SHARED MAGNETIC RESONANCE IMAGING FACILITY INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SHARED MAGNETIC RESONANCE IMAGING FACILITY INC (EIN 39-1534744)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-08-07
- IRS object ID
- 201412199349300106
- Schema version
- 2013v3.1
- 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 | 2014-08-07T08:41:10-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Grant Thornton LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 E Wisconsin Ave | AddressLine1 |
| City | Milwaukee | City |
| State | WI | State |
| ZIP Code | 53202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391534744 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Shared Magnetic Resonance Imaging | BusinessNameLine1 |
| Business Name Line2 | Facility Inc | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % SARAH FAUST | InCareOfNm |
| Business Name Control | SHAR | BusinessNameControlTxt |
| Phone | 6082594376 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1104 John Nolen Drive | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Madison | City |
| State | WI | State |
| ZIP Code | 53713 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM HERBERT | PersonNm |
| Person Title | TREASURER / SECRETARY | PersonTitleTxt |
| Phone | 6082594376 | PhoneNum |
| Signature | 2014-08-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Michelle L Weber | PreparerPersonNm |
| Phone | 4142898200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Turville Bay MRI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Barbara Theirmann | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1104 John Nolen Drive | AddressLine1 |
| City | Madison | City |
| State | WI | State |
| ZIP Code | 53713 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,265,818 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.turvillebay.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | 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 | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 74 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $11,813 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $4,863 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,521,636 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,216,343 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$87,799 | PYInvestmentIncomeAmt |
| CY Investment Income | $19,848 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,968 | PYOtherRevenueAmt |
| CY Other Revenue | $19,243 | CYOtherRevenueAmt |
| PY Total Revenue | $17,449,805 | PYTotalRevenueAmt |
| CY Total Revenue | $23,255,434 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,000,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,000,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,499,556 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,733,314 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,706,346 | PYOtherExpensesAmt |
| CY Other Expenses | $6,741,346 | CYOtherExpensesAmt |
| PY Total Expenses | $15,205,902 | PYTotalExpensesAmt |
| CY Total Expenses | $18,474,660 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,243,903 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,780,774 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,066,671 | TotalAssetsBOYAmt |
| Total Assets EOY | $30,165,629 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,053,469 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,371,653 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,013,202 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $28,793,976 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE CORE MISSION OF TURVILLE BAY MRI AND RADIATION ONCOLOGY CENTER IS TO PRESERVE AND IMPROVE HUMAN LIFE. THIS 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,097,709 | ExpenseAmt |
| Grant | $2,000,000 | GrantAmt |
| Revenue | $13,285,097 | RevenueAmt |
| Desc | Radiation Oncology Services: Turville Bay Radiation Oncology Center provides radiation therapy treatment services. The center performed 11,823 treatments in 2013. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,379,215 | ExpenseAmt |
| Grant | $2,000,000 | GrantAmt |
| Revenue | $9,931,246 | RevenueAmt |
| Desc | MRI Services: Turville Bay MRI Center provides diagnostic examinations using magnetic resonance imaging. The center performed 9,811 scans in 2013. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prog Srvc Accom Acty3 | ProgSrvcAccomActy3Grp | |
| Total Program Service Expenses | $16,476,924 | 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 | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | 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 | 35 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 74 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | 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 | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | 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 | SARAH FAUST | PersonNm |
