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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-15T08:04:14-05:00 | 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 | 390806367 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERITER HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MERI | NameControl |
| Phone | 6084176000 | 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 | KEVIN BOREN | Name |
| Title | CFO | Title |
| Phone | 6084176000 | Phone |
| Date Signed | 2013-08-15 | 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 | JAMES WOODWARD | 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 | 413155474 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MERITER.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1898 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | MERITER 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 Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3133 | TotalNbrEmployees |
| Total Nbr Volunteers | 733 | TotalNbrVolunteers |
| Total Gross UBI | 166299 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -9366 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 540243 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 587378 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 373350414 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 378521188 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 6212005 | InvestmentIncomePriorYear |
| Investment Income Current Year | 8381083 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6017488 | OtherRevenuePriorYear |
| Other Revenue Current Year | 12640795 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 386120150 | TotalRevenuePriorYear |
| Total Revenue Current Year | 400130444 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 112400 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 116904 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 175789629 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 181215529 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 991399 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 164649055 | OtherExpensePriorYear |
| Other Expenses Current Year | 170216300 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 340551084 | TotalExpensesPriorYear |
| Total Expenses Current Year | 351548733 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 45569066 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 48581711 | RevenuesLessExpensesCY |
| Total Assets BOY | 605180203 | TotalAssetsBOY |
| Total Assets EOY | 682175251 | TotalAssetsEOY |
| Total Liabilities BOY | 297376374 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 313942372 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 307803829 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 368232879 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MERITER HOSPITAL, INC. IS DEDICATED TO PROVIDING EXCEPTIONAL HEALTH CARE AND LIVING BY ITS MISSION TO HEAL, TEACH AND SERVE. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 311142771 | Expense |
| Grants | 116904 | Grants |
| Revenue | 387591160 | Revenue |
| Description | MERITER 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 Expense | 311142771 | 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 | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | 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 | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 1 | 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 | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 173 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3133 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | 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 | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
| Other Explain In Sch O | X | OtherExplainInSchO |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEVIN BOREN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6084175811 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 202 SOUTH PARK STREET | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 53715 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (36 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| JAMES WOODWARD | ||||||||||
| CEO/PRESIDENT | 18.00 | 32.00 | X | X | 0 | 814221 | 41166 | |||
| DAVE BOYER | ||||||||||
| CHAIR | 3.00 | 4.00 | X | X | 12500 | 12500 | 0 | |||
| VIRGINIA GRAVES | ||||||||||
| VICE CHAIR | 2.00 | 2.00 | X | X | 0 | 0 | 0 | |||
| LONDA DEWEY END 0612 | ||||||||||
| BOARD MEMBER; IMMEDIATE PAST CHAIR | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| BARBARA SWAN | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| BRADLEY MANNING MD | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| CATE RANHEIM MD START 0312 | ||||||||||
| BOARD MEMBER | 1.00 | 50.00 | X | 0 | 214582 | 4794 | ||||
