MERITER HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MERITER HOSPITAL INC (EIN 39-0806367)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-15
IRS object ID
201342279349300334
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

FieldValueIRS element (for citing)
Timestamp2013-08-15T08:04:14-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1555 EAST WELLS STREET SUITE 1400AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390806367EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERITER HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERINameControl
Phone6084176000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1202 SOUTH PARK STREETAddressLine1
CityMADISONCity
StateWIState
ZIP Code537151596ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN BORENName
TitleCFOTitle
Phone6084176000Phone
Date Signed2013-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRACHEL BECKERName
PTINP00966076PTIN
Phone4142713000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES WOODWARDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1202 SOUTH PARK STREETAddressLine1
CityMADISONCity
StateWIState
ZIP Code537151596ZIPCode
FieldValueIRS element (for citing)
Gross Receipts413155474GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MERITER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1898YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionMERITER HOSPITAL, INC. IS A NOT FOR PROFIT, LOCALLY GOVERNED COMMUNITY HOSPITAL. MERITER HOSPITAL PROVIDES A COMPREHENSIVE ARRAY OF PATIENT-FOCUSED INPATIENT AND OUTPATIENT SERVICES TO MEET THE HEALTH-RELATED NEEDS OF OUR COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees3133TotalNbrEmployees
Total Nbr Volunteers733TotalNbrVolunteers
Total Gross UBI166299TotalGrossUBI
Net Unrelated Business Txbl Income-9366NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year540243ContributionsGrantsPriorYear
Contributions Grants Current Year587378ContributionsGrantsCurrentYear
Program Service Revenue Prior Year373350414ProgramServiceRevenuePriorYear
Program Service Revenue CY378521188ProgramServiceRevenueCY
Investment Income Prior Year6212005InvestmentIncomePriorYear
Investment Income Current Year8381083InvestmentIncomeCurrentYear
Other Revenue Prior Year6017488OtherRevenuePriorYear
Other Revenue Current Year12640795OtherRevenueCurrentYear
Total Revenue Prior Year386120150TotalRevenuePriorYear
Total Revenue Current Year400130444TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year112400GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY116904GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year175789629SalariesEtcPriorYear
Salaries Etc Current Year181215529SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year991399TotalFundrsngExpCurrentYear
Other Expense Prior Year164649055OtherExpensePriorYear
Other Expenses Current Year170216300OtherExpensesCurrentYear
Total Expenses Prior Year340551084TotalExpensesPriorYear
Total Expenses Current Year351548733TotalExpensesCurrentYear
Revenues Less Expenses Prior Year45569066RevenuesLessExpensesPriorYear
Revenues Less Expenses CY48581711RevenuesLessExpensesCY
Total Assets BOY605180203TotalAssetsBOY
Total Assets EOY682175251TotalAssetsEOY
Total Liabilities BOY297376374TotalLiabilitiesBOY
Total Liabilities EOY313942372TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY307803829NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY368232879NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMERITER HOSPITAL, INC. IS DEDICATED TO PROVIDING EXCEPTIONAL HEALTH CARE AND LIVING BY ITS MISSION TO HEAL, TEACH AND SERVE.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense311142771Expense
Grants116904Grants
Revenue387591160Revenue
DescriptionMERITER HOSPITAL, INC. IS A 448-BED COMMUNITY HOSPITAL THAT WAS RECOGNIZED IN 2010 AND 2011 AS A THOMPSON REUTER 100 TOP HOSPITALS AND PATIENTS RATED IN THE TOP 10 PERCENT IN THE NATION IN TERMS OF THEIR OVERALL HOSPITAL RATING AND WILLINGNESS TO RECOMMEND TO FAMILY AND FRIENDS. THIS YEAR MERITER DEDICATED SIGNIFICANT TIME AND RESOURCES TO IMPLEMENT AN ELECTRONIC MEDICAL RECORD SYSTEM INCLUDING MYCHART, MERITER CARE AND CARE EVERYWHERE IN FURTHER EFFORTS TO IMPROVE PATIENT SAFETY, QUALITY CARE AND OPERATIONAL EFFICIENCY. AS WISCONSIN'S FIFTH LARGEST HOSPITAL, MERITER HOSPITAL, INC. SERVES THE COMMUNITY BY PROVIDING A COMPREHENSIVE ARRAY OF SERVICES AND IS PROUD TO DELIVER MORE BABIES THAN ANY OTHER HOSPITAL IN THE STATE; TO RECEIVE CYCLE III ACCREDITATION FROM THE SOCIETY OF CHEST PAIN CENTERS; AND TO BE AWARDED A THREE-YEAR ACCREDITATION IN COMPUTED TOMOGRAPHY (CT). MERITER MEDICAL STAFF PROVIDES PATIENTS WITH THE GREATEST CHOICE OF HEALTH CARE PROVIDERS INCLUDING MERITER MEDICAL GROUP, INC., UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION PHYSICIANS AND CERTIFIED NURSE-MIDWIVES AND A WIDE ARRAY OF INDEPENDENT MEDICAL PROVIDERS. MERITER PROVIDES SOLUTIONS TO MANY HEALTH CARE NEEDS SUCH AS THE REGION'S ONLY HOSPITAL-BASED DENTAL CLINIC, CHILD AND ADOLESCENT PSYCHIATRY SERVICES, SEXUAL ASSAULT NURSE EXAMINER (SANE) SERVICES; AND PROVIDES SUPPORT TO NEW FAMILIES THROUGH THE BREASTFEEDING HELP LINE AND MOTHER-BABY HOUR, A FREE EDUCATIONAL SUPPORT PROGRAM.Description
Total Program Service Expense311142771TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096173NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3133NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest
Other Explain In Sch OXOtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KEVIN BORENBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6084175811TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1202 SOUTH PARK STREETAddressLine1
CityMADISONCity
StateWIState
ZIP Code53715ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JAMES WOODWARD
CEO/PRESIDENT18.0032.00XX081422141166
DAVE BOYER
CHAIR3.004.00XX12500125000
VIRGINIA GRAVES
VICE CHAIR2.002.00XX000
LONDA DEWEY END 0612
BOARD MEMBER; IMMEDIATE PAST CHAIR1.001.00X000
BARBARA SWAN
BOARD MEMBER1.001.00X000
BRADLEY MANNING MD
BOARD MEMBER1.001.00X000
CATE RANHEIM MD START 0312
BOARD MEMBER1.0050.00X02145824794
CATHERINE DURHAM
BOARD MEMBER1.001.00X000
DAN RASHKE END 0612
BOARD MEMBER1.001.00X000
EILEEN MERSHART
BOARD MEMBER1.001.00X000
GEORGE KAMPERSCHROER
BOARD MEMBER1.001.00X000
HOLLY CREMER-BERKENSTADT
BOARD MEMBER1.001.00X000
JULIE SCHURR MD
BOARD MEMBER1.001.00X000
LAURENCE ROTHSTEIN MD
BOARD MEMBER1.001.00X000
MARGARET NOREUIL RN PHD
BOARD MEMBER1.001.00X000
MICHAEL GOLDROSEN MD
BOARD MEMBER1.001.00X000
PAT RICHTER
BOARD MEMBER1.001.00X000
PAUL PEERCY PHD END 0912
BOARD MEMBER1.001.00X000
RICHARD LYNCH END 0612
BOARD MEMBER1.001.00X000
SUSAN TOTH MD END 0212
BOARD MEMBER1.0050.00X043447334355
LYNNE MYERS END 0412
COO/ASSISTANT SECRETARY2.0043.00X050478325189
LINDA HOFF
CFO/SECRETARY/TREASURER35.0015.00X045293437088
KEVIN BOREN
HSP CFO/ASSISTANT TREASURER35.0015.00X029258431272
GEOFFREY PRIEST MD
CHIEF MEDICAL OFFICER/ASSISTANT SECRETARY40.0010.00X047074352230
KERRA GUFFEY
CHIEF INFORMATION OFFICER45.005.00037378234027X
TAMARA SAUNAITIS
CHIEF HUMAN RESOURCES OFFICER45.005.00032433027645X
SUE ERICKSON
VP OF PROFESSIONAL SERVICES45.005.00028466345278X
PATRICIA GRUNWALD
CHIEF NURSING OFFICER45.005.00034368847939X
LOUIS S BRYSH
PHYSICIAN50.000.00274291043306X
WILLIAM J HERBERT
DIR PHARMACY & MTL SVCS50.000.00200503048585X
DENISE M GOMEZ
DIR APPLICATIONS & HIM50.000.00174617014509X
SHERRY L CASALI
DIR EMERGENCY SERVICES50.000.00170351037295X
ROGER SLATTER END 1112
CHIEF MED INFO OFFICER50.000.00296813016373X
MARGO FRANCISCO
FORMER EXECUTIVE0.000.000155538564X
ROBERT COATS
FORMER EXECUTIVE0.000.0005139910X