| Phone | 6082594376 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1104 JOHN NOLEN DRIVE | AddressLine1 |
| City | Madison | City |
| State | WI | State |
| ZIP Code | 53713 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Marilyn Biros | |||||||||
| President - Thru 3/2013 | 2.0 | 45.0 | Yes (X) | Yes (X) | $0 | $107,730 | $31,107 | ||
| David Childers | |||||||||
| President | 2.0 | 45.0 | Yes (X) | Yes (X) | $0 | $174,384 | $23,275 | ||
| Charlie Johnson III | |||||||||
| Board Member - Thru 10/2013 | 2.0 | 45.0 | Yes (X) | $0 | $539,751 | $39,633 | |||
| Kevin Boren | |||||||||
| Secretary/Treas - Thru 11/2013 | 2.0 | 45.0 | Yes (X) | Yes (X) | $0 | $318,179 | $33,791 | ||
| Richard Baker MD | |||||||||
| Board Member/MRI Medical Dir | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Seth Teigen | |||||||||
| Board Member | 2.0 | 45.0 | Yes (X) | $0 | $167,823 | $56,627 | |||
| Sandra Anderson | |||||||||
| Vice President | 2.0 | 45.0 | Yes (X) | Yes (X) | $0 | $389,504 | $50,156 | ||
| Barbara Thiermann | |||||||||
| Executive Director | 40.0 | Yes (X) | $151,015 | $0 | $39,840 | ||||
| Sarah Faust | |||||||||
| Controller | 40.0 | Yes (X) | $97,497 | $0 | $33,385 | ||||
| Michael Zinda MD | |||||||||
| Radiation Oncologist | 36.0 | $600,430 | $0 | $75,201 | Yes (X) | ||||
| Michelle Mackay MD | |||||||||
| Radiation Oncologist | 36.0 | $541,345 | $0 | $57,623 | Yes (X) | ||||
| James Richardson MD | |||||||||
| Radiation Oncologist | 36.0 | $520,904 | $0 | $55,507 | Yes (X) | ||||
| Frank Goodin | |||||||||
| Physicist | 40.0 | $201,527 | $0 | $38,420 | Yes (X) | ||||
| Jessica Klaers | |||||||||
| Physicist | 40.0 | $144,418 | $0 | $14,181 | Yes (X) | ||||
| Laura Rowley | |||||||||
| Dosimetrist | 36.0 | $114,139 | $0 | $28,370 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,371,275 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,697,371 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $577,116 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Adams Outdoor Advertising | |||||
| PO BOX 809140 | CHICAGO | IL | 60680 | Advertising | $160,622 |
| Maximum Mechanical | |||||
| 6273 Ahwahnee Ct | OREGON | WI | 53575 | HVAC | $142,195 |
| Cancer Carepoint | |||||
| 17 Executive Drive Suite 520 | ATLANTA | GA | 30329 | Locum | $143,983 |
| CDW Computer Centers | |||||
| 75 Remittance Drive Suite 1150 | CHICAGO | IL | 60675 | Support/Consulting | $320,010 |
| Iconica | |||||
| 901 Deming Way | MADISON | WI | 53717 | Design/Construction | $530,999 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RADIATION ONCOLOGY REVENUE | 621500 | $13,285,097 | $13,285,097 |
| MRI REVENUE | 621500 | $9,931,246 | $9,931,246 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,216,343 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,232 | TotalRevenueColumnAmt |
| Exclusion | $30,232 | 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 |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,384 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$10,384 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$10,384 | TotalRevenueColumnAmt |
| Exclusion | -$10,384 | 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 |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| STANDARD IMAGING, ITECH, SCANDIDOS | 621500 | $11,813 | $11,813 | |
| MISCELLANEOUS REVENUE | 900099 | $7,430 | $7,430 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $19,243 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,255,434 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,216,343 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $11,813 | UnrelatedBusinessRevenueAmt |
| Exclusion | $27,278 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,000,000 | TotalAmt |
| Program Services | $4,000,000 | ProgramServicesAmt |
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 | $997,368 | TotalAmt |
| Program Services | $675,631 | ProgramServicesAmt |
| Management And General | $321,737 | ManagementAndGeneralAmt |
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 | $5,316,542 | TotalAmt |
| Program Services | $5,106,589 | ProgramServicesAmt |
| Management And General | $209,953 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,747 | TotalAmt |
| Program Services | $157,531 | ProgramServicesAmt |
| Management And General | $27,216 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $862,633 | TotalAmt |
| Program Services | $686,007 | ProgramServicesAmt |
| Management And General | $176,626 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,024 | TotalAmt |
| Program Services | $311,019 | ProgramServicesAmt |
| Management And General | $61,005 | ManagementAndGeneralAmt |
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 | $66,203 | TotalAmt |
| Program Services | $53,268 | ProgramServicesAmt |
| Management And General | $12,935 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,074 | TotalAmt |
| Management And General | $73,074 | 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 | $227,339 | TotalAmt |