| CATHERINE DURHAM | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| DAN RASHKE END 0612 | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| EILEEN MERSHART | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| GEORGE KAMPERSCHROER | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| HOLLY CREMER-BERKENSTADT | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| JULIE SCHURR MD | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| LAURENCE ROTHSTEIN MD | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| MARGARET NOREUIL RN PHD | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| MICHAEL GOLDROSEN MD | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| PAT RICHTER | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| PAUL PEERCY PHD END 0912 | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| RICHARD LYNCH END 0612 | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| SUSAN TOTH MD END 0212 | ||||||||||
| BOARD MEMBER | 1.00 | 50.00 | X | 0 | 434473 | 34355 | ||||
| LYNNE MYERS END 0412 | ||||||||||
| COO/ASSISTANT SECRETARY | 2.00 | 43.00 | X | 0 | 504783 | 25189 | ||||
| LINDA HOFF | ||||||||||
| CFO/SECRETARY/TREASURER | 35.00 | 15.00 | X | 0 | 452934 | 37088 | ||||
| KEVIN BOREN | ||||||||||
| HSP CFO/ASSISTANT TREASURER | 35.00 | 15.00 | X | 0 | 292584 | 31272 | ||||
| GEOFFREY PRIEST MD | ||||||||||
| CHIEF MEDICAL OFFICER/ASSISTANT SECRETARY | 40.00 | 10.00 | X | 0 | 470743 | 52230 | ||||
| KERRA GUFFEY | ||||||||||
| CHIEF INFORMATION OFFICER | 45.00 | 5.00 | 0 | 373782 | 34027 | X | ||||
| TAMARA SAUNAITIS | ||||||||||
| CHIEF HUMAN RESOURCES OFFICER | 45.00 | 5.00 | 0 | 324330 | 27645 | X | ||||
| SUE ERICKSON | ||||||||||
| VP OF PROFESSIONAL SERVICES | 45.00 | 5.00 | 0 | 284663 | 45278 | X | ||||
| PATRICIA GRUNWALD | ||||||||||
| CHIEF NURSING OFFICER | 45.00 | 5.00 | 0 | 343688 | 47939 | X | ||||
| LOUIS S BRYSH | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | 274291 | 0 | 43306 | X | ||||
| WILLIAM J HERBERT | ||||||||||
| DIR PHARMACY & MTL SVCS | 50.00 | 0.00 | 200503 | 0 | 48585 | X | ||||
| DENISE M GOMEZ | ||||||||||
| DIR APPLICATIONS & HIM | 50.00 | 0.00 | 174617 | 0 | 14509 | X | ||||
| SHERRY L CASALI | ||||||||||
| DIR EMERGENCY SERVICES | 50.00 | 0.00 | 170351 | 0 | 37295 | X | ||||
| ROGER SLATTER END 1112 | ||||||||||
| CHIEF MED INFO OFFICER | 50.00 | 0.00 | 296813 | 0 | 16373 | X | ||||
| MARGO FRANCISCO | ||||||||||
| FORMER EXECUTIVE | 0.00 | 0.00 | 0 | 155538 | 564 | X | ||||
| ROBERT COATS | ||||||||||
| FORMER EXECUTIVE | 0.00 | 0.00 | 0 | 513991 | 0 | X | ||||
| BARBARA PINEKENSTEIN | ||||||||||
| FORMER EXECUTIVE | 0.00 | 0.00 | 0 | 144484 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1129075 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5337296 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 541615 | TotalOtherCompensation |
| Number Individuals GT100 K | 85 | 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 |
|---|---|---|---|---|---|
| JH FINDORFF AND SON INC | |||||
| 300 SOUTH BEDFORD STREET | MADISON | WI | 53703 | CONSTRUCTION | 9743092 |
| UNIVERSITY OF WISCONSIN HOSPITAL & CLINI | |||||
| 750 HIGHLAND AVENUE | MADISON | WI | 53792 | INTERNS, RESIDENTS, MED-FLIGHT,&TEACHING | 4391751 |
| UNIVERSITY OF WISCONSIN MEDICAL FOUNDATI | |||||
| 750 HIGHLAND AVENUE | MADISON | WI | 53792 | INTERNS AND RESIDENTS | 3218253 |
| SPM MARKETING COMMUNICATIONS | |||||
| 15 WEST HARRIS SUITE 300 | LA GRANGE | IL | 60525 | ADVERTISING AND MARKETING SERVICES | 2062582 |
| EPIC | |||||
| 1979 MILKY WAY LANE | VERONA | WI | 53593 | INFORMATION SYSTEMS | 2026874 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 73 | NumberOfContractorsGT100K |
| Related Organizations | 587378 | RelatedOrganizations |
| Total Contributions | 587378 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| PATIENT SERVICE REV. | 621400 | 369454627 | 369454627 | ||
| MNGT CONTRACT SERVICE | 621110 | 1825086 | 1825086 | ||
| CAFETERIA REVENUE | 722210 | 1053620 | 4023 | $1,049,597 | |
| CHILD CARE REVENUE | 624410 | 816483 | $816,483 | ||
| PARKING REVENUE | 722210 | 797322 | $797,322 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4574050 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3830550 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 123368 | UnrelatedBusinessRevenue |
| Exclusion | $620,132 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 378521188 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8710634 | TotalRevenueColumn |
| Unrelated Business Revenue | 3274 | UnrelatedBusinessRevenue |
| Exclusion | $8,707,360 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2699788 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2743248 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -43460 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -43460 | TotalRevenueColumn |
