627 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,838,907 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,198,902 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,849 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,494 | CYInvestmentIncomeAmt |
| PY Other Revenue | $34,574 | PYOtherRevenueAmt |
| CY Other Revenue | $28,427 | CYOtherRevenueAmt |
| PY Total Revenue | $12,878,771 | PYTotalRevenueAmt |
| CY Total Revenue | $14,238,450 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,443,164 | PYOtherExpensesAmt |
| CY Other Expenses | $11,818,028 | CYOtherExpensesAmt |
| PY Total Expenses | $10,443,164 | PYTotalExpensesAmt |
| CY Total Expenses | $11,818,028 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,435,607 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,420,422 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,492,603 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,617,185 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $387,184 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $691,344 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,105,419 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,925,841 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WISCONSIN DIALYSIS, INC. (WDI) EXISTS IN ORDER TO CARRY OUT THE FOLLOWING FOUR-PART MISSION: 1) PROVIDE EXCEPTIONAL, INDIVIDUALIZED AND FAMILY-CENTERED PATIENT CARE BY MEETING AND EXCEEDING RECOGNIZED NATIONAL STANDARDS OF HIGH QUALITY DIALYSIS CARE, INCLUDING TO THE EXTENT THAT CAN BE AFFORDED, FOR PATIENTS UNABLE TO PAY OR WITH LIMITED INSURANCE COVERAGE THAT PAYS LESS THAN WDI'S COST; 2) SUPPORT CLINICAL RESEARCH TO THE EXTENT THAN CAN BE AFFORDED TO HELP ADVANCE THE CLINICAL CARE QUALITY AND QUALITY OF LIFE FOR PEOPLE WITH KIDNEY DISEASE; 3) SERVE AS A CLINICAL EDUCATION AND PRACTICE SITE TO HELP TRAIN FUTURE HEALTH CARE STAFF AND PROVIDERS IN NEPHROLOGY; AND 4) SUPPORT COMMUNITY SERVICE PROGRAMS WORKING TO IMPROVE THE HEALTH AND LIVES OF PATIENTS WITH KIDNEY DISEASE. SINCE CARE IS PROVIDED AT LESS THAN COST TO MORE THAN 75% OF THE PATIENTS AT WDI, MEETING THE LIFE SUSTAINING MEDICAL NEEDS OF ESRD PATIENTS IN THE DANE COUNTY REGION IS THE PRIMARY MOTIVATION FOR OFFERING DIALYSIS SE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,890,165 | ExpenseAmt |
| Revenue | $7,089,635 | RevenueAmt |
| Desc | A total of 20,695 kidney dialysis treatments were provided to 263 chronic patients and 22 traveling patients at the Fitchburg Clinic from 7/1/2014 through 6/30/2015. Treatment of patients insured by Medicare and Medicaid accounted for 73% of all WDI activity and due to being provided at a financial loss, is considered a type of quasi community service to meet the medical needs of Dane county patients with kidney failure. With a cost per treatment of ~$309 and a Medicare/Medicaid payment rate per treatment of ~$262, the total calculated loss from serving patients with Medicare and Medicaid coverage is estimated to be over $1,092,092 annually. Care provided at a loss to undocumented residents with Emergency Medical Assistance insurance meets the stricter definition of charity care and the totaled $107,327 for the year. Most ESRD patients qualify for Medicaid or Wisconsin Chronic Disease Program coverage so actual charity care for WI residents totaled only $2,979 for the year. WDI resources were used to provide uncompensated support for assisting with nephrology fellowship training to five physicians in fellowships and nine nutrition students as part of their clinical training in University of Wisconsin educational programs. Selected quality data is shown below as compared to standardized national figures from the 2014 Dialysis Facility Report: - Mortality ratio was 5% HIGHer than expected. - First year mortality ratio was 12% lower than expected. - Hospitalization rate was 3% lower than expected. - Hospitalization rate due to infection was 9.1% compared to 11% nationally. - Hospitalization days were 19% lower than expected. - The transplant rate for patients under age 70 was 10% compared to 5% nationally. - The WDI PD catheter infection rate was 2.8 per 100 patient days vs. 2.9 nationally. - 80% of WDI fitchburg patients received an influenza vaccine compared to 71% nationally. - 88% of WDI FITCHBURG PATIENTS RECEIVED A HEP B IMMUNIZATION AND 90% OF WDI FITCHBURG PATIENTS RECEIVED A PNEUMOCOCIAL IMMUNIZATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,844,561 | ExpenseAmt |
| Revenue | $4,344,630 | RevenueAmt |
