MERITER MEDICAL GROUP INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MERITER MEDICAL GROUP INC (EIN 05-0545222)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-14
- IRS object ID
- 201312269349304196
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-08-14T19:47:29-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 EAST WELLS STREET SUITE 1400 | AddressLine1 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 53202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050545222 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERITER MEDICAL GROUP INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MERI | NameControl |
| Phone | 6084176210 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 202 SOUTH PARK STREET | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 537151596 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DR ROBERT TURNGREN MD | Name |
| Title | PRESIDENT | Title |
| Phone | 6084176210 | Phone |
| Date Signed | 2013-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RACHEL BECKER | Name |
| PTIN | P00966076 | PTIN |
| Phone | 4142713000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT TURNGREN MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 202 SOUTH PARK STREET | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 537151596 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 43930487 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MERITER.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2002 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | MERITER MEDICAL GROUP, INC., A TAX-EXEMPT WHOLLY-OWNED SUBSIDIARY OF MERITER HOSPITAL, INC. IS MERITER'S GROWING MULTI-SPECIALTY HEALTH CARE TEAM. THE MERITER MEDICAL GROUP'S GROWING NETWORK OF PHYSICIANS AND HEALTH CARE PROVIDERS ARE DEDICATED TO PROVIDING EXCEPTIONAL HEALTH CARE AND LIVING BY MERITER'S MISSION TO HEAL, TEACH AND SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 465 | TotalNbrEmployees |
| Total Nbr Volunteers | 1 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 12975 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 50907 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 21887823 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 40846378 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -21096 | InvestmentIncomePriorYear |
| Investment Income Current Year | 409656 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1439574 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2622860 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 23319276 | TotalRevenuePriorYear |
| Total Revenue Current Year | 43929801 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 29067552 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 49012180 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8279047 | OtherExpensePriorYear |
| Other Expenses Current Year | 15411813 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 37346599 | TotalExpensesPriorYear |
| Total Expenses Current Year | 64423993 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -14027323 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -20494192 | RevenuesLessExpensesCY |
| Total Assets BOY | 42380558 | TotalAssetsBOY |
| Total Assets EOY | 53889956 | TotalAssetsEOY |
