2015-11-06T11:26:20-06:00 2014-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2014-01-01 391677100 WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES INC WISC 7157354200 3100 SHORE DRIVE MARINETTE WI 54143 DAN CARLSON PRESIDENT 7157354200 2015-11-06 1 TERRI REXRODE CPA MST P00096513 9206620016 2015-11-06 2014 2016-03-07 17:11:31Z DAN CARLSON 3100 SHORE DRIVE MARINETTE WI 54143 2993792 0 X N/A X 1992 WI PROVIDE RADIATION TREATMENTS TO CANCER PATIENTS 3 0 0 6 0 0 0 0 2665215 2827877 11962 97983 18013 4797 2695190 2930657 0 0 0 0 644337 0 0 0 4020 2236831 2274885 2881168 2274885 -185978 655772 3526394 2758450 789092 760654 2737302 1997796 WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC. PROVIDES RADIATION TREATMENTS TO RESIDENTS OF MARINETTE, WISCONSIN, MENOMINEE, MICHIGAN AND SURROUNDING AREAS. 0 0 2235579 2827877 WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC. PROVIDES RADIATION TREATMENTS TO RESIDENTS OF MARINETTE, WISCONSIN, MENOMINEE, MICHIGAN AND SURROUNDING AREAS WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. BY CREATING THIS SERVICE, WE ELIMINATED THE HARDSHIP FOR PATIENTS OF FINDING TRANSPORTATION TO GREEN BAY. THIS YEAR, WE SERVED 161 NEW PATIENTS, GIVING 3,473 RADIATION TREATMENTS, 668 IMRT TREATMENTS, 213 CONSULTATIONS. 2235579 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X DAN CARLSON 7157354200 3100 SHORE DRIVE MARINETTE WI 54143 C DAN CARLSON PRESIDENT 1.00 X 0 309433 63065 MARY JO MANTEI VICE - PRESIDENT 1.00 X 0 207737 26324 ED HARDING SECRETARY/TREASURER 1.00 X 0 522162 83534 0 1039332 172923 0 0 1 0 ST VINCENT HOSPITAL PO BOX 13508 GREEN BAY WI 54307 ADMINISTRATIVE AND EMPLOYEE SUPPORT SERV 1074816 BAY AREA MEDICAL CENTER 3100 SHORE DRIVE MARINETTE WI 54143 ADMINISTRATIVE AND EMPLOYEE SUPPORT SERV 638417 RADIATION ONCOLOGY SPECIALISTS 835 S VAN BUREN STREET GREEN BAY WI 59307 MEDICAL 383563 BADGER BILLING SERVICES 11516 NORTH ORT WASHINGTON ROAD MEQUON WI 53092 BILLING SERVICES 126432 4 CANCER TREATMENTS 621400 2827877 2827877 2827877 24953 24953 136165 0 63135 136165 -63135 73030 73030 OTHER INCOME 999999 4797 4797 4797 2930657 2827877 0 102780 X 325749 325749 4020 4020 1179032 1144854 34178 40535 40535 23838 22730 1108 282021 282021 12006 12006 14568 14568 263755 263755 3383 3383 PROVISION FOR BAD DEBTS 98975 98975 DUES AND SUBSCRIPTIONS 389 389 26614 26614 2274885 2235579 35286 4020 170961 1020443 401314 517054 5145 2177 374540 105918 300518 268622 2648456 915669 34485 3526394 2758450 496380 560469 292712 200185 789092 760654 X 2737302 1997796 2737302 1997796 3526394 2758450 X 655772 32710 -1427988 X X 0 1 X 1 0 X X 2 ST VICENT HOSPITAL 390817529 3 1 0 0 BAY AREA MEDICAL CENTER 391528430 3 1 0 0 2 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 5A: PRIOR TO MAY 27, 2014 BAY AREA MEDICAL CENTER, INC. (BAMC; EIN: 39-1528430) AND ST VINCENT HOSPITAL (EIN: 39-0817529) EACH OWNED 50% OF WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC. (WUPOMS). EFFECTIVE MAY 27, 2014, BAMC BECAME THE SOLE CORPORATE MEMBER OF WUPOMS. THE BYLAWS AND ARTICLES OF WUPOMS HAVE BEEN MODIFIED TO REFLECT THIS CHANGE. 