| Unrelated Business Revenue | 35634 | UnrelatedBusinessRevenue |
| Exclusion | -$79,094 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9625314 | Securities |
| Other | 97238 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9650124 | Securities |
| Other | 401979 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -24810 | Securities |
| Other | -304741 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -329551 | TotalRevenueColumn |
| Exclusion | -$329,551 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 433037 | GrossSalesOfInventory |
| Cost Of Goods Sold | 229679 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 203358 | TotalRevenueColumn |
| Exclusion | $203,358 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INCOME FROM UNCONSOLID | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 6070403 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6070403 | RelatedOrExemptFunctionIncome |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6410494 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6410494 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 12480897 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 400130444 | TotalRevenueColumn |
| Related Or Exempt Function Income | 387591160 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 166299 | UnrelatedBusinessRevenue |
| Exclusion | $11,785,607 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76904 | Total |
| Program Services | 76904 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40000 | Total |
| Program Services | 40000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12500 | Total |
| Management And General | 12500 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140953342 | Total |
| Program Services | 135526638 | ProgramServices |
| Management And General | 5426704 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6004994 | Total |
| Program Services | 5773802 | ProgramServices |
| Management And General | 231192 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24176001 | Total |
| Program Services | 23245225 | ProgramServices |
| Management And General | 930776 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10068692 | Total |
| Program Services | 9681047 | ProgramServices |
| Management And General | 387645 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15203708 | Total |
| Program Services | 244619 | ProgramServices |
| Management And General | 14959089 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 525387 | Total |
| Management And General | 525387 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18021613 | Total |
| Program Services | 17208511 | ProgramServices |
| Management And General | 813102 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 359595 | Total |
| Program Services | 340788 | ProgramServices |
| Management And General | 18807 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1410328 | Total |
| Program Services | 857188 | ProgramServices |
| Management And General | 553140 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11223300 | Total |
| Program Services | 10636321 | ProgramServices |
| Management And General | 586979 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 199084 | Total |
| Program Services | 188672 | ProgramServices |
| Management And General | 10412 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8717716 | Total |
| Management And General | 8717716 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 979999 | Total |
| Fundraising | 979999 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23080903 | Total |
| Program Services | 21873772 | ProgramServices |
| Management And General | 1207131 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 734917 | Total |
| Program Services | 696481 | ProgramServices |
| Management And General | 38436 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 49199871 | 46626718 | 2573153 |
| STATE REV ASSESSMENT | 11558515 | 11558515 | |
| EQUIPMENT RENTAL AND MA | 5499210 | 5211601 | 287609 |
| BAD DEBT EXPENSE | 3276265 | 3104916 | 171349 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20225889 | Total |
| Program Services | 18251053 | ProgramServices |
| Management And General | 1963436 | ManagementAndGeneral |
| Fundraising | 11400 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 351548733 | Total |
| Program Services | 311142771 | ProgramServices |
| Management And General | 39414563 | ManagementAndGeneral |
| Fundraising | 991399 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160196 | BOY |
| EOY | 153077 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32132295 | BOY |
| EOY | 47092142 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31548904 | BOY |
| EOY | 24740068 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89463830 | BOY |