| Total Liabilities BOY | 84722357 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 116682965 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -42341799 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -62793009 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MERITER MEDICAL GROUP, INC.'S FOCUS IS ON IMPROVING PATIENT ACCESS AND PROVIDING THE BEST CARE POSSIBLE AT THE RIGHT TIME, IN THE RIGHT PLACE. OUR TEAM OF PHYSICIANS AND STAFF KEEP PATIENTS AT THE CENTER OF CARE. A VARIETY OF PRIMARY AND SPECIALTY PROVIDERS SUPPORT PATIENTS IN ALL ASPECTS OF HEALTH THROUGH EVERY STAGE OF PATIENTS' LIVES. MERITER MEDICAL GROUP, INC. IS COMMITTED TO BUILDING A NETWORK OF MULTISPECIALTY PROVIDERS THAT SUPPORTS MERITER AS A DESTINATION OF CHOICE FOR PATIENTS, STAFF AND PHYSICIANS THROUGHOUT DANE COUNTY AND SOUTH CENTRAL WISCONSIN. TO ASSURE CARE CONTINUITY MERITER MEDICAL GROUP, INC. HOSPITALISTS AND OTHER HOSPITAL-BASED PHYSICIANS COORDINATE ALL ASPECTS OF A PATIENT'S INPATIENT CARE. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 57483738 | Expense |
| Revenue | 43469238 | Revenue |
| Description | MERITER MEDICAL GROUP, INC. OFFERS AMBULATORY HEALTH CARE WITH A FOCUS ON PROVIDING EDUCATIONAL, OUTREACH AND REFERRAL PROGRAMS THAT INCLUDE WELLNESS AND DISEASE PREVENTION. THIS OCCURS THROUGH ALL SPECIALTIES FOR INDIVIDUALS AND IN GROUP SETTINGS SUCH AS INDIVIDUAL HEALTH EDUCATION SESSIONS WITH A NURSE PRACTITIONER FOR WOMEN MANAGING THEIR HEART DISEASE, OFFERING GROUP SESSIONS ON THE LATEST ADVANCEMENTS FOR TREATMENTS OF OSTEOARTHRITIS, AND EDUCATIONAL PROGRAMS FOR PREGNANT PARENTS ATTENDING CHILDBIRTH EDUCATION PROGRAMS. MERITER MEDICAL GROUP, INC. PROVIDERS ALSO OFFER VARIOUS EDUCATIONAL TALKS AND SCREENING OPPORTUNITIES AS PART OF COMMUNITY PROGRAMS/EVENTS EACH YEAR. MERITER MEDICAL GROUP, INC.'S ADULT PRIMARY CARE CLINICS INCLUDE DIABETES MANAGEMENT SERVICES THROUGH A TEAM CONSISTING OF ENDOCRINOLOGISTS, CERTIFIED DIABETES EDUCATORS, DIETITIAN AND HEALTH PSYCHOLOGIST. HEALTH PSYCHOLOGY SERVICES ARE AVAILABLE TO PATIENTS WHO NEED EMOTIONAL SUPPORT AND GUIDANCE AS THEY WORK THROUGH PERSONAL HEALTH CHANGES. MERITER CHILD & ADOLESCENT PSYCHIATRY STAFF PROVIDE EDUCATIONAL SESSIONS FOR SCHOOL PERSONNEL. THE MERITER MEDICAL GROUP, INC. PRIMARILY SERVES PATIENTS FROM DANE COUNTY. | Description |
| Total Program Service Expense | 57483738 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 22 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 465 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 1 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LINDA HOFF | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6084175811 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 202 S PARK STREET | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 537151596 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT TURNGREN | ||||||||||
| PRESIDENT | 50.00 | X | X | 0 | 662409 | 27469 | ||||
| DAVE BOYER | ||||||||||
| BOARD MEMBER | 1.00 | X | 0 | 25000 | 0 | 6.00 | ||||
| GARY GRIGLIONE MD | ||||||||||
| BOARD MEMBER (START 06/12) | 50.00 | X | 670364 | 0 | 21462 | |||||
| GEOFFREY PRIEST MD | ||||||||||
| BOARD MEMBER | 50.00 | X | 0 | 470743 | 52230 | |||||
| KENNETH FELZ MD | ||||||||||
| BOARD MEMBER | 50.00 | X | 192419 | 12480 | 26912 | |||||
| KHOSRO ADIB MD | ||||||||||
| BOARD MEMBER | 50.00 | X | 602978 | 0 | 22823 | 1.00 | ||||
| MARGARET NOREUIL RN PHD | ||||||||||
| BOARD MEMBER (START 06/12) | 1.00 | X | 0 | 0 | 0 | |||||
| VIREN BAVISHI MD | ||||||||||
| BOARD MEMBER (END 12/12) | 50.00 | X | 173122 | 0 | 20779 | |||||
| GEORGE IDARRAGA MD | ||||||||||
| BOARD MEMBER (END 06/12) | 50.00 | X | 165578 | 0 | 17494 | |||||
| JASON YELK MD | ||||||||||
| BOARD MEMBER (END 06/12) | 50.00 | X | 238133 | 0 | 29444 | |||||
| GEORGE KAMPERSCHROER | ||||||||||
| BOARD MEMBER (END 06/12) | 1.00 | X | 0 | 0 | 0 | |||||
| JAMES WOODWARD | ||||||||||
| BOARD MEMBER/CEO MHS | 1.00 | X | X | 0 | 814221 | 41166 | 49.00 | |||
| MARY HANSEN | ||||||||||
| SECRETARY/TREASURER | 50.00 | X | 214383 | 0 | 45786 | |||||
| PAM WETZEL | ||||||||||
| AVP/SR. MEDICAL DIRECTOR | 50.00 | X | 210203 | 0 | 6490 | |||||
| BETH ERDMAN | ||||||||||