| Desc | A total of 8,313 kidney dialysis treatments were provided to chronic patients in the Home Program from 7/1/2014 through 6/30/2015. Please see the impact of Medicare and Medicaid activity described in Program Services #1. Please see the unfunded educational support provided by WDI as reported in Program Services #1. Please see quality data reported for Program Services #1. THE MEDICARE/MEDICAID PAYOR MIX FOR HOME PATIENTS IS 58%. For the Home Programs, another quality measure to report is that 26% of WDI patients are in the Home program as compared to only ~12% nationally. Home patients are known to experience fewer infections and hospitalizations, require fewer medications, and score higher on quality of life surveys than their in-center hemodialysis patient counterparts. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,202,884 | ExpenseAmt |
| Revenue | $2,764,637 | RevenueAmt |
| Desc | A total of 8,615 kidney dialysis treatments were provided to 63 chronic patients and 3 traveling patients at the East Clinic from 7/1/2014 through 6/30/2015. Please see the impact of Medicare and Medicaid activity described in Program Services #1. Please see the unfunded educational support provided by WDI is as reported in Program Services #1. Selected quality data is shown below as compared to standardized national figures from the 2014 Dialysis Facility Report: - Mortality ratio was 21% lower than expected. - Hospitalization rate was 3% lower than expected. - Hospitalization rate due to infection was 9.7% compared to 10% nationally. - Hospitalization days were 30% lower than expected. - 86% of WDI EAST patients received an influenza vaccine compared to 71% nationally. - 96% OF WDI EAST PATIENTS RECEIVED A HEP B IMMUNIZATION AND 99% RECEIVED A PNEUMOCOCIAL IMMUNIZATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $9,937,610 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MEGAN DAVIS | PersonNm |
| Phone | 6082650166 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 S WESTFIELD ROAD STE 350 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53717 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MARK A HAMILTON | ||||||||
| SECRETARY & ADMIN DIRECTOR | 50.0 | 0.0 | Yes (X) | Yes (X) | $102,815 | $0 | $34,649 | |
| MICHAEL BUHL | ||||||||
| TREASURER - TERMED 3/2015 | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KRISTINE HOLMES | ||||||||
| PRESIDENT | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| STEVEN MEANS | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT O'KEEFE | ||||||||
| TREASURER | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHRIS GREEN | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| RON SCHROEDER | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KAREN SCHLAGETER | ||||||||
| CLINICAL NURSE MANAGER | 40.0 | 0.0 | $106,920 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $209,735 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $34,649 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FOUNDATION MEDICAL STAFFING | |||||
| 416 WEST 15TH STREET BLDG 600 | EDMOND | OK | 73013 | TEMP STAFFING SRVCS | $746,740 |
| FRESENIUS MEDICAL CARE | |||||
| 920 WINTER STREET | WALTHAM | MA | 024511457 | MED SUPPLIES/PRODUCT | $1,139,589 |
| NXSTAGE MEDICAL INC | |||||
| 350 MERRIMACK STREET | LAWRENCE | MA | 01843 | MED SUPPLIES/PRODUCT | $190,021 |
| UNIV OF WISCONSIN MEDICAL FOUNDATI | |||||
| 1 S PARK STREET 555 | MADISON | WI | 53715 | MED DIRECTOR SRVCS | $145,208 |
| BAXTER | |||||
| 1 BAXTER PKWY | DEERFIELD | IL | 60015 | MED SUPPLIES/PRODUCT | $151,344 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| All Other Contributions | $2,627 | AllOtherContributionsAmt |
| Total Contributions | $2,627 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INPATIENT REVENUE | 621990 | $297,231 | $297,231 |
| OUTPATIENT REVENUE | 621400 | $13,901,671 | $13,901,671 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,198,902 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $441 | TotalRevenueColumnAmt |
| Exclusion | $441 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $28,427 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $28,427 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,427 | TotalRevenueColumnAmt |
| Exclusion | $28,427 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,947 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,053 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,053 | TotalRevenueColumnAmt |
| Exclusion | $8,053 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,238,450 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,198,902 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $36,921 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,440 | TotalAmt |
| Management And General | $11,440 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,949 | TotalAmt |
| Program Services | $69,455 | ProgramServicesAmt |