| Program Services | $205,698 | ProgramServicesAmt |
| Management And General | $21,641 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $544,129 | TotalAmt |
| Program Services | $544,129 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,123 | TotalAmt |
| Program Services | $151,127 | ProgramServicesAmt |
| Management And General | $56,996 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,548 | TotalAmt |
| Program Services | $188,608 | ProgramServicesAmt |
| Management And General | $114,940 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $307,058 | TotalAmt |
| Program Services | $307,058 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,348 | TotalAmt |
| Program Services | $34,078 | ProgramServicesAmt |
| Management And General | $6,270 | 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 | $40,336 | TotalAmt |
| Program Services | $28,584 | ProgramServicesAmt |
| Management And General | $11,752 | 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 | $1,866,851 | TotalAmt |
| Program Services | $1,507,167 | ProgramServicesAmt |
| Management And General | $359,684 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,121 | TotalAmt |
| Program Services | $20,303 | ProgramServicesAmt |
| Management And General | $55,818 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MAINTENANCE CONTRACTS | $1,040,047 | $1,040,047 | |
| BAD DEBT EXPENSE | $655,220 | $655,220 | |
| REPAIRS & MAINTENANCE | $216,048 | $168,027 | $48,021 |
| PHARMACEUTICALS | $192,355 | $192,355 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $884,546 | TotalAmt |
| Program Services | $444,478 | ProgramServicesAmt |
| Management And General | $440,068 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,474,660 | TotalAmt |
| Program Services | $16,476,924 | ProgramServicesAmt |
| Management And General | $1,997,736 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,808,612 | BOYAmt |
| EOY | $10,311,363 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,002,656 | BOYAmt |
| EOY | $1,502,663 | 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 | $2,058,349 | BOYAmt |
| EOY | $3,014,612 | 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 | $426,578 | BOYAmt |
| EOY | $751,969 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,216,581 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,959,024 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,521,503 | BOYAmt |
| EOY | $14,257,557 | 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 | $4,248,973 | BOYAmt |
| EOY | $327,465 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,066,671 | BOYAmt |
| EOY | $30,165,629 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,053,469 | BOYAmt |
| EOY | $1,371,653 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,053,469 | BOYAmt |
| EOY | $1,371,653 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,013,202 | BOYAmt |
| EOY | $28,793,976 | 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 | $24,013,202 | BOYAmt |
| EOY | $28,793,976 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,066,671 | BOYAmt |
| EOY | $30,165,629 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,780,774 | ReconcilationRevenueExpnssAmt |
| 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 Type1 | Yes (X) | SupportingOrgType1Ind |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp (2 entries)
| EINEIN | Organization TypeOrganizationTypeDesc | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt |
|---|---|---|---|
| MERITER HOSPITAL INC | |||
| 390806367 | 03 | Yes (true) | $2,000,000 |
| SSM HEALTHCARE OF WISCONSIN | |||
| 430688874 | 03 | Yes (true) | $2,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 2 | SupportedOrganizationsTotalCnt |
| Support Sum | $4,000,000 | SupportSumAmt |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $475,509 | OtherCostOrOtherBasisAmt |
| Book Value | $475,509 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,834,559 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,796,579 | DepreciationAmt |
| Book Value | $4,037,980 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,847,737 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,135,827 | DepreciationAmt |
| Book Value | $9,711,910 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $58,776 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,618 | DepreciationAmt |
| Book Value | $32,158 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,257,557 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $22,600,214 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $22,600,214 | RevenueSubtotalAmt |