| AVP | 10.00 | 0 | 162437 | 15882 | 40.00 | X | ||||
| LYNNE MYERS | ||||||||||
| COO MHS (END 04/12) | 1.00 | 0 | 504783 | 25189 | 45.00 | X | ||||
| HAYWOOD S GILLIAM | ||||||||||
| PHYSICIAN | 50.00 | 589147 | 0 | 35440 | X | |||||
| MATTHEW R WOLFF | ||||||||||
| PHYSICIAN | 50.00 | 590803 | 0 | 19658 | X | |||||
| SUSAN M LEPINSKI | ||||||||||
| PHYSICIAN | 50.00 | 569748 | 0 | 14280 | X | |||||
| AMY K FRANTA | ||||||||||
| PHYSICIAN | 50.00 | 561699 | 0 | 20004 | X | |||||
| E WAYNE GROGAN | ||||||||||
| PHYSICIAN | 50.00 | 469932 | 175207 | 23314 | X | |||||
| ROBERT COATS | ||||||||||
| FORMER EXECUTIVE | 0.00 | 0 | 513991 | 0 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5248509 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3341271 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 465822 | TotalOtherCompensation |
| Number Individuals GT100 K | 116 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TRI NORTH BUILDERS | |||||
| PO BOX 259568 | MADISON | WI | 537259568 | CONSTRUCTION | 1602319 |
| UW MEDICAL FOUNDATION | |||||
| 1010 MOUND STREET | MADISON | WI | 53715 | PURCHASED SERVICES | 247425 |
| WHITE RHINO COMPANY | |||||
| PO BOX 6404 | MONONA | WI | 537160404 | PURCHASED SERVICES | 190487 |
| STRATUM MED INC | |||||
| 102 E MAIN STREET | URBANA | IL | 61801 | CONSULTING | 162315 |
| SCC SOFT COMPUTER | |||||
| 5400 TECH DATA DRIVE | CLEARWATER | FL | 33760 | INFORMATION SYSTEMS SUPPORT | 111885 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Related Organizations | 50907 | RelatedOrganizations |
| Total Contributions | 50907 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 40846378 | TotalRevenueColumn |
| Related Or Exempt Function Income | 40846378 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 40846378 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 402342 | TotalRevenueColumn |
| Exclusion | $402,342 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 8000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 686 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7314 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7314 | TotalRevenueColumn |
| Exclusion | $7,314 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PURCHASED SERVICES REVENUE - HSP | 621990 | 1347739 | 1347739 |
| OTHER REVENUE | 900099 | 1257121 | 1257121 |
| PURCHASED SERVICES REVENUE - MHH | 621990 | 18000 | 18000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2622860 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 43929801 | TotalRevenueColumn |
| Related Or Exempt Function Income | 43469238 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $409,656 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2467180 | Total |
| Program Services | 2129786 | ProgramServices |
| Management And General | 337394 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37808502 | Total |
| Program Services | 35194657 | ProgramServices |
| Management And General | 2613845 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 515538 | Total |
| Program Services | 477646 | ProgramServices |
| Management And General | 37892 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6180281 | Total |
| Program Services | 5726030 | ProgramServices |
| Management And General | 454251 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2040679 | Total |
| Program Services | 1890689 | ProgramServices |
| Management And General | 149990 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 154103 | Total |
| Program Services | 127970 | ProgramServices |
| Management And General | 26133 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44854 | Total |
| Management And General | 44854 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1445257 | Total |