| Management And General | $8,494 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,546 | TotalAmt |
| Program Services | $2,681 | ProgramServicesAmt |
| Management And General | $42,865 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $397,166 | TotalAmt |
| Program Services | $341,454 | ProgramServicesAmt |
| Management And General | $55,712 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,160 | TotalAmt |
| Program Services | $12,777 | ProgramServicesAmt |
| Management And General | $11,383 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,557 | TotalAmt |
| Management And General | $4,557 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,051 | TotalAmt |
| Program Services | $254,051 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,352 | TotalAmt |
| Program Services | $37,352 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACT WAGE/BENEFITS/TAXES | $6,081,716 | $4,809,485 | $1,272,231 |
| PHARMACEUTICALS | $1,899,401 | $1,838,405 | $60,996 |
| MEDICAL SUPP/PURCH SVCS | $2,307,969 | $2,114,723 | $193,246 |
| PROFESSIONAL SERVICES | $460,247 | $262,079 | $198,168 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,474 | TotalAmt |
| Program Services | $195,148 | ProgramServicesAmt |
| Management And General | $21,326 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,818,028 | TotalAmt |
| Program Services | $9,937,610 | ProgramServicesAmt |
| Management And General | $1,880,418 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,883,440 | BOYAmt |
| EOY | $7,563,921 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,777,208 | BOYAmt |
| EOY | $2,194,486 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,284 | BOYAmt |
| EOY | $28,011 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,441,306 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,619,023 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,799,671 | BOYAmt |
| EOY | $1,822,283 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $8,484 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,492,603 | BOYAmt |
| EOY | $11,617,185 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,290 | BOYAmt |
| EOY | $205,484 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $363,894 | BOYAmt |
| EOY | $485,860 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $387,184 | BOYAmt |
| EOY | $691,344 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,105,419 | BOYAmt |
| EOY | $10,925,841 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,105,419 | BOYAmt |
| EOY | $10,925,841 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,492,603 | BOYAmt |
| EOY | $11,617,185 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,420,422 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,600,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 3 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (3 entries)
| EINEIN | Organization TypeOrganizationTypeDesc | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| MERITER HOSPITAL INC | ||||
| 390806367 | 03 | Yes (true) | $720,000 | $0 |
| UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY | ||||
| 391835630 | 06 | Yes (true) | $720,000 | $0 |
| UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC | ||||
| 391824445 | 09 | Yes (true) | $160,000 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 3 | SupportedOrganizationsTotalCnt |
| Support Sum | $1,600,000 | SupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | Yes (true) | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (true) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (true) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (true) | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Test | Yes (X) | ActivitiesTestInd |
| Activities Further Exempt Prps | Yes (true) | ActivitiesFurtherExemptPrpsInd |
| Activities Engaged Org Invlmnt | Yes (true) | ActivitiesEngagedOrgInvlmntInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, SECTION A, LINE 2 | UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY IS ONE OF THE |
| PART IV, SECTION D, LINE 3 | ACCORDING TO THE BYLAWS OF THE ORGANIZATION, THERE SHALL BE AT LEAST 5 |
| PART IV, SECTION E, LINE 2A | HOW THESE ACTIVITIES DIRECTLY FURTHERED THE SUPPORTED ORGANIZATIONS |
| PART IV, SECTION E, LINE 2B | THE THREE SUPPORTED ORGANIZATIONS ARE HEALTHCARE PROVIDERS IN MADISON, |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,169,529 | OtherCostOrOtherBasisAmt |
| Depreciation | $824,810 | DepreciationAmt |
| Book Value | $1,344,719 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,271,777 | OtherCostOrOtherBasisAmt |
| Depreciation | $794,213 | DepreciationAmt |