BARBARA PINEKENSTEIN
FORMER EXECUTIVE0.000.0001444840X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1129075TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5337296TotalReportableCompFrmRltdOrgs
Total Other Compensation541615TotalOtherCompensation
Number Individuals GT100 K85NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
JH FINDORFF AND SON INC
300 SOUTH BEDFORD STREETMADISONWI53703CONSTRUCTION9743092
UNIVERSITY OF WISCONSIN HOSPITAL & CLINI
750 HIGHLAND AVENUEMADISONWI53792INTERNS, RESIDENTS, MED-FLIGHT,&TEACHING4391751
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATI
750 HIGHLAND AVENUEMADISONWI53792INTERNS AND RESIDENTS3218253
SPM MARKETING COMMUNICATIONS
15 WEST HARRIS SUITE 300LA GRANGEIL60525ADVERTISING AND MARKETING SERVICES2062582
EPIC
1979 MILKY WAY LANEVERONAWI53593INFORMATION SYSTEMS2026874
FieldValueIRS element (for citing)
Number Of Contractors GT100 K73NumberOfContractorsGT100K
Related Organizations587378RelatedOrganizations
Total Contributions587378TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PATIENT SERVICE REV.621400369454627369454627
MNGT CONTRACT SERVICE62111018250861825086
CAFETERIA REVENUE72221010536204023$1,049,597
CHILD CARE REVENUE624410816483$816,483
PARKING REVENUE722210797322$797,322

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column4574050TotalRevenueColumn
Related Or Exempt Function Income3830550RelatedOrExemptFunctionIncome
Unrelated Business Revenue123368UnrelatedBusinessRevenue
Exclusion$620,132ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue378521188TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8710634TotalRevenueColumn
Unrelated Business Revenue3274UnrelatedBusinessRevenue
Exclusion$8,707,360ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2699788Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2743248Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-43460Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-43460TotalRevenueColumn
Unrelated Business Revenue35634UnrelatedBusinessRevenue
Exclusion-$79,094ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities9625314Securities
Other97238Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities9650124Securities
Other401979Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-24810Securities
Other-304741Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-329551TotalRevenueColumn
Exclusion-$329,551ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory433037GrossSalesOfInventory
Cost Of Goods Sold229679CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column203358TotalRevenueColumn
Exclusion$203,358ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionINCOME FROM UNCONSOLIDDescription
Business Code900099BusinessCode
Total Revenue Column6070403TotalRevenueColumn
Related Or Exempt Function Income6070403RelatedOrExemptFunctionIncome

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column6410494TotalRevenueColumn
Related Or Exempt Function Income6410494RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue12480897TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column400130444TotalRevenueColumn
Related Or Exempt Function Income387591160RelatedOrExemptFunctionIncome
Unrelated Business Revenue166299UnrelatedBusinessRevenue
Exclusion$11,785,607ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total76904Total
Program Services76904ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total40000Total
Program Services40000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total12500Total
Management And General12500ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total140953342Total
Program Services135526638ProgramServices
Management And General5426704ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6004994Total
Program Services5773802ProgramServices
Management And General231192ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total24176001Total
Program Services23245225ProgramServices
Management And General930776ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10068692Total
Program Services9681047ProgramServices
Management And General387645ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15203708Total
Program Services244619ProgramServices
Management And General14959089ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total525387Total
Management And General525387ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total18021613Total
Program Services17208511ProgramServices
Management And General813102ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total359595Total
Program Services340788ProgramServices
Management And General18807ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1410328Total
Program Services857188ProgramServices
Management And General553140ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total11223300Total
Program Services10636321ProgramServices
Management And General586979ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total199084Total
Program Services188672ProgramServices
Management And General10412ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total8717716Total
Management And General8717716ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total979999Total
Fundraising979999Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total23080903Total
Program Services21873772ProgramServices
Management And General1207131ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total734917Total
Program Services696481ProgramServices
Management And General38436ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES49199871466267182573153
STATE REV ASSESSMENT1155851511558515
EQUIPMENT RENTAL AND MA54992105211601287609
BAD DEBT EXPENSE32762653104916171349

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total20225889Total
Program Services18251053ProgramServices
Management And General1963436ManagementAndGeneral
Fundraising11400Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total351548733Total
Program Services311142771ProgramServices
Management And General39414563ManagementAndGeneral
Fundraising991399Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY160196BOY
EOY153077EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY32132295BOY
EOY47092142EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY31548904BOY
EOY24740068EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY89463830BOY
EOY121604435EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3387821BOY
EOY3491652EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3353641BOY
EOY3052438EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis502905009LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec288630989LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY208253663BOY
EOY214274020EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY200324078BOY
EOY231422874EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY36555775BOY
EOY36344545EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY605180203BOY
EOY682175251EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY38663872BOY
EOY41717353EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY21889EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY213556070BOY
EOY226356749EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3581233BOY
EOY9641372EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY41575199BOY
EOY36205009EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY297376374BOY
EOY313942372EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY301394600BOY
EOY362492778EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6106227BOY
EOY5437099EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY303002BOY