| Program Services | 1339031 | ProgramServices |
| Management And General | 106226 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2882 | Total |
| Program Services | 2020 | ProgramServices |
| Management And General | 862 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 455710 | Total |
| Program Services | 319453 | ProgramServices |
| Management And General | 136257 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2731706 | Total |
| Program Services | 1914926 | ProgramServices |
| Management And General | 816780 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171894 | Total |
| Program Services | 120498 | ProgramServices |
| Management And General | 51396 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14307 | Total |
| Program Services | 10029 | ProgramServices |
| Management And General | 4278 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2874818 | Total |
| Program Services | 2015247 | ProgramServices |
| Management And General | 859571 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 505920 | Total |
| Program Services | 354650 | ProgramServices |
| Management And General | 151270 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 2911914 | 2041252 | 870662 |
| TEST FEES | 1774070 | 1774070 | |
| EQUIPMENT RENT AND MAIN | 198983 | 139487 | 59496 |
| DUES & LICENSES | 173441 | 121582 | 51859 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1951954 | Total |
| Program Services | 1784715 | ProgramServices |
| Management And General | 167239 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64423993 | Total |
| Program Services | 57483738 | ProgramServices |
| Management And General | 6940255 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1059906 | BOY |
| EOY | 1711968 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2013483 | BOY |
| EOY | 4285760 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 203835 | BOY |
| EOY | 295433 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 49560334 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 6192407 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39009293 | BOY |
| EOY | 43367927 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94041 | BOY |
| EOY | 3802168 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 426700 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42380558 | BOY |
| EOY | 53889956 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84722357 | BOY |
| EOY | 116682965 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84722357 | BOY |
| EOY | 116682965 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -42341799 | BOY |
| EOY | -62793009 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -42341799 | BOY |
| EOY | -62793009 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42380558 | BOY |
| EOY | 53889956 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -20494192 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 42982 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Written IRS Determination | X | WrittenIRSDetermination |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERITER HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390806367 | EIN |
| Type Of Organization | 7 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8407219 | OtherCostOrOtherBasis |
| Book Value | 8407219 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 22550959 | OtherCostOrOtherBasis |
| Depreciation | 1604050 | Depreciation |
| Book Value | 20946909 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4417359 | OtherCostOrOtherBasis |
| Depreciation | 1012526 | Depreciation |
| Book Value | 3404833 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5807326 | OtherCostOrOtherBasis |