| EOY | 121604435 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3387821 | BOY |
| EOY | 3491652 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3353641 | BOY |
| EOY | 3052438 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 502905009 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 288630989 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208253663 | BOY |
| EOY | 214274020 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200324078 | BOY |
| EOY | 231422874 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36555775 | BOY |
| EOY | 36344545 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 605180203 | BOY |
| EOY | 682175251 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38663872 | BOY |
| EOY | 41717353 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 21889 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213556070 | BOY |
| EOY | 226356749 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3581233 | BOY |
| EOY | 9641372 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41575199 | BOY |
| EOY | 36205009 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 297376374 | BOY |
| EOY | 313942372 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 301394600 | BOY |
| EOY | 362492778 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6106227 | BOY |
| EOY | 5437099 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 303002 | BOY |
| EOY | 303002 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 307803829 | BOY |
| EOY | 368232879 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 605180203 | BOY |
| EOY | 682175251 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 48581711 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 6180910 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 5666429 | 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) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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 | 9418769 | OtherCostOrOtherBasis |
| Book Value | 9418769 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 269950111 | OtherCostOrOtherBasis |
| Depreciation | 130161738 | Depreciation |
| Book Value | 139788373 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 633404 | OtherCostOrOtherBasis |
| Depreciation | 270995 | Depreciation |
| Book Value | 362409 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 206552005 | OtherCostOrOtherBasis |
| Depreciation | 158198256 | Depreciation |
| Book Value | 48353749 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16350720 | OtherCostOrOtherBasis |
| Book Value | 16350720 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 214274020 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM MERITER FOUNDATION, INC. | 6975223 |
| OTHER LONG TERM ASSETS | 3023195 |
| INVESTMENTS IN JOINT VENTURES | 25385731 |
| LOAN RECEIVABLE NET OF CURRENT | 960396 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 36344545 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RETIREMENT LIABILITY | $35,364,476 |
| INSURANCE RESERVES | $581,000 |
| ASSET RETIREMENT OBLIGATION | $259,533 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 36205009 | TotalOfAmounts |
| 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 | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 19831 | PersonsServed |
| Total Community Benefit Expense | 6837523 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6837523 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01960 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 25275 | PersonsServed |
| Total Community Benefit Expense | 58321237 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38553457 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19767780 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05680 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1074 | PersonsServed |
| Total Community Benefit Expense | 2474919 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2036490 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 438429 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 46180 | PersonsServed |
| Total Community Benefit Expense | 67633679 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 40589947 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 27043732 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07770 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 82 | NumberOfActivitiesOrPrograms |
| Persons Served | 17723 | PersonsServed |
| Total Community Benefit Expense | 829470 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8988 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 820482 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 54 | NumberOfActivitiesOrPrograms |
| Persons Served | 3403 | PersonsServed |
