SHARED MAGNETIC RESONANCE IMAGING FACILITY INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SHARED MAGNETIC RESONANCE IMAGING FACILITY INC (EIN 39-1534744)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-06-28
IRS object ID: 201111799349300741
Schema version: 2010v3.2
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 D
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-06-28T16:34:24-04:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Grant Thornton LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	100 E Wisconsin Ave	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	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	391534744	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Shared Magnetic Resonance Imaging	BusinessNameLine1
Business Name Line2	Facility Inc	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	SHAR	NameControl
Phone	6082594376	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1104 John Nolen Drive	AddressLine1
City	Madison	City
State	WI	State
ZIP Code	53713	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	CHARLES JOHNSON III	Name
Title	SECRETARY/TREASURER	Title
Date Signed	2011-06-17	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	4142898200	Phone
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	TURVILLE BAY MRI	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	BARBARA THIERMANN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1104 JOHN NOLEN DRIVE	AddressLine1
City	MADISON	City
State	WI	State
ZIP Code	53713	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	16930263	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.turvillebay.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1986	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	TO OPERATE AND MAINTAIN A FACILITY FOR THE PERFORMANCE OF MAGNETIC RESONANCE IMAGING AND RADIATION THERAPY PROCEDURES, AND TO PROVIDE ADVANCED MEDICAL TECHNOLOGY FOR ITS PATIENTS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	1	NbrIndependentVotingMembers
Total Nbr Employees	71	TotalNbrEmployees
Total Nbr Volunteers	5	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	14764215	ProgramServiceRevenuePriorYear
Program Service Revenue CY	16770253	ProgramServiceRevenueCY
Investment Income Prior Year	128566	InvestmentIncomePriorYear
Investment Income Current Year	93799	InvestmentIncomeCurrentYear
Other Revenue Prior Year	79885	OtherRevenuePriorYear
Other Revenue Current Year	59683	OtherRevenueCurrentYear
Total Revenue Prior Year	14972666	TotalRevenuePriorYear
Total Revenue Current Year	16923735	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	4500000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2000000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	6245366	SalariesEtcPriorYear
Salaries Etc Current Year	6417283	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	5691341	OtherExpensePriorYear
Other Expenses Current Year	5578854	OtherExpensesCurrentYear
Total Expenses Prior Year	16436707	TotalExpensesPriorYear
Total Expenses Current Year	13996137	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-1464041	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	2927598	RevenuesLessExpensesCY
Total Assets BOY	16511536	TotalAssetsBOY
Total Assets EOY	19574928	TotalAssetsEOY
Total Liabilities BOY	855169	TotalLiabilitiesBOY
Total Liabilities EOY	990963	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	15656367	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	18583965	NetAssetsOrFundBalancesEOY
Mission Description	TO OPERATE AND MAINTAIN A FACILITY FOR THE PERFORMANCE OF MAGNETIC RESONANCE IMAGING AND RADIATION THERAPY PROCEDURES, AND TO PROVIDE ADVANCED MEDICAL TECHNOLOGY FOR ITS PATIENTS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	5749326	Expense
Grants	1000000	Grants
Revenue	8240236	Revenue
Description	RADIATION ONCOLOGY SERVICES: TURVILLE BAY RADIATION ONCOLOGY CENTER PROVIDES RADIATION THERAPY TREATMENT SERVICES. THE CENTER PERFORMED 10,362 TREATMENTS IN 2010.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	4289340	Expense
Grants	1000000	Grants
Revenue	8530017	Revenue
Description	MRI SERVICES: TURVILLE BAY MRI CENTER PROVIDES DIAGNOSTIC EXAMINATIONS USING MAGNETIC RESONANCE IMAGING. THE CENTER PERFORMED 9,295 SCANS IN 2010.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	10038666	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	22	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	71	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Excess Business Holdings	false	ExcessBusinessHoldings
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	1	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SARAH FAUST	NamePerson
Telephone Number	6082594376	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1104 JOHN NOLEN DRIVE	AddressLine1
City	MADISON	City
State	WI	State
ZIP Code	53713	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
DAVID CHILDERS
PRESIDENT	2.0	X	X	0	138211	17540
MARILYN BIROS
VICE PRESIDENT	2.0	X	X	0	277670	62032
CHARLES JOHNSON III
SECRETARY/TREASURER	2.0	X	X	0	411911	60554
RICHARD BAKER MD
BOARD MEMBER	2.0	X		0	0	0
TIMOTHY RIDDLE
BOARD MEMBER (JANUARY)	2.0	X		0	166093	1968
KEVIN BOREN
BOARD MEMBER (JULY-DEC)	2.0	X		0	129637	5308
BARBARA THIERMANN
EXECUTIVE DIRECTOR	40.0		X	112511	0	26060
SARAH FAUST
CONTROLLER	40.0		X	102262	0	15210
MICHAEL ZINDA MD
MEDICAL DIRECTOR	36.0			548613	0	61052	X
MING TENG MD
RADIATION ONCOLOGIST	36.0			480536	0	55934		X
GLENN APPLEGATE MD
radiation oncologist	36.0			481952	0	44267		X
FRANK GOODIN
PHYSICIST	40.0			181686	0	33446		X
SEAN FRIGO
physicist (JAN-AUG)	40.0			113922	0	6889		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2021482	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1123522	TotalReportableCompFrmRltdOrgs
Total Other Compensation	390260	TotalOtherCompensation
Number Individuals GT100 K	7	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Field	Value	IRS element (for citing)
Name Person	ADAMS OUTDOOR ADVERTISING	NamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 60451	AddressLine1
City	CHARLOTTE	City
State	NC	State
ZIP Code	28260	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	BILLBOARD ADVERTSING	DescriptionOfServices
Compensation	193665	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MRI REVENUE	621500	8530017	8530017
RADIATION ONCOLOGY REVENUE	621500	8240236	8240236