| Depreciation | 1665426 | Depreciation |
| Book Value | 4141900 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8377471 | OtherCostOrOtherBasis |
| Depreciation | 1910405 | Depreciation |
| Book Value | 6467066 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 43367927 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | MERITER MEDICAL GROUP, INC. IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR THE MERITER HEALTH SERVICES, INC. THE FINANCIAL STATEMENTS FOR MERITER HEALTH SERVICES, INC. INCLUDE THE FOLLOWING FOOTNOTE: ASC 740-10, INCOME TAXES OVERALL ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER ASC 740-10, COMPANIES MUST RECOGNIZE 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 THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. ASC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURES. THE CORPORATION HAS ANALYZED THE REQUIREMENTS OF ASC 740-10 AND HAS CONCLUDED IT HAS NO MATERIAL UNCERTAIN TAX POSITION AS OF DECEMBER 31, 2012 OR 2011. IT IS THE CORPORATION'S POLICY TO RECORD INTEREST AND PENALTIES ON UNCERTAIN TAX PROVISIONS AS INCOME TAX EXPENSE. AS OF DECEMBER 31, 2012 AND 2011, THE CORPORATION HAS NO ACCRUED INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT TURNGREN | ||||||||||||||
| PRESIDENT | 0 | 426664 | 0 | 132696 | 0 | 103049 | 0 | 15441 | 0 | 12028 | 0 | 689878 | 0 | 0 |
| GARY GRIGLIONE MD | ||||||||||||||
| BOARD MEMBER (START 06/12) | 658915 | 0 | 10417 | 0 | 1032 | 0 | 0 | 0 | 21462 | 0 | 691826 | 0 | 0 | 0 |
| GEOFFREY PRIEST MD | ||||||||||||||
| BOARD MEMBER | 0 | 329342 | 0 | 110022 | 0 | 31379 | 0 | 23941 | 0 | 28289 | 0 | 522973 | 0 | 0 |
| KENNETH FELZ MD | ||||||||||||||
| BOARD MEMBER | 184739 | 0 | 5600 | 12480 | 2080 | 0 | 2931 | 0 | 23981 | 0 | 219331 | 12480 | 0 | 0 |
| KHOSRO ADIB MD | ||||||||||||||
| BOARD MEMBER | 534292 | 0 | 8000 | 0 | 60686 | 0 | 3750 | 0 | 19073 | 0 | 625801 | 0 | 0 | 0 |
| VIREN BAVISHI MD | ||||||||||||||
| BOARD MEMBER (END 12/12) | 164805 | 0 | 8000 | 0 | 317 | 0 | 2678 | 0 | 18101 | 0 | 193901 | 0 | 0 | 0 |
| GEORGE IDARRAGA MD | ||||||||||||||
| BOARD MEMBER (END 06/12) | 158997 | 0 | 6000 | 0 | 581 | 0 | 2329 | 0 | 15165 | 0 | 183072 | 0 | 0 | 0 |
| JASON YELK MD | ||||||||||||||
| BOARD MEMBER (END 06/12) | 232581 | 0 | 3000 | 0 | 2552 | 0 | 3675 | 0 | 25769 | 0 | 267577 | 0 | 0 | 0 |
| JAMES WOODWARD | ||||||||||||||
| BOARD MEMBER/CEO MHS | 0 | 596623 | 0 | 161675 | 0 | 55923 | 0 | 16842 | 0 | 24324 | 0 | 855387 | 0 | 0 |
| MARY HANSEN | ||||||||||||||
| SECRETARY/TREASURER | 173958 | 0 | 39779 | 0 | 646 | 0 | 30399 | 0 | 15387 | 0 | 260169 | 0 | 0 | 0 |
| PAM WETZEL | ||||||||||||||
| AVP/SR. MEDICAL DIRECTOR | 200044 | 0 | 10000 | 0 | 159 | 0 | 0 | 0 | 6490 | 0 | 216693 | 0 | 0 | 0 |
| BETH ERDMAN | ||||||||||||||
| AVP | 0 | 136955 | 0 | 25371 | 0 | 111 | 0 | 6619 | 0 | 0 | 0 | 169056 | 0 | 0 |
| LYNNE MYERS | ||||||||||||||
| COO MHS (END 04/12) | 0 | 214525 | 0 | 131742 | 0 | 158516 | 0 | 16128 | 0 | 9061 | 0 | 529972 | 0 | 0 |
| HAYWOOD S GILLIAM | ||||||||||||||
| PHYSICIAN | 523045 | 0 | 8000 | 0 | 58102 | 0 | 3750 | 0 | 31690 | 0 | 624587 | 0 | 0 | 0 |
| MATTHEW R WOLFF | ||||||||||||||
| PHYSICIAN | 570539 | 0 | 12500 | 0 | 7764 | 0 | 0 | 0 | 19658 | 0 | 610461 | 0 | 0 | 0 |
| SUSAN M LEPINSKI | ||||||||||||||
| PHYSICIAN | 518210 | 0 | 50000 | 0 | 1538 | 0 | 0 | 0 | 14280 | 0 | 584028 | 0 | 0 | 0 |
| AMY K FRANTA | ||||||||||||||
| PHYSICIAN | 554423 | 0 | 6000 | 0 | 1276 | 0 | 3322 | 0 | 16682 | 0 | 581703 | 0 | 0 | 0 |
| E WAYNE GROGAN | ||||||||||||||
| PHYSICIAN | 465389 | 0 | 0 | 175207 | 4543 | 0 | 3750 | 0 | 19564 | 0 | 493246 | 175207 | 0 | 0 |
| ROBERT COATS | ||||||||||||||
