2013-10-08T10:26:53-05:00 2012-12-31 Grant Thornton LLP 100 E Wisconsin Ave Milwaukee WI 53202 990 2012-01-01 391534744 Shared Magnetic Resonance Imaging Facility Inc % SARAH FAUST SHAR 6082594376 1104 John Nolen Drive Suite Madison WI 53713 Kevin Boren 6082594376 2013-09-30 true Michelle L Weber 4142898200 2012 2016-02-25 16:41:14Z Turville Bay MRI Barbara Theirmann 1104 John Nolen Drive Madison WI 53713 17891838 false X www.turvillebay.com X 1986 WI 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. 5 1 75 0 9320 4021 0 0 16911292 17521636 31490 -87799 14467 15968 16957249 17449805 2000000 3000000 0 0 6531161 6499556 0 0 0 5240754 5706346 13771915 15205902 3185334 2243903 22890835 25066671 1121536 1053469 21769299 24013202 X 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. false false 7135726 1500000 9159755 Radiation Oncology Services: Turville Bay Radiation Oncology Center provides radiation therapy treatment services. The center performed 9,768 treatments in 2012 5578763 1500000 8361881 MRI Services: Turville Bay MRI Center provides diagnostic examinations using magnetic resonance imaging. The center performed 8,613 scans in 2012. 12714489 true false false false false false false false false false true false false true false true true false false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true 37 0 true 75 true true true false false false false false false false false false false false false X 5 1 false false false false false true false true true false false true true true true true true true true false X SARAH FAUST 6082594376 1104 JOHN NOLEN DRIVE Madison WI 53713 Marilyn Biros 2.0 45.0 X X 0 296704 64441 David Childers 2.0 45.0 X X 0 180533 17223 Charlie Johnson III 2.0 45.0 X 0 444473 62245 Kevin Boren 2.0 45.0 X X 0 292584 31273 Richard Baker MD 2.0 X 0 0 0 Barbara Thiermann 40.0 X 151140 0 37655 Sarah Faust 40.0 X 109662 0 31992 Michael Zinda MD 36.0 X 334966 0 48260 Ming Teng MD 36.0 X 381482 0 24779 Glenn Applegate MD 36.0 X 553882 0 26858 Frank Goodin 40.0 X 168760 0 38786 Renee Olson 40.0 X 107406 0 32165 Mike Graffin 40.0 X 104380 0 16985 1911678 1214294 432662 8 false true false Adams Outdoor Advertising PO BOX 809140 CHICAGO IL 60680 Advertising 181968 Midwest Family Broadcasting 730 Rayovac Drive MADISON WI 53711 Advertising 103463 CompHealth PO Box 972651 DALLAS TX 75397 Locum 111135 JH Findorff Son 300 S Bedford St MADISON WI 53713 Construction 637768 Maximum Mechanical 6273 Ahwahnee Ct OREGON WI 53575 HVAC 186477 6 X 0 RADIATION ONCOLOGY REVENUE 621500 9159755 9159755 MRI REVENUE 621500 8361881 8361881 17521636 19234 19234 0 0 0 0 0 335000 442033 -107033 -107033 -107033 0 0 0 STANDARD IMAGING, ITECH, SCANDIDOS 621500 9320 9320 MISCELLANEOUS REVENUE 900099 6648 6648 15968 17449805 17521636 9320 -81151 3000000 3000000 0 0 0 713675 383226 330449 0 4413313 3731894 681419 177664 148910 28754 866874 670492 196382 328030 260388 67642 0 20612 15985 4627 50822 50822 0 0 0 503342 479304 24038 470219 470219 190097 128509 61588 310127 185453 124674 0 208768 208768 35264 25134 10130 0 38407 19337 19070 0 0 1259241 927412 331829 92819 42996 49823 MAINTENANCE CONTRACTS 858764 858764 BAD DEBT EXPENSE 530845 530845 REPAIRS & MAINTENANCE 203477 75646 127831 PHARMACEUTICALS 176921 176921 756621 374286 382335 15205902 12714489 2491413 0 7554782 3808612 5001520 4002656 0 0 3033675 2058349 0 0 0 0 0 0 0 0 501787 426578 26740706 16219203 6350378 10521503 0 0 0 0 0 0 0 0 448693 4248973 22890835 25066671 1121536 1053469 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1121536 1053469 X 21769299 24013202 0 0 0 0 21769299 24013202 22890835 25066671 2243903 X false true X true false X X X false false false MERITER HOSPITAL INC 390806367 03 true 1500000 SSM HEALTHCARE OF WISCONSIN 430688874 03 true 1500000 2 3000000 475509 475509 7689698 3538489 4151209 18550499 12656964 5893535 25000 23750 1250 10521503 GOODWILL 300000 EQUIPMENT DEPOSITS 3948973 4248973 0 0 X 16918960 16918960 530845 530845 17449805 14675057 14675057 530845 530845 15205902 ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740-10 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 (SEE NOTE J), 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 HAS NOT HISTORICALLY FILED A FEDERAL OR STATE INCOME TAX RETURN; THUS, ALL TAX YEARS ARE STILL OPEN TO AUDIT FOR BOTH FEDERAL AND STATE PURPOSE. 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, 2012 AND 2011. Reconciliation of Revenue and Expense Schedule D, Part XI and XII Part XI, Line 4b and Part XII, Line 4b Bad Debt Expense (shown net for audit) $530,845 true Meriter Hospital Inc 202 S Park St Madison WI 53715 390806367 501(c)(3) 1500000 General Operational SupporT SSM HEALTHCARE OF WISCONSIN 707 S MILLS ST MADISON WI 53715 430688874 501(C)(3) 1500000 GENERAL OPERATIONAL SUPPORT 2 PROCESS FOR MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, QUESTION 2 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. X X X false false false true false false false false false Marilyn Biros 0 284786 0 1000 0 10918 0 43250 0 21191 0 361145 0 0 David Childers 0 153935 0 26483 0 115 0 11504 0 5719 0 197756 0 0 Charlie Johnson III 0 426236 0 3290 0 14947 0 43250 0 18995 0 506718 0 0 Kevin Boren 0 207887 0 67478 0 17219 0 14173 0 17100 0 323857 0 0 Barbara Thiermann 123002 0 28000 0 138 0 8319 0 29336 0 188795 0 0 0 Michael Zinda MD 279270 0 35504 0 20192 0 20461 0 27799 0 383226 0 21389 0 Ming Teng MD 254474 0 126857 0 151 0 9632 0 15147 0 406261 0 21389 0 Glenn Applegate MD 388933 0 164866 0 83 0 15000 0 11858 0 580740 0 21389 0 Frank Goodin 165508 0 2856 0 396 0 11708 0 27078 0 207546 0 0 0 COMPENSATION CONTINGENT ON THE REVENUES OF THE ORGANIZATION SCHEDULE J, PART I, QUESTION 5A 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 MONEY AMOUNT. ELECTING OR APPOINTING MEMBERS OF THE GOVERNING BODY PART VI, SECTION A, QUESTION 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. PROCESS USED TO REVIEW FORM 990 PART VI, SECTION B, QUESTION 11 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. ORGANIZATION'S PRACTICES FOR MONITORING CONFLICTS OF INTEREST PART VI, SECTION B, QUESTION 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. PROCESS FOR DETERMINING/REVIEWING/APPROVING COMPENSATION PART VI, SECTION B, QUESTIONS 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. PROCESS FOR MAKING GOVERNING DOCUMENTS, ETC. AVAILABLE FOR PUBLIC INSPECT. PART VI, SECTION C, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 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 false true false false false false false false false false true false false false false true false false false NOT REQUIRED