EOY303002EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY307803829BOY
EOY368232879EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY605180203BOY
EOY682175251EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses48581711ReconcilationRevenueExpenses
Reconciliation Unrealized Invest6180910ReconciliationUnrealizedInvest
Reconcilation Other Changes5666429ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis9418769OtherCostOrOtherBasis
Book Value9418769BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis269950111OtherCostOrOtherBasis
Depreciation130161738Depreciation
Book Value139788373BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis633404OtherCostOrOtherBasis
Depreciation270995Depreciation
Book Value362409BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis206552005OtherCostOrOtherBasis
Depreciation158198256Depreciation
Book Value48353749BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16350720OtherCostOrOtherBasis
Book Value16350720BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings214274020TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM MERITER FOUNDATION, INC.6975223
OTHER LONG TERM ASSETS3023195
INVESTMENTS IN JOINT VENTURES25385731
LOAN RECEIVABLE NET OF CURRENT960396
FieldValueIRS element (for citing)
Total Book Value Other Assets36344545TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
RETIREMENT LIABILITY$35,364,476
INSURANCE RESERVES$581,000
ASSET RETIREMENT OBLIGATION$259,533
FieldValueIRS element (for citing)
Total Of Amounts36205009TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE HOSPITAL ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH ASC SUBTOPIC 740-10, INCOME TAXES - OVERALL. THIS GUIDANCE 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, THE HOSPITAL 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. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN FIFTY PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS, AND REQUIRES INCREASED DISCLOSURES. AS OF DECEMBER 31, 2012 AND 2011, THE HOSPITAL DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served19831PersonsServed
Total Community Benefit Expense6837523TotalCommunityBenefitExpense
Net Community Benefit Expense6837523NetCommunityBenefitExpense
Percent Of Total Expense0.01960PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served25275PersonsServed
Total Community Benefit Expense58321237TotalCommunityBenefitExpense
Direct Offsetting Revenue38553457DirectOffsettingRevenue
Net Community Benefit Expense19767780NetCommunityBenefitExpense
Percent Of Total Expense0.05680PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served1074PersonsServed
Total Community Benefit Expense2474919TotalCommunityBenefitExpense
Direct Offsetting Revenue2036490DirectOffsettingRevenue
Net Community Benefit Expense438429NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served46180PersonsServed
Total Community Benefit Expense67633679TotalCommunityBenefitExpense
Direct Offsetting Revenue40589947DirectOffsettingRevenue
Net Community Benefit Expense27043732NetCommunityBenefitExpense
Percent Of Total Expense0.07770PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs82NumberOfActivitiesOrPrograms
Persons Served17723PersonsServed
Total Community Benefit Expense829470TotalCommunityBenefitExpense
Direct Offsetting Revenue8988DirectOffsettingRevenue
Net Community Benefit Expense820482NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs54NumberOfActivitiesOrPrograms
Persons Served3403PersonsServed
Total Community Benefit Expense7791700TotalCommunityBenefitExpense
Direct Offsetting Revenue1387385DirectOffsettingRevenue
Net Community Benefit Expense6404315NetCommunityBenefitExpense
Percent Of Total Expense0.01840PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served3067PersonsServed
Total Community Benefit Expense1703000TotalCommunityBenefitExpense
Net Community Benefit Expense1703000NetCommunityBenefitExpense
Percent Of Total Expense0.00490PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs122NumberOfActivitiesOrPrograms
Persons Served12681PersonsServed
Total Community Benefit Expense729168TotalCommunityBenefitExpense
Direct Offsetting Revenue12125DirectOffsettingRevenue
Net Community Benefit Expense717043NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs262NumberOfActivitiesOrPrograms
Persons Served36874PersonsServed
Total Community Benefit Expense11053338TotalCommunityBenefitExpense
Direct Offsetting Revenue1408498DirectOffsettingRevenue
Net Community Benefit Expense9644840NetCommunityBenefitExpense
Percent Of Total Expense0.02780PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs262NumberOfActivitiesOrPrograms
Persons Served83054PersonsServed
Total Community Benefit Expense78687017TotalCommunityBenefitExpense
Direct Offsetting Revenue41998445DirectOffsettingRevenue
Net Community Benefit Expense36688572NetCommunityBenefitExpense
Percent Of Total Expense0.10550PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense5535TotalCommunityBuildingExpense
Net Community Building Expense5535NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served3549PersonsServed
Total Community Building Expense15770TotalCommunityBuildingExpense
Net Community Building Expense15770NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense1192TotalCommunityBuildingExpense
Net Community Building Expense1192NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served130PersonsServed
Total Community Building Expense5682TotalCommunityBuildingExpense
Net Community Building Expense5682NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served71PersonsServed
Total Community Building Expense34672TotalCommunityBuildingExpense
Net Community Building Expense34672NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs27NumberOfActivitiesOrPrograms
Persons Served3750PersonsServed
Total Community Building Expense62851TotalCommunityBuildingExpense
Net Community Building Expense62851NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$741,613BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare73354354AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare75896131CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2541777MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERITER HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1202 S PARK STREETAddressLine1
CityMADISONCity
StateWIState
ZIP Code53715ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MERITER HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities1OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent500.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities7NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
MAX W POHL DENTAL CLINIC
202 S PARK STMADISONWI53715DENTAL SERVICES
MERITER REHABILITATION MEDICINE
202 S PARK STMADISONWI53715REHABILITATION SERVICES
WOMAN CARE CLINIC
20 S PARK STMADISONWI53715GYNECOLOGICAL SERVICES
CHILD & ADOLESCENT PSYCHIATRY
8001 RAYMOND ROADMADISONWI53719INPATIENT PSYCHIATRY SERVICES
MERITER NEWSTART
1015 GAMMON LANEMADISONWI53719SUBSTANCE ABUSE TREATMENT PROGRAM
MERITER WELLNESS CENTER
2501 W BELTLINE HIGHWAY SUITE 207MADISONWI53713CARDIOVASCULAR AND PULMONARY REHABILITATION AND NUTRITION
CENTER FOR PERINATAL CARE
202 S PARK STMADISONWI53715PREGNANCY CARE

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 6A: A COMMUNITY BENEFIT REPORT IS FILED ON BEHALF OF MERITER HEALTH SERVICES, INC.; MERITER HOSPITAL, INC. IS A SUBSIDIARY. THE COMMUNITY BENEFIT TEXT IN THIS RETURN REPRESENTS THE HOSPITAL.
PART I, LINE 7: COSTING METHODOLOGY: THE RATIO OF COSTS TO CHARGES IS BASED ON WORKSHEET 3 OF SCHEDULE H.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3276265.