Field	Value	IRS element (for citing)
Total Program Service Revenue	16770253	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	54667	TotalRevenueColumn
Exclusion	$54,667	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	45660	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	6528	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	39132	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	39132	TotalRevenueColumn
Exclusion	$39,132	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ST. CLARE HOSPITAL	621300	33120	33120
STANDARD IMAGING	621500	10338	10338
MEDICAL RECORDS	561000	6381	6381

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	9844	TotalRevenueColumn
Related Or Exempt Function Income	694	RelatedOrExemptFunctionIncome
Exclusion	$9,150	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	59683	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	16923735	TotalRevenueColumn
Related Or Exempt Function Income	16820786	RelatedOrExemptFunctionIncome
Exclusion	$102,949	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2000000	Total
Program Services	2000000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	865708	Total
Program Services	609665	ProgramServices
Management And General	256043	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4185399	Total
Program Services	3165852	ProgramServices
Management And General	1019547	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	184392	Total
Program Services	136618	ProgramServices
Management And General	47774	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	879429	Total
Program Services	506271	ProgramServices
Management And General	373158	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	302355	Total
Program Services	207370	ProgramServices
Management And General	94985	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	4619	Total
Management And General	4619	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	41829	Total
Management And General	41829	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	45344	Total
Program Services	25097	ProgramServices
Management And General	20247	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	323531	Total
Management And General	323531	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	216635	Total
Management And General	216635	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	269142	Total
Management And General	269142	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	190000	Total
Program Services	190000	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	27035	Total
Program Services	6440	ProgramServices
Management And General	20595	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	36907	Total
Program Services	16288	ProgramServices
Management And General	20619	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1716397	Total
Program Services	1293337	ProgramServices
Management And General	423060	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	76767	Total
Program Services	29289	ProgramServices
Management And General	47478	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MAINTENANCE CONTRACTS	956602	956602
BAD DEBT EXPENSE	459476	459476
DRUGS	235433	235433
TRANSCRIPTION	152958		152958
UTILITIES & WASTE DISPOSAL	144933		144933

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	681246	Total
Program Services	200928	ProgramServices
Management And General	480318	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	13996137	Total
Program Services	10038666	ProgramServices
Management And General	3957471	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	4136435	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	6033147	BOY
EOY	5006554	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1571405	BOY
EOY	2199919	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	482534	BOY
EOY	505095	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	27449469	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	20028119	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	8049138	BOY
EOY	7421350	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	375312	BOY
EOY	305575	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	16511536	BOY
EOY	19574928	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	855169	BOY
EOY	990963	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	855169	BOY
EOY	990963	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	15656367	BOY
EOY	18583965	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	15656367	BOY
EOY	18583965	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	16511536	BOY
EOY	19574928	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	2927598	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	X	SupportingOrganization509a3
Supporting Org509a3 Type1	X	SupportingOrg509a3Type1
Certification Checkbox	X	CertificationCheckbox
Contrib By Controlling Individual	false	ContribByControllingIndividual
Contribution By Related Party	false	ContributionByRelatedParty
Contrib By35 Controlled Entity	false	ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEIN	Type Of OrganizationTypeOfOrganization	Listed In Governing DocListedInGoverningDoc	AmountAmount
MERITER HOSPITAL INC
390806367	03	true	$1,000,000
SSM HEALTHCARE OF WISCONSIN
430688874	03	true	$1,000,000

Field	Value	IRS element (for citing)
Total Number Of Supported Orgs	2	TotalNumberOfSupportedOrgs
Sum Of Amounts	2000000	SumOfAmounts