| FORMER EXECUTIVE | 0 | 0 | 0 | 424778 | 0 | 89213 | 0 | 0 | 0 | 0 | 0 | 513991 | 0 | 424001 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 3 | MERITER HEALTH SERVICES, INC., A RELATED ORGANIZATION OF MERITER MEDICAL GROUP, INC., USED THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: - COMPENSATION COMMITTEE, - INDEPENDENT COMPENSATION COMMITTEE, - WRITTEN EMPLOYMENT CONTRACT, - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE | |
| PART III | PART I, LINE 4A: SEVERANCE PAYMENTS: LYNNE MYERS - $89,078 PART I, LINE 4B: SELECT INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | MERITER MEDICAL GROUP, INC. ADDED THE FOLLOWING PROGRAMS TO OUR PORTFOLIO OF SERVICES IN 2012: - DERMATOLOGY SERVICES ADDED THROUGH OUR AMBULATORY CLINICS WITH THE SERVICES OF 3 PHYSICIANS. - ALLERGY SERVICES ADDED THROUGH OUR AMBULATORY CLINICS WITH THE SERVICES OF 2 PHYSICIANS. - NEUROLOGY SERVICES ADDED THROUGH OUR AMBULATORY CLINICS WITH THE SERVICES OF 2 PHYSICIANS. - ADDITION OF THREE NEW CLINICS: DEMING WAY-DERMATOLOGY, FITCHBURG, AND STOUGHTON, WISCONSIN. - CARDIOLOGY SERVICES EXPANDED WITH THE ACQUISITION OF AN 11 PHYSICIAN CARDIOLOGY PRACTICE ON JANUARY 1, 2012. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE RESPONSE TO FORM 990 PART VI, SECTION A, QUESTION 1B RELATES TO THE EIGHT MEMBERS OF THE BOARD OF DIRECTORS OF MERITER MEDICAL GROUP, INC., THESE INDIVIDUALS ARE APPOINTED TO THE BOARD OF DIRECTORS OF MERITER MEDICAL GROUP, INC., AS THE SOLE VOTING MEMBER. THE BOARD OF DIRECTORS OF THE HOSPITAL CONTAINS 18 VOTING MEMBERS OF WHOM 13 ARE INDEPENDENT. | |
| FORM 990, PART VI, SECTION A, LINE 6 | MERITER HOSPITAL, INC. IS THE SOLE VOTING MEMBER OF MERITER MEDICAL GROUP, INC. AND, AS SUCH, THE HOSPITAL BOARD ELECTS THE MEMBERS OF THE MERITER MEDICAL GROUP, INC. BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | MERITER HOSPITAL, INC. IS THE SOLE VOTING MEMBER OF MERITER MEDICAL GROUP, INC. AND, AS SUCH, THE HOSPITAL BOARD ELECTS THE MEMBERS OF THE MERITER MEDICAL GROUP, INC. BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING ACTIONS REQUIRE THE PRIOR AUTHORIZATION OF APPROVAL OF THE MERITER HOSPITAL, INC. BOARD AS VOTING MEMBER OF THE CORPORATION: A) MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; B) AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION; C) SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION; D) THE ESTABLISHMENT, FORMATION, ACQUISITION, MERGER, CONSOLIDATION OR DISSOLUTION OF ANY SUBSIDIARY CORPORATION OF THE CORPORATION; AND E) THE ADMISSION OF ADDITIONAL MEMBERS OF THE CORPORATION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | MERITER CONTRACTS WITH AN OUTSIDE PUBLIC ACCOUNTING FIRM TO PREPARE ALL INCOME TAX RETURNS. MERITER'S ACCOUNTING DEPARTMENT STAFF COMPLETES AND THE CONTROLLER REVIEWS THE COMPREHENSIVE TAX ORGANIZER PROVIDED BY THE TAX FIRM. THE CONTROLLER AND THE TAX FIRM WORK TOGETHER TO PREPARE TAX RETURNS TO REFLECT INFORMATION THAT AFFECTS THE FORM 990. TWO WEEKS PRIOR TO FILING, THE RETURNS WILL BE POSTED TO THE BOARD GOVERNANCE INTERNAL WEB SITE ACCOMPANIED BY A MEMO HIGHLIGHTING THE KEY POINTS OF INTEREST FOR THE FILING YEAR AND CONTAINING THE ANTICIPATED FILING DATE IN ADDITION TO PROVIDING CONTACT INFORMATION FOR FURTHER INQUIRY BY THE BOARD. | |
| FORM 990, PART VI, SECTION B, LINE 12C | MERITER MEDICAL GROUP, INC. BOARD OF DIRECTORS CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. ON A PROACTIVE BASIS, DECLARATIONS OF POTENTIAL CONFLICTS OF INTEREST ARE SIGNED WHEN EACH DIRECTOR JOINS THE BOARD AND ANNUALLY THEREAFTER. THE CEO AND BOARD CHAIR MONITOR THE POTENTIAL CONFLICTS DISCLOSED BY BOARD MEMBERS AND MANAGE ATTENDANCE AT MEETINGS AND PARTICIPATION IN VOTES ACCORDING TO THE ISSUE ON THE AGENDA. INDIVIDUAL DIRECTORS ALSO MONITOR THEIR POTENTIAL CONFLICTS AND RECUSE THEMSELVES FROM BOARD DISCUSSION AND/OR VOTES AS REQUIRED BY THE CIRCUMSTANCES. THE PROCESS OF MANAGING CONFLICTS OF INTEREST IS RECORDED IN THE MEETING MINUTES. | |