374540 105918 268622 268622 X PART X, LINE 2: WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC. RECOGNIZES THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. AS OF DECEMBER 31, 2014, THE ORGANIZATION DOES NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS. 0 0 0 0 0 0 0 0 0 C DAN CARLSON PRESIDENT 0 219284 0 80822 0 9327 0 23956 0 39109 0 372498 0 0 MARY JO MANTEI VICE - PRESIDENT 0 162181 0 38424 0 7132 0 12581 0 13743 0 234061 0 0 ED HARDING SECRETARY/TREASURER 0 389404 0 118693 0 14065 0 45725 0 37809 0 605696 0 0 FORM 990, PART VI, SECTION A, LINE 4 IN MAY 2014, WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC. BECAME SOLELY OWNED BY BAY AREA MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 6 WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC. HAD TWO STOCKHOLDERS (ST VINCENT HOSPITAL AND BAY AREA MEDICAL CENTER) UNTIL MAY 2014 WHEN BAY AREA MEDICAL CENTER, INC BECAME SOLE SHAREHOLDER. FORM 990, PART VI, SECTION A, LINE 7A BAY AREA SHALL APPOINT 100% OF THE DIRECTORS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS SHALL BE REQUIRED TO APPROVE THE FOLLOWING MATTERS: (A) UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $500,000; (B) THE ANNUAL CAPITAL BUDGET OF THE CORPORATION; AND (C) THE ANNUAL OPERATING BUDGET OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE FORM 990 TO REVIEW PRIOR TO WHEN THE FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR SHALL DISCLOSE TO THE BOARD OF DIRECTORS ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST WHENEVER THE DUALITY OR CONFLICT PERTAINS TO A MATTER BEING CONSIDERED BY THE BOARD. ANY DIRECTOR HAVING DUALITY OF INTEREST OR CONFLICT OF INTEREST ON ANY MATTER SHALL ABSTAIN FROM VOTING ON THE MATTER AND SHALL NOT BE COUNTED IN DETERMINING WHETHER THE MATTER HAS RECEIVED THE REQUIRED AFFIRMATIVE VOTE. THE MINUTES OF THE MEETING INVOLVING ANY SUCH SITUATION SHALL REFLECT THAT A DISCLOSURE WAS MADE AND THE ABSTENTION FROM VOTING. FORM 990, PART VI, SECTION C, LINE 19 THE BOOKS ARE KEPT IN THE ACCOUNTING OFFICE AND ANYONE CAN ASK TO VIEW THEM. FORM 990, PART IX, LINE 11G PURCHASED MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 188,994. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 188,994. PURCHASED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 955,860. MANAGEMENT AND GENERAL EXPENSES 34,178. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 990,038. FORM 990, PART XI, LINE 9: ACQUISITION -1,427,988. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ST VINCENT HOSPITAL 835 S VAN BUREN ST GREEN BAY WI 54301 390817529 HOSPITAL WI 501(C)(3) LINE 3 HSSI 0 BAY AREA MEDICAL CENTER 3100 SHORE DRIVE MARINETTE WI 54143 391528430 HOSPITAL WI 501(C)(3) LINE 3 M&M HEALTHCARE INC 0 M&M HEALTH CARE INC 3100 SHORE DRIVE MARINETTE WI 54143 471540754 OVERSEEING THE ACCOMPLISHMENTS OF WUPOMS' MISSION WI 501(C)(3) LINE 3 N/A 0 BAY AREA MEDICAL FOUNDATION INC 3100 SHORE DRIVE MARINETTE WI 54143 392020734 FUNDRAISING FOR WUPOMS WI 501(C)(3) LINE 3 M&M HEALTHCARE INC 0 NORTH SHORE HEALTH NETWORK INC 3100 SHORE DRIVE MARINETTE WI 54143 271389366 MESSENGER MODEL PHO FOR MANAGEMD CARE CONTRACTS WI BAY AREA MEDICAL CENTER INC C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0