PART II: MERITER STRIVES TO HELP CREATE A HEALTHY COMMUNITY INCLUDING A SAFE ENVIRONMENT, INTERCONNECTED NEIGHBORHOODS WITH ADEQUATE AND AFFORDABLE HOUSING, STRONG SCHOOLS AND A PREPARED AND DIVERSE WORKFORCE.THROUGH PARTNERSHIPS WITH AREA NON-PROFIT ORGANIZATIONS AND COMMUNITY GROUPS, MERITER IS WORKING TO STRENGTHEN THE COMMUNITY THROUGH SPONSORSHIPS AND INVOLVEMENT IN BAYVIEW COMMUNITY FOUNDATION, GREENBUSH DAY COMMUNITY CELEBRATION, NEIGHBORHOOD HOUSE, AND HABITAT FOR HUMANITY, AND SUPPORT OF A NEIGHBORHOOD HOUSING INITIATIVE. ALL OF THESE GROUPS, AND OTHERS, CREATE OPPORTUNITIES FOR SAFE AND AFFORDABLE HOUSING, FAMILY-BASED EVENTS, AND STRENGTHENING THE NEIGHBORHOODS THROUGH RAISING AWARENESS OF COMMUNITY RESOURCES AND NEIGHBORHOOD ASSETS. NEIGHBORHOOD HOUSE, IN PARTICULAR, HAS EXPANDED ITS AFTERSCHOOL ACTIVITIES AND SUMMER CAMP PROGRAM. THIS PROGRAM INTRODUCED CHILDREN TO AREAS OF THE COMMUNITY MANY HADN'T EXPERIENCED INCLUDING FIELD TRIPS TO THE UNIVERSITY, TO THE ZOO AND TO A LOCAL COMMUNITY GARDEN. BAYVIEW FOUNDATION IS PART OF BAYVIEW TOWNHOMES, A CDA HOUSING COMMUNITY LOCATED NEXT TO MERITER. THE VAST MAJORITY OF BAYVIEW RESIDENTS ARE IMMIGRANTS WITH APPROXIMATELY 80% OF THE TOTAL RESIDENTS IDENTIFYING AS HMONG. THE FOUNDATION'S AFTER-SCHOOL, SCHOOL-AGE AND OTHER PROGRAMS ARE VITALLY IMPORTANT TO ASSISTING THE FAMILIES AND THE CHILDREN WITH ASSIMILATION. THE PROGRAMS PROVIDE AFTER-SCHOOL TUTORING, COMPUTER SKILLS, ENGLISH LANGUAGE COMPETENCY AND SCHOOL READINESS, SUMMER EDUCATIONAL PROGRAMS AND A FREE LENDING LIBRARY. WITHOUT THESE PROGRAMS, THE CHILDREN IN BAYVIEW WOULD FALL DISASTROUSLY BEHIND IN SCHOOL AND LACK THE SOCIAL SKILLS NEEDED FOR ACADEMIC AND EMPLOYMENT SUCCESS. THEY WOULD STRUGGLE WITH BASIC LITERACY, SEVERELY IMPAIRING THEIR ABILITY TO EARN A LIVING OR READ A PHYSICIAN'S INSTRUCTIONS. IT IS WELL DOCUMENTED THAT LITERACY AND EMPLOYMENT STATUS HAVE AN IMPACT ON HEALTH AS A SOCIAL DETERMINANT. MERITER'S EFFORTS IN SUPPORT OF BAYVIEW FOUNDATION, NEIGHBORHOOD HOUSE AND OTHER PROGRAMS ASSOCIATED WITH EMPLOYMENT ARE INVESTMENTS IN THE FUTURE OF THE COMMUNITY. WE HOPE TO CREATE A MORE EDUCATED AND BETTER PREPARED COMMUNITY - WHICH WILL BE HEALTHIER.MERITER LED THE WAY IN ESTABLISHING A WORK-FORCE HOUSING INITIATIVE FOR A RAPIDLY CHANGING NEIGHBORHOOD. THE INITIATIVE, WHICH INCLUDES PARTNERS FROM OTHER AREA EMPLOYERS, HAS GROWN IN TO A SEPARATE ORGANIZATION WHICH PROVIDES HOME-BUYER EDUCATION, BUDGETING, AND OTHER FINANCIAL LITERACY. FINALLY, MERITER IS WORKING WITH COMMUNITY GROUPS SUCH AS THE URBAN LEAGUE TO FUND TRAINING PROGRAMS, SCHOLARSHIPS AND TUTORING PROGRAMS. THROUGH SUPPORT OF EDUCATIONAL PROGRAMS, MERITER IS HELPING INCREASE JOB OPPORTUNITIES FOR AREA RESIDENTS, THEREBY INCREASING JOB SECURITY.
PART III, LINE 4: THE AUDITED FINANCIAL STATEMENTS CONTAIN A REFERENCE TO THE HOSPITAL'S BAD DEBT EXPENSE POLICY ON PAGES 16-17 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. THE HOSPITAL REPORTS ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THE REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. COSTING METHODOLOGY: THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT ARE REPORTED ON LINE 2. THE RATIO OF COSTS TO CHARGES IS BASED ON WORKSHEET 3 OF SCHEDULE H.
PART III, LINE 8: THE MEDICARE SHORTFALL WAS NOT INCLUDED AS COMMUNITY BENEFIT.THE COST OF SERVICES PROVIDED UNDER THE CHARITY CARE PROGRAM WAS CALCULATED USING A COST TO CHARGE RATION AS DEFINED BY THE WISCONSIN HOSPITAL ASSOCIATION (WHA) FOR THE ANNUAL COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CIBSA) STATEWIDE SURVEY.
PART III, LINE 9B: WE NOTIFY PATIENTS OF THEIR FINANCIAL RESPONSIBILITY AS WELL AS OUR CHARITY CARE POLICY. OUR COLLECTION AGENCIES ARE EDUCATED ON OUR FAHCP (FINANCIAL ASSISTANCE FOR HEALTH CARE PROGRAM) AND WE FOLLOW WHA (WISCONSIN HOSPITAL ASSOCIATION) GUIDELINES. OUR POLICY STATES "PATIENT ACCOUNTS IN THE PROCESS OF FINANCIAL AID REVIEW WILL NOT KNOWINGLY BE SENT TO COLLECTIONS."