| Other Revenues Not Included | $655,220 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $655,220 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $23,255,434 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,819,440 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $17,819,440 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $655,220 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $655,220 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $18,474,660 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, QUESTION 2 | THE COMPANY RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION FOLLOWING AN AUDIT. THE ASSESSMENT OF THE POSITION IS BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION, WITHOUT REGARD TO THE LIKELIHOOD THAT THE TAX POSITION MAY BE CHALLENGED. THE COMPANY IS EXEMPT FROM INCOME TAX, THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSES, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE INTERNAL REVENUE CODE. THE COMPANY BEGAN FILING A FEDERAL AND WISCONSIN INCOME TAX RETURN IN 2011 TO REPORT UNRELATED BUSINESS INCOME. ALL TAX YEARS ARE STILL OPEN TO AUDIT FOR BOTH FEDERAL AND STATE PURPOSES. IF APPLICABLE, THE COMPANY RECOGNIZES INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN THE PROVISION FOR INCOME TAXES. THERE WERE NO INTEREST OR PENALTIES RELATED TO INCOME TAXES THAT HAVE BEEN ACCRUED OR RECOGNIZED AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012. |
| Schedule D, Part XI, LINE 4B & PART XII, LINE 4B | Bad Debt Expense (shown net for audit) $655,220 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Meriter Hospital Inc | |||||||
| 202 S Park St | Madison | WI | 53715 | 390806367 | 501(c)(3) | $2,000,000 | General Operational Support General Operational Support |
| SSM Healthcare of Wisconsin | |||||||
| 707 S Mills St | Madison | WI | 53715 | 430688874 | 501(c)(3) | $2,000,000 | GENERAL OPERATIONAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | Distributions are made in equal installments to Meriter Hospital and SSM Healthcare of Wisconsin at the discretion and by vote of the board of directors. The organization does not monitor the use of funds granted to the grant recipients listed in Part II. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (true) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| David Childers | ||||||||||||||
| President | $0 | $152,192 | $0 | $22,066 | $0 | $126 | $0 | $11,553 | $0 | $11,722 | $0 | $197,659 | $0 | $0 |
| Charlie Johnson III | ||||||||||||||
| Board Member - Thru 10/2013 | $0 | $470,812 | $0 | $0 | $68,939 | $0 | $16,076 | $0 | $23,557 | $0 | $579,384 | $0 | $0 | |
| Kevin Boren | ||||||||||||||
| Secretary/Treas - Thru 11/2013 | $0 | $201,114 | $0 | $56,844 | $0 | $60,221 | $0 | $15,932 | $0 | $17,859 | $0 | $351,970 | $0 | $0 |
| Seth Teigen | ||||||||||||||
| Board Member | $0 | $162,095 | $0 | $5,728 | $0 | $0 | $0 | $19,497 | $0 | $37,130 | $0 | $224,450 | $0 | $0 |
| Sandra Anderson | ||||||||||||||
| Vice President | $0 | $333,498 | $0 | $0 | $56,006 | $0 | $32,492 | $0 | $17,664 | $0 | $439,660 | $0 | $0 | |
| Barbara Thiermann | ||||||||||||||
| Executive Director | $138,377 | $0 | $12,500 | $0 | $138 | $0 | $9,328 | $0 | $30,512 | $0 | $190,855 | $0 | $0 | $0 |
| Michael Zinda MD | ||||||||||||||
| Radiation Oncologist | $506,233 | $0 | $91,606 | $0 | $2,591 | $0 | $46,474 | $0 | $28,727 | $0 | $675,631 | $0 | $5,461 | $0 |
| Michelle Mackay MD | ||||||||||||||
| Radiation Oncologist | $439,924 | $0 | $101,367 | $0 | $54 | $0 | $37,042 | $0 | $20,581 | $0 | $598,968 | $0 | $0 | $0 |
| James Richardson MD | ||||||||||||||
| Radiation Oncologist | $418,365 | $0 | $102,401 | $0 | $138 | $0 | $32,874 | $0 | $22,633 | $0 | $576,411 | $0 | $0 | $0 |
| Frank Goodin | ||||||||||||||
| Physicist | $193,631 | $0 | $7,500 | $0 | $396 | $0 | $11,857 | $0 | $26,563 | $0 | $239,947 | $0 | $0 | $0 |
| Jessica Klaers | ||||||||||||||
| Physicist | $141,547 | $0 | $2,750 | $0 | $121 | $0 | $4,083 | $0 | $10,098 | $0 | $158,599 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 5a | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 7a | Both Meriter Hospital and SSM Healthcare of Wisconsin 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 controller performed an in-depth review; and then the executive director and medical director performed a cursory review, followed by a high-level review performed by all members of the board of directors. Board members, the executive director, and medical director brought questions or changes to the attention of the controller, as applicable. The controller communicated these changes to the preparing accounting firm, Grant Thornton LLP. The organization's controller was provided a copy of the return by email by the organization's tax preparer. The controller 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 exist 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 body's deliberations and decisions in the transaction or matter under consideration. |
| PART VI, SECTION B, Lines 15A & B | 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SSM Healthcare of Wisconsin | ||||||||||
| 700 S Park Street | Madison | WI | 53715 | 430688874 | Hospital | MO | 501(c)(3) | 03 | NA | false |
| Meriter Hospital Inc | ||||||||||
| 202 S Park Street | Madison | WI | 53715 | 390806367 | Hospital | WI | 501(c)(3) | 03 | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOT REQUIRED | BusinessNameLine1 |
Comments