| FORM 990, PART VI, SECTION B, LINE 15 | MERITER HEALTH SERVICES, INC. BOARD OF DIRECTORS APPROVE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY FOR MERITER MEDICAL GROUP, INC. THE BOARD OF DIRECTORS AUTHORIZES A SUB-COMMITTEE OF THE BOARD TO MAKE COMPENSATION DECISIONS WHILE RETAINING OVERSIGHT OF SAID COMMITTEE. AN EXTERNAL HUMAN RESOURCES CONSULTING FIRM IS ENGAGED BY THE BOARD OF DIRECTORS' SUB-COMMITTEE. THIS FIRM COLLECTS AND REVIEWS ALL ORGANIZATIONAL INFORMATION, COMPENSATION DATA, AND BACKGROUND INFORMATION MATCHING ALL EXECUTIVE POSITIONS TO SURVEY BENCHMARKS. USING THIS INFORMATION THE CONSULTING FIRM PRODUCES ESTIMATED MARKET VALUES FOR EACH EXECUTIVE AND RECOMMENDS ANY NECESSARY CHANGES WITH EXECUTIVE COMPENSATION TO THE BOARD COMMITTEE FOR THEIR DECISION. | |
| FORM 990, PART VI, SECTION C, LINE 19 | FORM 1023 WOULD BE AVAILABLE UPON REQUEST FROM ADMINISTRATION. AS PRIVATE CORPORATIONS, THE GOVERNING DOCUMENTS ARE NOT MADE PUBLIC. THE CONFLICT OF INTEREST POLICY IS NOT GENERALLY MADE PUBLIC, BUT WOULD BE DISCLOSED TO INTERESTED PARTIES IN THE CONTEXT OF ANY ISSUE THAT MIGHT ARISE. FINANCIAL INFORMATION CONTAINED WITHIN THE 990S IS AVAILABLE TO THE PUBLIC ON GUIDESTAR AND ARE AVAILABLE UPON REQUEST OF ADMINISTRATION. | |
| COMPENSATION FOR BOARD MEMBERS: | FORM 990, PART VII: | THE COMPENSATION PAID TO BOARD MEMBERS REFLECTS PAYMENT FOR THEIR SERVICES AS PHYSICIANS BUT NOT REMUNERATION FOR THEIR PARTICIPATION ON THE BOARD OF TRUSTEES. |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | ASSETS RELEASED FROM RESTRICTIONS 7,617. RELEASED FOR CAPITAL 35,365. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MERITER HEALTH SERVICES INC | |||||||||||
| 202 SOUTH PARK STREET | MADISON | WI | 537151596 | 391412318 | PARENT OF MERITER ENTITIES - SUPPORT NONPROFIT SUBSIDIARIES | WI | SECTION 501(C)(3) | LINE 11B, II | N/A | 0 | |
| MERITER FOUNDATION INC | |||||||||||
| 202 SOUTH PARK STREET | MADISON | WI | 537151596 | 237098688 | FOUNDATION FOR MERITER HOSPITAL, INC. | WI | SECTION 501(C)(3) | LINE 7 | 0 | MERITER HEALTH SERVICES INC | |
| MERITER HOSPITAL INC | |||||||||||
| 202 SOUTH PARK STREET | MADISON | WI | 537151596 | 390806367 | ACUTE CARE HOSPITAL | WI | SECTION 501(C)(3) | LINE 3 | 0 | MERITER HEALTH SERVICES INC | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| MERITER-UWMF PHYSICIANS CONTRACTING LLC | |||||||
| 202 SOUTH PARK STREET | MADISON | WI | 537151596 | 391998819 | HEALTH SERVICES | WI | N/A |
| (no name) | |||||||
| N/A | |||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| MERITER HEALTH ENTERPRISES | |||||||||
| 202 SOUTH PARK STREET | MADISON | WI | 537151596 | 391293620 | HEALTH CARE RELATED SERVICES | WI | N/A | C | 0 |
| HCP CORPORATION | |||||||||
| 202 SOUTH PARK STREET | MADISON | WI | 537151596 | 391177562 | RENTAL PROPERTIES | WI | N/A | C | 0 |
| MERITER MANAGEMENT SERVICES INC | |||||||||
| 202 SOUTH PARK STREET | MADISON | WI | 537151596 | 391458235 | MANAGEMENT COMPANY | WI | N/A | C | 0 |
| PHYSICIANS PLUS INSURANCE CORP | |||||||||
| 2650 NOVATION PARKWAY | MADISON | WI | 53713 | 391565691 | INSURANCE | WI | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MERITER FOUNDATION INC | ||
| C | 90197 | FMV |
| MERITER HOSPITAL INC | ||
| E | 102815449 | FMV |
| MERITER HOSPITAL INC | ||
| L | 1347739 | FMV |
| MERITER HOSPITAL INC | ||
| M | 87403 | FMV |
| MERITER HEALTH ENTERPRISES | ||
| M | 1840772 | FMV |
| MERITER MANAGEMENT SERVICES INC | ||
| E | 829534 | FMV |
Comments