2014-11-06T15:41:41-06:00 2013-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2013-01-01 391677100 WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES INC WISC 7157354200 3100 SHORE DRIVE MARINETTE WI 54143 KELLY GIGNOT VICE PRESIDENT 7157354200 2014-11-04 1 TERRI REXRODE CPA MST P00096513 9206620016 2014-11-04 2013 2015-11-30 17:44:51Z X DAN CARLSON 3100 SHORE DRIVE MARINETTE WI 54143 2730542 0 X N/A X 1992 WI PROVIDE RADIATION TREATMENTS TO CANCER PATIENTS 6 4 0 6 0 0 0 0 3634727 2665215 7095 11962 16288 18013 3658110 2695190 0 0 0 0 0 644337 0 0 0 2928506 2236831 2928506 2881168 729604 -185978 4239837 3526394 1426266 789092 2813571 2737302 WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC. PROVIDES RADIATION TREATMENTS TO RESIDENTS OF MARINETTE, WISCONSIN, MENOMINEE, MICHIGAN AND SURROUNDING AREAS. 0 0 2881168 2665215 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 138 PATIENTS, GIVING 2,446 RADIATION TREATMENTS, 1,223 IMRT TREATMENTS, 200 CONSULTATIONS. 2881168 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 0 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 THOMAS BAYER FORMER PRESIDENT 1.00 0.00 X X 0 219321 141685 DAN CARLSON VICE PRESIDENT 1.00 0.00 X X 0 277972 68936 KELLY GIGOT SECRETARY & TREASURER 1.00 0.00 X X 0 196006 165052 LOUISE POLICELO FORMER DIRECTOR 1.00 0.00 X 0 0 0 MARY JO MANTEI DIRECTOR 1.00 0.00 X 0 222026 32572 SALLY LUEHRING FORMER DIRECTOR 1.00 0.00 X 0 125448 86259 LARRY CONNERS PRESIDENT 1.00 0.00 X 0 264852 159192 PAULA HAFEMAN DIRECTOR 1.00 0.00 X 0 273830 213827 ED HARDING DIRECTOR 1.00 0.00 X 0 513998 82526 0 2093453 950049 0 0 1 0 RADIATION ONCOLOGY SPECIALISTS 835 S VAN BUREN ST GREEN BAY WI 54301 MEDICAL 604172 1 CANCER TREATMENTS 621400 2665215 2665215 2665215 47314 47314 35352 -35352 -35352 -35352 INSURANCE REBATE 999999 18013 18013 18013 2695190 2665215 0 29975 X 644337 644337 111540 111540 528618 528618 36120 36120 14796 14796 293268 293268 45418 45418 461447 461447 26786 26786 PURCHASED SERVICES 454714 454714 PROVISION FOR BAD DEBTS 245296 245296 OTHER EXPENSES 18828 18828 2881168 2881168 0 0 801318 170961 649550 401314 5746 5145 3959937 3659419 785770 300518 1997453 2648456 4239837 3526394 485172 496380 941094 292712 1426266 789092 X 2813571 2737302 2813571 2737302 4239837 3526394 -185978 109709 0 X X 1 X 0 1 0 X X X X 0 0 0 ST VICENT HOSPITAL 390817529 3 1 1 1 0 BAY AREA MEDICAL CENTER 391528430 3 1 1 1 0 2 0 3959937 3659419 300518 300518 X 2594955 109709 -245296 -135587 2730542 -35352 -35352 2695190 2671224 35352 35352 2635872 245296 245296 2881168 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, 2013, THE ORGANIZATION DOES NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -245,296. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON SALE OF EQUIPMENT -35,352. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF EQUIPMENT 35,352. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 245,296. 0 0 0 0 0 0 0 0 0 THOMAS BAYER FORMER PRESIDENT 0 213205 0 4961 0 1155 0 116971 0 24714 0 361006 0 140634 DAN CARLSON VICE PRESIDENT 0 209463 0 35291 0 33218 0 30072 0 38864 0 346908 0 0 KELLY GIGOT SECRETARY & TREASURER 0 194589 0 348 0 1069 0 142043 0 23009 0 361058 0 163966 MARY JO MANTEI DIRECTOR 0 156692 0 26433 0 38901 0 17880 0 14692 0 254598 0 0 SALLY LUEHRING FORMER DIRECTOR 0 124437 0 231 0 780 0 69402 0 16857 0 211707 0 85503 LARRY CONNERS PRESIDENT 0 239734 0 24138 0 980 0 133787 0 25405 0 424044 0 156914 PAULA HAFEMAN DIRECTOR 0 235314 0 37601 0 915 0 196906 0 16921 0 487657 0 212743 ED HARDING DIRECTOR 0 374196 0 57024 0 82778 0 48345 0 34181 0 596524 0 0 FORM 990, PART VI, SECTION A, LINE 6 WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC. HAS TWO STOCKHOLDERS - ST VINCENT HOSPITAL AND BAY AREA MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A EACH OF THE MEMBERS SHALL APPOINT 50% OF THE NUMBER OF DIRECTORS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS APPOINTED BY THE TWO MEMBERS 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 OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,212. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,212. MAINTENANCE CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 318,637. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 318,637. OTHER: PROGRAM SERVICE EXPENSES 25,324. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,324. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 182,445. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 182,445. 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 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0