| Book Value | $477,564 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $1,822,283 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED LIABILITY TO UWHC | $466,824 |
| UNEARNED INCOME | $19,036 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $485,860 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $14,238,450 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $14,238,450 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $14,238,450 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,818,028 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $11,818,028 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $11,818,028 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK A HAMILTON | ||||||||||||||
| SECRETARY & ADMIN DIRECTOR | $90,546 | $0 | $12,269 | $0 | $0 | $0 | $34,649 | $0 | $0 | $0 | $137,464 | $0 | $0 | $0 |
| KAREN SCHLAGETER | ||||||||||||||
| CLINICAL NURSE MANAGER | $106,920 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $106,920 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE J, PART III | FormAndLineReferenceDesc |
| Explanation | COMPENSATION RECEIVED FROM UNRELATED ORGANIZATION: THE INDIVIDUALS LISTED IN SCHEDULE J, PART II, RECEIVED COMPENSATION FROM THE UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY, AN UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE ORGANIZATION IN THE INDIVIDUALS' CAPACITY AS AN OFFICER AND EMPLOYEE OF THE ORGANIZATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART VI, LINE 7A | ELECTION OF MEMBERS OF THE GOVERNING BODY: THE CEO OF THE THREE MEMBER OWNERS HAS THE RIGHT TO ASSIGN HIS/HER REPRESENTATIVES FROM HIS/HER ORGANIZATION TO SERVE AS MEMBERS OF THE WDI BOARD OF DIRECTORS. |
| PART VI, LINE 11B | REVIEW OF FORM 990 BY THE ORGANIZATION'S GOVERNING BODY: A copy of the Form 990 is emailed as an attachment to each board member during a brief comment period before it is filed with the IRS. |
| PART VI, LINE 12C | MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: To ensure that the ORGANIZATION operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted. The periodic reviews shall, at a minimum, include the following subjects to the extent such subjects are applicable: 1. Whether compensation arrangements and benefits are reasonable and are the result of arm's length bargaining. 2. Whether acquisitions of physician practices and other provider services result in inurement or impermissible private benefit. 3. Whether partnership and joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payments for goods and services, further the ORGANIZATION's charitable purposes and do not result in inurement or impermissible private benefit. 4. Whether agreements to provide health care and agreements with other health care providers, employees, and third party payors further the Corporation's charitable purposes and do not result in inurement or impermissible private benefit. 5. The policy covers all voting and ex-officio board members. Anyone found to be in violation of this policy would be recused from voting on and discussion about the transaction or topic. All review activity of actual or potential conflicts takes place at the full board level. |
| PART VI, LINE 19 | AVAILABILITY OF ORGANIZATION DOCUMENTS: All referenced documents are available to the public upon request. |
| PART VI, LINE 3 | DELEGATION OF CONTROL OVER MANAGEMENT DUTIES: Wisconsin Dialysis, INC.'S Board Secretary FUNCTIONS AS THE ORGANIZATION'S administrative director AND COMPENSATION IS PAID BY AN UNRELATED ORGANIZATION, UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY (UWHC). All management duties are provided FOR under a Management Services Agreement BETWEEN WDI AND UWHC. |
| PART VI, LINE 6 | MEMBERS OF THE ORGANIZATION: Members are all of one class with 45% ownership by Meriter Hospital, 45% owned by UnivERSITY of WI Hospital and Clinics, and 10% owned by UnivERSITY of WI Medical Foundation. |
| PART VII, LINE 1D, LINE 2 AND LINE 4 | COMPENSATION FROM ORGANIZATION: THE COMPENSATION REPORTED IN PART VII, LINE 1D, LINE 2 AND LINE 4 HAS BEEN RECEIVED FROM UNIVERSITY OF HOSPITALS AND CLINICS AUTHORITY (UWHC), AN UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE ORGANIZATION IN THE INDIVIDUALS' CAPACITIES AS OFFICERS OR EMPLOYEES OF THE ORGANIZATION. |
| PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCES: IN ACCORDANCE WITH THE ORGANIZATION'S BY-LAWS AND SECTION 181.1302(3) OF THE WISCONSIN STATUTES, THE ORGANIZATION MAY MAKE DISTRIBUTIONS TO ITS MEMBERS. DISTRIBUTIONS REQUIRE SUPERMAJORITY APPROVAL OF THE BOARD OF DIRECTORS (AFFIRMATIVE VOTE OF 80% OF THE DIRECTORS). IN MAY 2015, THE ORGANIZATION MADE DISTRIBUTIONS TOTALING $1,600,000 TO ITS THREE MEMBERS, ALLOCATED BASED ON MEMBERSHIP PERCENTAGE. |