| Total Community Benefit Expense | 7791700 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1387385 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6404315 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01840 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 3067 | PersonsServed |
| Total Community Benefit Expense | 1703000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1703000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00490 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 122 | NumberOfActivitiesOrPrograms |
| Persons Served | 12681 | PersonsServed |
| Total Community Benefit Expense | 729168 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12125 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 717043 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 262 | NumberOfActivitiesOrPrograms |
| Persons Served | 36874 | PersonsServed |
| Total Community Benefit Expense | 11053338 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1408498 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9644840 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02780 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 262 | NumberOfActivitiesOrPrograms |
| Persons Served | 83054 | PersonsServed |
| Total Community Benefit Expense | 78687017 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 41998445 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 36688572 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10550 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 5535 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5535 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 3549 | PersonsServed |
| Total Community Building Expense | 15770 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15770 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1192 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1192 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 130 | PersonsServed |
| Total Community Building Expense | 5682 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5682 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 71 | PersonsServed |
| Total Community Building Expense | 34672 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 34672 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 27 | NumberOfActivitiesOrPrograms |
| Persons Served | 3750 | PersonsServed |
| Total Community Building Expense | 62851 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 62851 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $741,613 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 73354354 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 75896131 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2541777 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERITER HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 202 S PARK STREET | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 53715 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERITER HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 500.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 7 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (7 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| MAX W POHL DENTAL CLINIC | ||||
| 202 S PARK ST | MADISON | WI | 53715 | DENTAL SERVICES |
| MERITER REHABILITATION MEDICINE | ||||
| 202 S PARK ST | MADISON | WI | 53715 | REHABILITATION SERVICES |
| WOMAN CARE CLINIC | ||||
| 20 S PARK ST | MADISON | WI | 53715 | GYNECOLOGICAL SERVICES |
| CHILD & ADOLESCENT PSYCHIATRY | ||||
| 8001 RAYMOND ROAD | MADISON | WI | 53719 | INPATIENT PSYCHIATRY SERVICES |
| MERITER NEWSTART | ||||
| 1015 GAMMON LANE | MADISON | WI | 53719 | SUBSTANCE ABUSE TREATMENT PROGRAM |
| MERITER WELLNESS CENTER | ||||
| 2501 W BELTLINE HIGHWAY SUITE 207 | MADISON | WI | 53713 | CARDIOVASCULAR AND PULMONARY REHABILITATION AND NUTRITION |
| CENTER FOR PERINATAL CARE | ||||
| 202 S PARK ST | MADISON | WI | 53715 | PREGNANCY CARE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | IdentifierIdentifier | Return 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 NETWORK | MERITER 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.COM | MERITER 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. | ||
| WI | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERITER FOUNDATION INC | BusinessNameLine1 |
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) |
|---|---|---|
| EIN Of Recipient | 237098688 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 48886 | AmountOfCashGrant |
| Purpose Of Grant | HOSPITAL PROGRAMS | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | HOSPITAL SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 20 | NumberOfRecipients |
| Amount Of Cash Grant | 40000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES WOODWARD | ||||||||||||||
| CEO/PRESIDENT | 0 | 596623 | 0 | 161675 | 0 | 55923 | 0 | 16842 | 0 | 24324 | 0 | 855387 | 0 | 161675 |