PART V, SECTION B, LINE 3: FOUR FOCUS GROUPS WERE SCHEDULED IN AUGUST 2012 TO SEEK INPUT AND PRIORITIZE THE HEALTH ISSUES. HEALTHY DANE USED THE HEALTHY PEOPLE 2020 CATEGORIES TO GUIDE THE INVITATION LIST OF KEY COMMUNITY STAKEHOLDERS. FORTY-ONE COMMUNITY STAKEHOLDERS PARTICIPATED IN THE FOCUS GROUPS. A HEALTHY DANE MEMBER SERVED AS THE FOCUS GROUP HOST AND PRESENTED HCI DATA ON THE TOP SIX HEALTH ISSUES. FOCUS GROUP MEMBERS WERE ASKED TO COMPLETE A COMMUNITY ADVISORY PRIORITIZATION MATRIX AND SELECT THE RATING (5-STRONGLY AGREE, 4-AGREE, 3-NEUTRAL, 2-DISAGREE, 1-STRONGLY DISAGREE) THAT BEST DESCRIBED THEIR AGREEMENT WITH THE FOLLOWING STATEMENTS:- IN MY OPINION, THIS IS A SERIOUS HEALTH NEED WITHIN THIS COMMUNITY (SEVERITY)- IN MY OPINION, ADDRESSING THIS HEALTH NEED IS VERY IMPORTANT TO THIS COMMUNITY (IMPORTANCE)- IN MY OPINION, ADDRESSING THIS HEALTH NEED WILL IMPROVE THE QUALITY OF LIFE WITHIN THIS COMMUNITY (IMPACT)- IN MY OPINION, THERE ARE NO RESOURCES FOR ADDRESSING THIS HEALTH NEED WITHIN THIS COMMUNITY (EXISTING RESOURCES)ATTENDEES INCLUDED:BOB POWER, EXEC. DIR., COLONIAL CLUB SENIOR CENTERCHRISTINE RADER, DIVISION DIR., MARCH OF DIMESBONNIE LOUGHRAN, EXEC. DIR., NAMI OF DANE COUNTYBRENDA DOTTL, RN, STOUGHTON HOSPITAL HOME HEALTHALISON PRANGE, EXEC. DIR., AMERICAN CANCER SOCIETYCARRIE WALL, EXEC. DIR., YMCA OF DANE COUNTYNICOLE L. VESELY, PROGRAM COORD UW HEALTHJENNIFER ELLESTAD, COMM. ADVOCACY, DEAN CLINICKRISTIN BURKI, DIRECTOR OF SERVICES, DOMESTIC ABUSE INTERVENTION SERVICESSALLY ZIRBEL DONISCH, HEALTH SERVICES, MADISON METROPOLITAN SCHOOL DISTRICTBRADLEY D. SCHROEDER, EMPLOYEE BENEFIT SPECIALIST, STOUGHTON BUSINESS OWNER-INSURANCECINDY MCGLYNN, DIRECTOR,STOUGHTON SENIOR CENTERAMY L. MILLER, COMMUNITY EDUCATION DIRECTOR, OREGON SCHOOL DISTRICTDONNA OLSON, MAYOR, CITY OF STOUGHTON-GOVERNMENTCATHY RIGDON, DIRECTOR, STOUGHTON EMERGENCY MANAGEMENT SERVICESLYNN GREEN, EXEC. DIR., DANE COUNTY HUMAN SERVICESDR. FLOYD ROSE, EXEC. DIR., 100 BLACK MEN OF MADISONKELLY ANDERSON, EXEC. DIR. , RAPE CRISIS CENTERMICHELLE HEITZINGER, EXEC. DIR., SUSAN G. KOMEN OF SOUTH CENTRAL WIEVA BRUMMEL, LEARNING COORDINATOR, WISCONSIN PERINATAL ASSOCIATIONDAN FOLEY, EXEC. DIR., NEIGHBORHOOD HOUSE COMMUNITY CENTERBOBBY PETERSON, EXEC. DIR., ABC FOR HEALTHPENNY KASPRZAK, ASSOC. DIRL AMERICAN DIABETES ASSOCIATIONSHIVA BIDAR-SIELAFF, CO-CHAIR, LATINO HEALTH COUNCILTOM LUEDTKE, CORP EVENTS DIR., AMERICAN HEART ASSOCIATIONLANNIA SYREN STENZ, EXEC. DIR., GILDA'S CLUB OF MADISONKEN TAYLOR, EXEC. DIR., WISCONSIN COUNCIL ON CHILDREN AND FAMILIESSANDY ERICKSON, DIRECTOR COMMUNITY IMPACT, UNITED WAY DANE COUNTYSTEVE HINIKER, EXEC. DIR., 1000 FRIENDSKENT CRAIG, EXEC. DIR., CENTRO HISPANOMURIEL NAGLE, DIRECTOR OF HEALTH PROMOTION, UNIVERSITY HEALTH SERVICESLORRI WENDORF-CORRIGAN, NEIGHBORHOOD SERVICES COORD, COMMUNITY DEVELOPMENT DIVISION, CITY OF MADISONJULIE WILLEMS VAN DIJK, RN, PH.D UW-MADISON, POPULATION HEALTH DEPT.SHARON MASON-BOERSMA, SOCIAL WORKER JOINING FORCES FOR FAMILIES-DANE COUNTYASTRA IHEUKUMERE, MAYORAL AIDE CITY OF MADISON, MAYOR'S OFFICELISETTE KHALIL, DEVELOPMENT DIR WISCONSIN WOMEN'S HEALTH FOUNDATIONHEDI RUDD, PROGRAM COORD URBAN LEAGUE OF GREATER MADISON, PROMISE ZONEJEFF BURKHART, EXEC DIR LITERACY NETWORKMERITER HOSPITAL, INC.
PART V, SECTION B, LINE 4: UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS, ST. MARY'S HOSPITAL - SSM HEALTHCARE, STOUGHTON HOSPITAL.MERITER HOSPITAL, INC.
PART V, SECTION B, LINE 5C: THE HOSPITAL CONDUCTED A PUBLIC LAUNCH OF A HEALTHDANE WEBSITE - IN ADDITION TO POSTING ON MERITER.COMMERITER HOSPITAL, INC.
PART V, SECTION B, LINE 7: MERITER DOES NOT ADDRESS ALL NEEDS IDENTIFIED IN THE ASSESSMENT. THESE AREAS INCLUDE: CANCER, SEXUALLY TRANSMITTED INFECTIONS, STROKE/UNCONTROLLED HYPERTENSION, ASTHMA, DRUGS/UNINTENTIONAL POISONINGS. MANY OF THESE CONCERN AREAS BEING ADDRESSED BY MERITER AND OTHER COMMUNITY ORGANIZATIONS THROUGH PROGRAMS AND SERVICES ALTHOUGH NOT AS A PRIORTITY AREA. AS MERITER FOCUSES ON THE MANY FACTORS IN ITS PRIORITY AREAS AFFECTING BIRTH OUTCOMES AND DIABETES, AREAS SUCH AS HYPERTENSION, CANCER AND ASTHMA WILL LIKELY BE IMPROVED FROM THE EFFORTS. CERTAINLY, THESE HEALTH NEEDS ARE IMPORTANT AND MERIT FOCUSED ATTENTION. HOWEVER, DUE TO LIMITED RESOURCES, MERITER CANNOT ADDRESS ALL CONCERNS AT THE SAME LEVEL WITHIN THIS IMPLEMENTATION PLAN. FURTHERMORE, SOME OF THE ISSUES ARE BEING ADDRESSED BY OTHER HOSPITALS IN THE AREA (SPECIFICALLY ASTHMA AND HYPERTENSION).MERITER HOSPITAL, INC.
PART VI, LINE 2: MERITER JOINED THREE OTHER HOSPITALS IN DANE COUNTY, UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS, STOUGHTON HOSPITAL, AND ST. MARY'S - SSM OF WISCONSIN, ALONG WITH PUBLIC HEALTH MADISON AND DANE COUNTY IN THE ASSESSMENT OF THE HEALTH OF DANE COUNTY. SECONDARY DATA WAS COLLECTED AND AGGREGATED BY HEALTHY COMMUNITIES INSTITUTE. THE DATA WAS VERIFIED IN COMMUNITY FOCUS GROUPS AND THE GROUPS PROVIDED INSIGHT AND IDEAS TO ADDRESS IDENTIFIED NEEDS.
PART VI, LINE 3: WE NOTIFY PATIENTS OF THEIR FINANCIAL RESPONSIBILITY AS WELL AS OUR CHARITY CARE POLICY. OUR COLLECTION AGENCIES ARE EDUCATED ON OUR FAHCP (FINANCIAL ASSISTANCE FOR HEALTH CARE PROGRAM) AND WE FOLLOW WHA (WISCONSIN HOSPITAL ASSOCIATION) GUIDELINES. OUR POLICY STATES "PATIENT ACCOUNTS IN THE PROCESS OF FINANCIAL AID REVIEW WILL NOT KNOWINGLY BE SENT TO COLLECTIONS."