| CATE RANHEIM MD START 0312 | ||||||||||||||
| BOARD MEMBER | 0 | 208639 | 0 | 3000 | 0 | 2943 | 0 | 3072 | 0 | 1722 | 0 | 219376 | 0 | 0 |
| SUSAN TOTH MD END 0212 | ||||||||||||||
| BOARD MEMBER | 0 | 433742 | 0 | 0 | 0 | 731 | 0 | 2895 | 0 | 31460 | 0 | 468828 | 0 | 0 |
| LYNNE MYERS END 0412 | ||||||||||||||
| COO/ASSISTANT SECRETARY | 0 | 214525 | 0 | 131742 | 0 | 158516 | 0 | 16128 | 0 | 9061 | 0 | 529972 | 0 | 89078 |
| LINDA HOFF | ||||||||||||||
| CFO/SECRETARY/TREASURER | 0 | 335123 | 0 | 72923 | 0 | 44888 | 0 | 25762 | 0 | 11326 | 0 | 490022 | 0 | 0 |
| KEVIN BOREN | ||||||||||||||
| HSP CFO/ASSISTANT TREASURER | 0 | 207886 | 0 | 67478 | 0 | 17220 | 0 | 14173 | 0 | 17099 | 0 | 323856 | 0 | 0 |
| GEOFFREY PRIEST MD | ||||||||||||||
| CHIEF MEDICAL OFFICER/ASSISTANT SECR | 0 | 329342 | 0 | 110022 | 0 | 31379 | 0 | 23941 | 0 | 28289 | 0 | 522973 | 0 | 0 |
| KERRA GUFFEY | ||||||||||||||
| CHIEF INFORMATION OFFICER | 0 | 267183 | 0 | 78889 | 0 | 27710 | 0 | 16611 | 0 | 17416 | 0 | 407809 | 0 | 0 |
| TAMARA SAUNAITIS | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | 0 | 262676 | 0 | 58500 | 0 | 3154 | 0 | 8906 | 0 | 18739 | 0 | 351975 | 0 | 0 |
| SUE ERICKSON | ||||||||||||||
| VP OF PROFESSIONAL SERVICES | 0 | 207319 | 0 | 54213 | 0 | 23131 | 0 | 29225 | 0 | 16053 | 0 | 329941 | 0 | 0 |
| PATRICIA GRUNWALD | ||||||||||||||
| CHIEF NURSING OFFICER | 0 | 240984 | 0 | 72154 | 0 | 30550 | 0 | 31644 | 0 | 16295 | 0 | 391627 | 0 | 0 |
| LOUIS S BRYSH | ||||||||||||||
| PHYSICIAN | 198015 | 0 | 48501 | 0 | 27775 | 0 | 24054 | 0 | 19252 | 0 | 317597 | 0 | 0 | 0 |
| WILLIAM J HERBERT | ||||||||||||||
| DIR PHARMACY & MTL SVCS | 168516 | 0 | 31348 | 0 | 639 | 0 | 31498 | 0 | 17087 | 0 | 249088 | 0 | 0 | 0 |
| DENISE M GOMEZ | ||||||||||||||
| DIR APPLICATIONS & HIM | 148578 | 0 | 25870 | 0 | 169 | 0 | 13304 | 0 | 1205 | 0 | 189126 | 0 | 0 | 0 |
| SHERRY L CASALI | ||||||||||||||
| DIR EMERGENCY SERVICES | 144435 | 0 | 25663 | 0 | 253 | 0 | 22020 | 0 | 15275 | 0 | 207646 | 0 | 0 | 0 |
| ROGER SLATTER END 1112 | ||||||||||||||
| CHIEF MED INFO OFFICER | 221299 | 0 | 51910 | 0 | 23604 | 0 | 14835 | 0 | 1538 | 0 | 313186 | 0 | 0 | 0 |
| MARGO FRANCISCO | ||||||||||||||
| FORMER EXECUTIVE | 0 | 0 | 0 | 27888 | 0 | 127650 | 0 | 564 | 0 | 0 | 0 | 156102 | 0 | 0 |
| ROBERT COATS | ||||||||||||||
| FORMER EXECUTIVE | 0 | 0 | 0 | 424778 | 0 | 89213 | 0 | 0 | 0 | 0 | 0 | 513991 | 0 | 424778 |
| BARBARA PINEKENSTEIN | ||||||||||||||
| FORMER EXECUTIVE | 0 | 0 | 0 | 127773 | 0 | 16711 | 0 | 0 | 0 | 0 | 0 | 144484 | 0 | 127773 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL INFORMATION | PART III | PART I, LINE 4A: SEVERANCE PAYMENTS: LYNNE MYERS - $89,708 MARGO FRANCISCO - $127,650 |
| SUPPLEMENTAL INFORMATION | PART III | PART I, LINE 4B: SELECT INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, NO PAYMENTS FROM THIS PLAN WERE RECEIVED IN 2012. |
| SUPPLEMENTAL INFORMATION | PART III | PART 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 ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| WISC HEALTH & EDUCATIONAL FACILITIES 2008C | ||||||||
| A | 391337855 | 97710BBK7 | 2008-05-21 | 34940000 | CURRENT REFUNDING OF 2006 SERIES C | 0 | 0 | 0 |
| WISC HEALTH & EDUCATIONAL FACILITIES 2009 | ||||||||
| B | 391337855 | 97710BKL5 | 2009-07-28 | 50000000 | CONSTRUCT & EQUIP HOSPITAL FACILITIES | 0 | 0 | 0 |
| WISC HEALTH & EDUCATIONAL FACILITIES 2011 | ||||||||
| C | 391337855 | 97710BG71 | 2011-06-08 | 40000000 | CONSTRUCT & EQUIP HOSPITAL FACILITIES | 0 | 0 | 0 |
| WISC HEALTH & EDUCATIONAL FACILITIES 2012A | ||||||||
| D | 391337855 | 2012-08-09 | 19250000 | REFUNDING 2008A REVENUE BOND | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capitalized InterestCapitalizedInterest |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 34940000 | 34940000 | 2009 | 1 | 0 | 1 | 1 | |||
| B | 50000000 | 44898623 | 2009 | 0 | 0 | 1 | 1 | 3649677 | 1627314 | |
| C | 39633991 | 39083279 | 2011 | 0 | 0 | 0 | 1 | 556800 | 6088 | |
| D | 19250000 | 2009 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| D | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NA | |||||||||||||
| A | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | NA | 0 | 0 | 0 |
| NA | |||||||||||||
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | NA | 0 | 0 | 0 |
| NA | |||||||||||||
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | NA | 0 | 0 | 0 |
| PIPER JAFFREY | |||||||||||||
| D | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | NA | 0 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| WISC HEALTH & EDUCATIONAL FACILITIES 2012B | |||||||
| A | 391337855 | 2012-08-09 | 25950000 | REFUNDING 2008B REVENUE BOND | 0 | 0 | 0 |
| WISC HEALTH & EDUCATIONAL FACILITIES 2012C | |||||||
| B | 391337855 | 2012-08-09 | 20000000 | CONSTRUCT & EQUIP HOSPITAL FACILITIES | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capitalized InterestCapitalizedInterest | Capital ExpendituresCapitalExpenditures | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|
| A | 25950000 | 2009 | 1 | 0 | 1 | 1 | |||
| B | 20000000 | 0 | 0 | 0 | 1 | 6744 | 6729385 | 13277359 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PIPER JAFFREY | |||||||||||||
| A | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | NA | 0 | 0 | 0 |
| NA | |||||||||||||
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | NA | 0 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| RICHARD LYNCH | |||
| BOARD MEMBER | 9743092 | CONSTRUCTION | 0 |
| DANIEL RASHKE | |||
| BOARD MEMBER | 50000 | SERVICES PERFORMED BY TASC | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | IN 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 2 | DAVE BOYER, GEORGE KAMPERSCHROER, LONDA DEWEY AND DANIEL RASHKE HAVE A BUSINESS RELATIONSHIP. | |
| FORM 990, PART VI, SECTION A, LINE 6 | MERITER HEALTH SERVICES, INC. (MHS) IS THE SOLE VOTING MEMBER OF MERITER HOSPITAL, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | MERITER 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 7B | THE 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 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 | THE 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 15 | THE 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 18 | BECAUSE 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 19 | 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 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/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| MERITER HEALTH SERVICES INC | ||||||||||
| 202 SOUTH PARK STREET | MADISON | WI | 537151596 | 391412318 | PARENT OF MERITER ENTITIES - SUPPORT NONPROFIT SUBSIDIARIES | WI | 501(C)(3) | LINE 11B, II | MERITER HOSPITAL INC | 1 |
| MERITER FOUNDATION INC | ||||||||||
| 202 SOUTH PARK STREET | MADISON | WI | 537151596 | 237098688 | CHARITABLE SUPPORT FOR HEALTH CARE NEEDS | WI | 501(C)(3) | LINE 7 | MERITER HEALTH SERVICES INC | 0 |
| MERITER MEDICAL GROUP INC | ||||||||||
| 202 SOUTH PARK STREET | MADISON | WI | 537151596 | 050545222 | CLINICAL SUPPORT OF MERITER HOSPITAL, INC. | WI | 501(C)(3) | LINE 11B, II | MERITER HOSPITAL INC | 1 |
| SHARED MAGNETIC RESONANCE IMAGING FACILITY INC | ||||||||||
| 1104 JOHN NOLEN DRIVE | MADISON | WI | 53713 | 391534744 | MEDICAL TECHNOLOGY | WI | 501(C)(3) | LINE 11A, I | MERITER HOSPITAL INC | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERITER UWMF PHYSICIAN CONTRACTING LLC | BusinessNameLine1 |
Address US AddressUS
| 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) |
|---|---|---|
| EIN | 391998819 | EIN |
| Primary Activity | HEALTH CARE CONTRACTING SERVICES | PrimaryActivity |
| Legal Domicile State | WI | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MERITER HEALTH ENTERPRISES INC | |||||||||||||
| 202 SOUTH PARK STREET | MADISON | WI | 537151596 | 391293620 | HOME HEALTH AND MEDICAL LAB | WI | N/A | C | 0 | ||||
| HCP CORPORATION | |||||||||||||
| 202 SOUTH PARK STREET | MADISON | WI | 537151596 | 391177562 | REAL ESTATE MANAGEMENT | WI | C | 1 | MERITER HOSPITAL INC | 48719 | 719391 | 1.00000 | |
| MERITER MANAGEMENT SERVICES INC | |||||||||||||
| 202 SOUTH PARK STREET | MADISON | WI | 537151596 | 391458235 | MANAGEMENT COMPANY | WI | N/A | C | 0 | ||||
| PHYSICIANS PLUS INSURANCE INC | |||||||||||||
| 22 EAST MIFFLIN STREET | MADISON | WI | 53701 | 391565691 | CENTRALIZED MANAGEMENT SERVICES | WI | N/A | C | 0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | 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 | 1 | 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 | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MERITER MANAGEMENT SERVICES INC | ||
| A | 83408 | FAIR VALUE |
| MERITER FOUNDATION INC | ||
| C | 587378 | COST |
| MERITER MANAGEMENT SERVICES INC | ||
| D | 1244074 | COST |
| MERITER MEDICAL GROUP INC | ||
| D | 102815449 | COST |
| MERITER HEALTH ENTERPRISES INC | ||
| J | 1327979 | FAIR VALUE |
| MERITER MANAGEMENT SERVICES INC | ||
| J | 613044 | FAIR VALUE |
| MERITER FOUNDATION INC | ||
| J | 78372 | FAIR VALUE |
| MERITER FOUNDATION INC | ||
| M | 979999 | FAIR VALUE |
| MERITER HEALTH ENTERPRISES INC | ||
| M | 10607587 | FAIR VALUE |
| MERITER HEALTH SERVICES INC | ||
| M | 897794 | FAIR VALUE |
| MERITER MANAGEMENT SERVICES INC | ||
| M | 13719993 | FAIR VALUE |
| MERITER MEDICAL GROUP INC | ||
| M | 1347739 | FAIR VALUE |
| MERITER MEDICAL GROUP INC | ||
| L | 87403 | FAIR VALUE |
| PHYSICIANS PLUS INSURANCE INC | ||
| P | 62000 | FAIR VALUE |
| MERITER HEALTH ENTERPRISES INC | ||
| L | 1840718 | FAIR VALUE |
| MERITER FOUNDATION INC | ||
| S | 1419915 | FAIR VALUE |
Comments