PART VI, LINE 4: DANE COUNTY IS LOCATED IN SOUTH-CENTRAL WISCONSIN AND IS HOME TO WISCONSIN'S CAPITAL, MADISON, WHICH IS ALSO THE COUNTY SEAT. THE COUNTY IS NEARLY 1,200 SQUARE MILES OF URBAN, SUBURBAN AND RURAL COMMUNITIES. DANE COUNTY HAS APPROXIMATELY 572,000 ACRES (ABOUT 72% OF THE TOTAL LAND) IN AGRICULTURAL USE, AND IT LEADS WISCONSIN IN THE TOTAL MARKET VALUE OF AGRICULTURAL PRODUCTS. CORN IS THE LARGEST CROP, FOLLOWED BY HAY AND SOYBEANS. THE COUNTY HAS THE SECOND LARGEST CATTLE HERD IN THE STATE, INCLUDING 51,000 DAIRY COWS. DESPITE THESE STRONG AGRICULTURAL UNDERPINNINGS, DANE COUNTY IS CLASSIFIED BY THE UNITED STATES CENSUS BUREAU AS A METROPOLITAN AREA. IN ADDITION TO BEING THE CENTER FOR STATE AND COUNTY GOVERNMENT, DANE COUNTY IS ALSO HOME TO WISCONSIN'S FLAGSHIP PUBLIC UNIVERSITY, THE UNIVERSITY OF WISCONSIN-MADISON. AS A RESULT, EDUCATIONAL SERVICES IS THE LARGEST INDUSTRY SUB-SECTOR IN THE COUNTY, FOLLOWED BY FOOD SERVICES, PROFESSIONAL AND TECHNICAL SERVICES, HOSPITALS, AND ADMINISTRATIVE AND SUPPORT SERVICES. DANE COUNTY IS THE SECOND MOST DENSELY POPULATED COUNTY IN WISCONSIN, AND MADISON IS THE SECOND LARGEST CITY IN THE STATE. THE POPULATION OF DANE COUNTY GREW 14.4% BETWEEN 2000 AND 2010, BRINGING THE TOTAL POPULATION TO 488,073. MADISON HAS 233,209 RESIDENTS, ALMOST HALF OF THE COUNTY'S POPULATION. AMONG ITS RESIDENTS ARE MORE THAN 42,000 UNIVERSITY OF WISCONSIN STUDENTS.THE ETHNIC/RACIAL DEMOGRAPHICS OF DANE COUNTY ARE CHANGING. SINCE 2000, THE PERCENTAGE OF THE POPULATION THAT IS WHITE DECREASED FROM 87.4% TO 81.9%. THE GREATEST GROWTH AMONG MINORITY GROUPS WAS SEEN IN THE HISPANIC POPULATION. COMPARED WITH WISCONSIN AS A WHOLE, DANE COUNTY HAS MORE ETHNIC DIVERSITY, A LARGER PERCENT OF FOREIGN-BORN RESIDENTS (7.4%), AND A LARGER PERCENT THAT SPEAKS A LANGUAGE OTHER THAN ENGLISH IN THE HOME (11% IN DANE COUNTY; 14.8% IN MADISON). MINORITIES ARE MORE CONCENTRATED IN THE CITY OF MADISON. OVER HALF OF ALL STUDENTS IN MADISON PUBLIC SCHOOLS ARE OF RACIAL/ETHNIC MINORITY GROUPS. HMONG ARE ONE OF THE LARGEST ASIAN GROUPS IN DANE COUNTY, AND DANE COUNTY HAS ONE OF THE LARGEST HMONG POPULATIONS IN WISCONSIN. EXAMINATION OF DATA FOR DANE COUNTY REVEALS A LARGE GAP IN EDUCATION AND INCOME BETWEEN AN AFFLUENT MAJORITY POPULATION AND A GROWING LOW-INCOME, LESS EDUCATED POPULATION. THE PERCENT OF THE POPULATION THAT HAS AT LEAST A BACHELOR'S DEGREE IS MUCH HIGHER IN DANE COUNTY THAN IN WISCONSIN AND THE U.S., AND IT IS HIGHER YET IN MADISON (DANE COUNTY 45.4%, MADISON 52.2%, WISCONSIN 25.8%, U.S. 27.9%) HOWEVER, DANE COUNTY'S CURRENT 86% HIGH SCHOOL GRADUATION RATE IS ONE OF THE LOWEST AMONG WISCONSIN COUNTIES. LATELY, MUCH ATTENTION HAS BEEN PAID TO THE "ACHIEVEMENT GAP" AND LOWER GRADUATION RATES FOR SOME RACIAL MINORITY GROUPS IN MADISON, BUT OTHER OF DANE COUNTY'S 16 PUBLIC SCHOOL DISTRICTS FACE THE SAME CHALLENGE. IN 2011, THE FOUR-YEAR GRADUATION RATE FOR ALL STUDENTS IN THE MADISON METROPOLITAN SCHOOL DISTRICT WAS 73.7% (NOT INCLUDING GED OR OTHER HIGH SCHOOL CERTIFICATES) BUT THERE WAS CONSIDERABLE VARIATION BY RACIAL GROUP.THE MEDIAN HOUSEHOLD INCOME FOR DANE COUNTY IS $60,519 AS COMPARED TO $51,598 IN WISCONSIN. MADISON'S MEDIAN HOUSEHOLD INCOME IS $52,550, WHICH IS LOWER THAN HOUSEHOLD INCOMES IN THE REMAINDER OF DANE COUNTY. DESPITE THE HIGH MEDIAN HOUSEHOLD INCOME AND A RELATIVELY LOW UNEMPLOYMENT RATE (5.4%), DANE COUNTY IS FACED WITH AN INCREASING NUMBER OF PEOPLE LIVING IN POVERTY. 11.6% OF DANE COUNTY RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL (2006-2010), A STATISTIC THAT IS COMPARABLE TO THE STATE POVERTY RATE. IN MADISON, THE POVERTY RATE IS HIGHER AT 17.9%.14 ACCORDING TO THE CENTER ON WISCONSIN STRATEGY, 31.5% OF STUDENTS IN DANE COUNTY ARE ELIGIBLE FOR FEDERAL FREE OR REDUCED-PRICE SCHOOL LUNCH IN 2012, AN INCREASE FROM 2000 WHEN ONLY 17.4% OF STUDENTS WERE ELIGIBLE. IN THE CITY OF MADISON, OVER HALF OF ALL PUBLIC SCHOOL STUDENTS ARE ELIGIBLE. POVERTY LEVELS ARE PARTICULARLY STRIKING FOR CHILDREN IN THE COUNTY. TO BE EFFECTIVE, HEALTH PROGRAMS MUST BE MEETING A TANGIBLE NEED OF THE COMMUNITY. TO MEET THE NEED, THEY MUST BE PRESENTED TO AND ACCESSIBLE BY THE VERY PEOPLE WHO NEED THEM MOST. A STUDY OF DEMOGRAPHICS IS NECESSARY TO ENLIGHTEN THE PLANNING AND MARKETING PROCESS AND, ULTIMATELY, TO MOVE THE DIAL TOWARD BETTER COMMUNITY HEALTH.
PART VI, LINE 5: MERITER IS A LOCALLY MANAGED AND A LOCALLY GOVERNED HOSPITAL. THE COMMUNITY-BASED BOARD OF DIRECTORS IS COMMITTED TO PROTECTING THE HEALTH OF THE COMMUNITY THROUGH SUSTAINING SEVERAL OF MERITER'S PROGRAMS AND SERVICES THAT ONLY MERITER PROVIDES. SEVERAL YEARS AGO, THE BOARD MADE A PLEDGE TO CONTINUE TO PROVIDE CHILD AND ADOLESCENT PSYCHIATRIC SERVICES EVEN WHEN OTHER PROVIDERS CHOSE NOT TO PROVIDE SUPPORT. SIMILARLY, MERITER PROVIDES THE ONLY HOSPITAL BASED DENTAL RESIDENCY PROGRAM IN THE AREA. THIS SERVICE OFFERS AN OPTION FOR THOSE WHO CANNOT BE SEEN IN A STANDARD DENTAL OFFICE WHETHER THAT REASON IS FOR AN ILLNESS OR A BEHAVIORAL OR COGNITIVE DISABILITY. FURTHERMORE, THE MERITER'S DENTAL CLINIC IS ONE OF ONLY A HANDFUL OF DENTAL CLINICS IN THE COUNTY THAT ACCEPTS MEDICAL ASSISTANCE. BOTH OF THESE SERVICES OFTEN OPERATE AT A LOSS FOR THE ORGANIZATION. HOWEVER, THE BOARD AND LEADERSHIP ARE COMMITTED TO ENSURING THAT MERITER CONTINUE TO PROVIDE THIS RESOURCE TO THE COMMUNITY.
WIREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1MERITER FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1202 S PARK STREETAddressLine1
CityMADISONCity
StateWIState
ZIP Code537151596ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient237098688EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant48886AmountOfCashGrant
Purpose Of GrantHOSPITAL PROGRAMSPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantHOSPITAL SCHOLARSHIPSTypeOfGrant
Number Of Recipients20NumberOfRecipients
Amount Of Cash Grant40000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: GRANTS ARE MADE UPON A SPECIFIC PROJECT REQUEST AND ONLY MADE TO ORGANIZATIONS THAT WE HAVE A WORKING RELATIONSHIP WITH AND SHARE A COMMON GOAL OF COMMUNITY BENEFIT. GRANTS ARE ONLY MADE TO 501 (C)(3) ORGANIZATIONS WHICH MUST COMPLETE FORM 990S AND ANNUAL REPORTS. PART III - SCHOLARSHIPS ARE AWARDED TO INDIVIDUALS WHO HAVE SUBMITTED REQUIRED APPLICATION AND SUPPORTING DOCUMENTATION. A SELECTION COMMITTEE REVIEWS THE REQUESTS, EVALUATES EACH APPLICATION BASED UPON FINANCIAL NEED, ACADEMIC RECORD, EXTRA CURRICULAR WORK/VOLUNTEERING, RECOMMENDATION AND ESSAY.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES WOODWARD
CEO/PRESIDENT0596623016167505592301684202432408553870161675
CATE RANHEIM MD START 0312
BOARD MEMBER020863903000029430307201722021937600
SUSAN TOTH MD END 0212
BOARD MEMBER043374200073102895031460046882800
LYNNE MYERS END 0412
COO/ASSISTANT SECRETARY021452501317420158516016128090610529972089078
LINDA HOFF
CFO/SECRETARY/TREASURER0335123072923044888025762011326049002200
KEVIN BOREN
HSP CFO/ASSISTANT TREASURER0207886067478017220014173017099032385600
GEOFFREY PRIEST MD
CHIEF MEDICAL OFFICER/ASSISTANT SECR03293420110022031379023941028289052297300
KERRA GUFFEY
CHIEF INFORMATION OFFICER0267183078889027710016611017416040780900
TAMARA SAUNAITIS
CHIEF HUMAN RESOURCES OFFICER02626760585000315408906018739035197500
SUE ERICKSON
VP OF PROFESSIONAL SERVICES0207319054213023131029225016053032994100
PATRICIA GRUNWALD
CHIEF NURSING OFFICER0240984072154030550031644016295039162700
LOUIS S BRYSH
PHYSICIAN1980150485010277750240540192520317597000
WILLIAM J HERBERT
DIR PHARMACY & MTL SVCS16851603134806390314980170870249088000
DENISE M GOMEZ
DIR APPLICATIONS & HIM1485780258700169013304012050189126000
SHERRY L CASALI
DIR EMERGENCY SERVICES14443502566302530220200152750207646000
ROGER SLATTER END 1112
CHIEF MED INFO OFFICER221299051910023604014835015380313186000
MARGO FRANCISCO
FORMER EXECUTIVE000278880127650056400015610200
ROBERT COATS
FORMER EXECUTIVE000424778089213000005139910424778
BARBARA PINEKENSTEIN
FORMER EXECUTIVE000127773016711000001444840127773

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL INFORMATIONPART IIIPART I, LINE 4A: SEVERANCE PAYMENTS: LYNNE MYERS - $89,708 MARGO FRANCISCO - $127,650
SUPPLEMENTAL INFORMATIONPART IIIPART I, LINE 4B: SELECT INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, NO PAYMENTS FROM THIS PLAN WERE RECEIVED IN 2012.
SUPPLEMENTAL INFORMATIONPART IIIPART I, LINE 7: SYSTEM WIDE PERFORMANCE MEASURES, WITH A FINANCIAL THRESHOLD COMPONENT, MUST BE MET TO QUALIFY FOR THE OVERALL INCENTIVE. ONCE MET, VARIOUS ESTABLISHED GOALS ARE MEASURED WHICH INCLUDE SPECIFIC PERFORMANCE IMPROVEMENT SAVINGS, DAYS CASH ON HAND, OPERATING MARGIN.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
WISC HEALTH & EDUCATIONAL FACILITIES 2008C
A39133785597710BBK72008-05-2134940000CURRENT REFUNDING OF 2006 SERIES C000
WISC HEALTH & EDUCATIONAL FACILITIES 2009
B39133785597710BKL52009-07-2850000000CONSTRUCT & EQUIP HOSPITAL FACILITIES000
WISC HEALTH & EDUCATIONAL FACILITIES 2011
C39133785597710BG712011-06-0840000000CONSTRUCT & EQUIP HOSPITAL FACILITIES000
WISC HEALTH & EDUCATIONAL FACILITIES 2012A
D3913378552012-08-0919250000REFUNDING 2008A REVENUE BOND000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapitalized InterestCapitalizedInterest
A349400003494000020091011
B50000000448986232009001136496771627314
C3963399139083279201100015568006088
D1925000020091011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0100001
B0000001
C0000001
D0100001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
NA
A000010000NA000
NA
B000000000NA000
NA
C000000000NA000
PIPER JAFFREY
D000001000NA000

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
WISC HEALTH & EDUCATIONAL FACILITIES 2012B
A3913378552012-08-0925950000REFUNDING 2008B REVENUE BOND000
WISC HEALTH & EDUCATIONAL FACILITIES 2012C
B3913378552012-08-0920000000CONSTRUCT & EQUIP HOSPITAL FACILITIES000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapitalized InterestCapitalizedInterestCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspent
A2595000020091011
B2000000000016744672938513277359

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0100001
B0100001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
PIPER JAFFREY
A000011000NA000
NA
B000000000NA000

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
RICHARD LYNCH
BOARD MEMBER9743092CONSTRUCTION0
DANIEL RASHKE
BOARD MEMBER50000SERVICES PERFORMED BY TASC0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2IN 2012, MERITER CONTINUED TO MEET PATIENT NEEDS BY EXPANDING PRIMARY CARE COVERAGE AND ACCESS THROUGH THE OPENING OF TWO CLINICS IN FITCHBURG AND STOUGHTON. THE CLINICS ARE STAFFED BY FIVE FAMILY MEDICINE PHYSICIANS. MERITER ACQUIRED WISCONSIN HEART (INCLUDING ITS 14 PROVIDERS) IN AN EFFORT TO STRENGTHEN CARDIAC SERVICES THROUGHOUT SOUTH CENTRAL WISCONSIN, AND ALSO ADDED DERMATOLOGY, NEUROLOGY AND ALLERGY/IMMUNOLOGY DEPARTMENTS TO ITS GROWING LIST OF SPECIALTY SERVICES. MERITER HOSPITAL INVESTED IN A DAVINCI ROBOT, USED BY GENERAL SURGEONS, TO PERFORM LESS INVASIVE SURGERY WITH FASTER RECOVERY TIMES FOR ITS PATIENTS.
FORM 990, PART VI, SECTION A, LINE 2DAVE BOYER, GEORGE KAMPERSCHROER, LONDA DEWEY AND DANIEL RASHKE HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6MERITER HEALTH SERVICES, INC. (MHS) IS THE SOLE VOTING MEMBER OF MERITER HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7AMERITER HEALTH SERVICES, INC. (MHS) IS THE SOLE VOTING MEMBER OF MERITER HOSPITAL, INC. AND, AS SUCH, THE MERITER HEALTH SERVICES, INC. BOARD ELECTS THE MEMBERS OF THE MERITER HOSPITAL, INC. BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING ACTIONS REQUIRE THE PRIOR AUTHORIZATION OR APPROVAL OF THE MERITER HEALTH SERVICES, 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) A 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; (E) THE ADOPTION OF THE AGGREGATE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (F) AGGREGATE BORROWING FOR PERIODS OF ONE (1) YEAR OR LESS FOR ANY PURPOSE IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY THE VOTING MEMBER FROM TIME TO TIME; AND AGGREGATE BORROWING FOR PERIODS OF MORE THAN ONE (1) YEAR FOR ANY PURPOSE IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY THE VOTING MEMBER FROM TIME TO TIME. FOR THE PURPOSE OF THIS SUBPARAGRAPH, THE TERM AGGREGATE BORROWING MEANS BORROWINGS NOT PREVIOUSLY INCLUDED IN THE OPERATING AND/OR CAPITAL BUDGETS, AND INCLUDES BUT IS NOT LIMITED TO LEASE AGREEMENTS AND CONTRACTS FOR SALE; (G) THE PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, AND ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY THE VOTING MEMBER FROM TIME TO TIME, NOT PREVIOUSLY INCLUDED IN THE CAPITAL BUDGET; (H) THE APPOINTMENT OF THE INDEPENDENT AUDITOR AND CORPORATE COUNSEL.
FORM 990, PART VI, SECTION B, LINE 11MERITER 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 12CTHE HOSPITAL BOARDS 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. BELOW IS THE 2012 CONFLICT OF INTEREST DISCLOSURE: DRS. ROTHSTEIN AND PRIEST ARE MEMBERS OF PHYSICIAN PLUS INVESTMENT GROUP LLP WHICH IS A 1/5 OWNER OF PHYSICIANS PLUS INSURANCE CORPORATION WHERE MERITER HEALTH SERVICES OWNS THE REMAINING 4/5. DR. ROTHSTEIN IS THE MANAGING PARTNER OF PPIG LLP AND DR. PRIEST IS A NON-VOTING MEMBER OF SAME. DR. MANNING, MERITER HOSPITAL BOARD MEMBER IS A MEMBER OF UW MEDICAL FOUNDATION. DR. GOLDROSEN IS A PARTNER OF ASSOCIATED PHYSICIANS, LLP. MERITER PAYS TEACHING STIPENDS TO UW MEDICAL FOUNDATION PHYSICIANS.
FORM 990, PART VI, SECTION B, LINE 15THE MERITER HEALTH SERVICES, INC. BOARD OF DIRECTORS APPROVES EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. 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 18BECAUSE THE ORGANIZATION FILED ITS FORM 1023 BEFORE JULY 1987 AND DID NOT HAVE A COPY OF FORM 1023 ON THAT DATE, IT IS NOT REQUIRED TO MAKE ITS FORM 1023 AVAILABLE FOR PUBLIC INSPECTION.
FORM 990, PART VI, SECTION C, LINE 19AS 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 SUSAN TOTH, M.D. AND CATE RANHEIM, M.D.FORM 990, PART VII:THE COMPENSATION PAID TO SUSAN TOTH, M.D. AND CATE RANHEIM, M.D. REFLECT PAYMENT FOR THEIR SERVICES AS PHYSICIAN TO MERITER MEDICAL GROUP, INC., A RELATED ORGANIZATION, NOT REMUNERATION FOR THEIR PARTICIPATION ON THE BOARD OF TRUSTEES OF MERITER HOSPITAL OR MERITER HEALTH SERVICES.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 9:SWAP GAIN 385,798. MINIMUM PENSION AND UNRECOGNIZED RETIREE MED BENEFITS 4,653,813. ASSETS RELEASED FROM RESTRICTION 300,459. RELEASED FOR CAPITAL AND OTHER 1,056,118. TEMPORARY RESTRICTED TRANSFERS - FOUNDATION -90,000. NET ASSETS RELEASED FOR CAPITAL - FOUNDATION -50,132. OTHER -589,627.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MERITER HEALTH SERVICES INC
202 SOUTH PARK STREETMADISONWI537151596391412318PARENT OF MERITER ENTITIES - SUPPORT NONPROFIT SUBSIDIARIESWI501(C)(3)LINE 11B, IIMERITER HOSPITAL INC1
MERITER FOUNDATION INC
202 SOUTH PARK STREETMADISONWI537151596237098688CHARITABLE SUPPORT FOR HEALTH CARE NEEDSWI501(C)(3)LINE 7MERITER HEALTH SERVICES INC0
MERITER MEDICAL GROUP INC
202 SOUTH PARK STREETMADISONWI537151596050545222CLINICAL SUPPORT OF MERITER HOSPITAL, INC.WI501(C)(3)LINE 11B, IIMERITER HOSPITAL INC1
SHARED MAGNETIC RESONANCE IMAGING FACILITY INC
1104 JOHN NOLEN DRIVEMADISONWI53713391534744MEDICAL TECHNOLOGYWI501(C)(3)LINE 11A, IMERITER HOSPITAL INC1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MERITER UWMF PHYSICIAN CONTRACTING LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1202 SOUTH PARK STREETAddressLine1
CityMADISONCity
StateWIState
ZIP Code537151596ZIPCode
FieldValueIRS element (for citing)
EIN391998819EIN
Primary ActivityHEALTH CARE CONTRACTING SERVICESPrimaryActivity
Legal Domicile StateWILegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
MERITER HEALTH ENTERPRISES INC
202 SOUTH PARK STREETMADISONWI537151596391293620HOME HEALTH AND MEDICAL LABWIN/AC0
HCP CORPORATION
202 SOUTH PARK STREETMADISONWI537151596391177562REAL ESTATE MANAGEMENTWIC1MERITER HOSPITAL INC487197193911.00000
MERITER MANAGEMENT SERVICES INC
202 SOUTH PARK STREETMADISONWI537151596391458235MANAGEMENT COMPANYWIN/AC0
PHYSICIANS PLUS INSURANCE INC
22 EAST MIFFLIN STREETMADISONWI53701391565691CENTRALIZED MANAGEMENT SERVICESWIN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MERITER MANAGEMENT SERVICES INC
A83408FAIR VALUE
MERITER FOUNDATION INC
C587378COST
MERITER MANAGEMENT SERVICES INC
D1244074COST
MERITER MEDICAL GROUP INC
D102815449COST
MERITER HEALTH ENTERPRISES INC
J1327979FAIR VALUE
MERITER MANAGEMENT SERVICES INC
J613044FAIR VALUE
MERITER FOUNDATION INC
J78372FAIR VALUE
MERITER FOUNDATION INC
M979999FAIR VALUE
MERITER HEALTH ENTERPRISES INC
M10607587FAIR VALUE
MERITER HEALTH SERVICES INC
M897794FAIR VALUE
MERITER MANAGEMENT SERVICES INC
M13719993FAIR VALUE
MERITER MEDICAL GROUP INC
M1347739FAIR VALUE
MERITER MEDICAL GROUP INC
L87403FAIR VALUE
PHYSICIANS PLUS INSURANCE INC
P62000FAIR VALUE
MERITER HEALTH ENTERPRISES INC
L1840718FAIR VALUE
MERITER FOUNDATION INC
S1419915FAIR VALUE

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