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	475509	OtherCostOrOtherBasis
Book Value	475509	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7616588	OtherCostOrOtherBasis
Depreciation	3041344	Depreciation
Book Value	4575244	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	797712	OtherCostOrOtherBasis
Depreciation	579998	Depreciation
Book Value	217714	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18531633	OtherCostOrOtherBasis
Depreciation	16385000	Depreciation
Book Value	2146633	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	28027	OtherCostOrOtherBasis
Depreciation	21777	Depreciation
Book Value	6250	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	7421350	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability
Total Of Amounts	0	TotalOfAmounts
Total Revenue	16923735	TotalRevenue
Total Expenses	13996137	TotalExpenses
Excess Or Deficit For Year	2927598	ExcessOrDeficitForYear
Excess Or Deficit Per FS	2927598	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	16923735	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	16923735	RevenueSubtotal
Total Revenue Per Form990	16923735	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	13996137	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	13996137	ExpensesSubtotal
Total Expenses Per Form990	13996137	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740-10	Identifier
Return Reference	SCHEDULE D, PART X, QUESTION 2	ReturnReference
Explanation	THE COMPANY ADOPTED THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION TOPIC 740-10-25-6 ("ASC 740-10"), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AS OF JANUARY 1, 2009, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, INCLUDING ISSUES RELATING TO FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT. UNDER ASC 740-10, THE COMPANY RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION FOLLOWING AN AUDIT. THE ASSESSMENT OF THE POSITION IS BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION, WITHOUT REGARD TO THE LIKELIHOOD THAT THE TAX POSITION MAY BE CHALLENGED. THE COMPANY IS EXEMPT FROM INCOME TAX, THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSES, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE INTERNAL REVENUE CODE. THE COMPANY HAS NOT HISTORICALLY FILED A FEDERAL OR STATE INCOME TAX RETURN; THUS, ALL TAX YEARS ARE STILL OPEN TO AUDIT FOR BOTH FEDERAL AND STATE PURPOSES. THE ADOPTION OF THIS GUIDANCE DID NOT HAVE ANY IMPACT ON THE COMPANY'S FINANCIAL STATEMENTS. IF APPLICABLE, THE COMPANY RECOGNIZES INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN THE PROVISION FOR INCOME TAXES. THERE WERE NO INTEREST OR PENALTIES RELATED TO INCOME TAXES THAT HAVE BEEN ACCRUED OR RECOGNIZED AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2010 AND 2009.	Explanation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
MERITER HOSPITAL INC
202 S PARK ST	MADISON	WI	53715	390806367	501(c)(3)	1000000	GENERAL OPERATIONAL SUPPORT
SSM HEALTHCARE OF WISCONSIN
707 S MILLS ST	MADISON	WI	53715	430688874	501(C)(3)	1000000	GENERAL OPERATIONAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCESS FOR MONITORING USE OF GRANT FUNDS	Identifier
Return Reference	SCHEDULE I, PART I, QUESTION 2	ReturnReference
Explanation	DISTRIBUTIONS ARE MADE IN EQUAL INSTALLMENTS TO MERITER HOSPITAL AND ST. MARY'S HOSPITAL (SSM HEALTHCARE OF WISCONSIN) AT THE DISCRETION AND BY VOTE OF THE BOARD OF DIRECTORS. THE ORGANIZATION DOES NOT MONITOR THE USE OF FUNDS GRANTED TO THE GRANT RECIPIENTS LISTED IN PART II.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	true	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

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
DAVID CHILDERS
0	120698	0	17421	0	92	0	8638	0	8902	0	155751	0	0
MARILYN BIROS
0	267079	0	1000	0	9591	0	41751	0	20281	0	339702	0	0
CHARLES JOHNSON III
0	400456	0	1060	0	10395	0	42175	0	18379	0	472465	0	0
TIMOTHY RIDDLE
0	8053	0	20257	0	137783	0	466	0	1502	0	168061	0	0
MICHAEL ZINDA MD
484781	0	63832	0	0	0	38460	0	22592	0	609665	0	0	0
MING TENG MD
416653	0	63832	0	51	0	38460	0	17474	0	536470	0	0	0
GLENN APPLEGATE MD
418120	0	63832	0	0	0	38460	0	5807	0	526219	0	0	0
FRANK GOODIN
181686	0	0	0	0	0	11119	0	22327	0	215132	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
GROSS-UP PAYMENTS MADE TO EMPLOYEES	SCHEDULE J, PART I, QUESTION 1A	EMPLOYEES RECEIVE A PAYMENT FOR 5, 10, 15, AND 20 YEARS OF SERVICE. THE PAYMENTS ARE $50 PER 5 YEARS OF SERVICE AND ARE GROSSED UP SO THE NET PAY IS EITHER $50, $100, $150, OR $200. BARBARA THIERMANN REACHED 15 YEARS AND THUS RECEIVED $150 NET ($162.42 GROSS) DURING 2010 AND MING TENG, MD REACHED 5 YEARS AND RECEIVED $50 NET ($50.73 GROSS).
SEVERANCE PAYMENT	SCHEDULE J, PART I, QUESTION 4A	TIMOTHY RIDDLE RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $135,201 FROM MERITER HOSPITAL, INC., A RELATED ORGANIZATION.
COMPENSATION CONTINGENT ON THE REVENUES OF THE ORGANIZATION	SCHEDULE J, PART I, QUESTION 5A	NO COMPENSATION IS PAID OR ACCRUED BASED ON ACTUAL REVENUE AMOUNTS. THE PHYSICIANS RECEIVE A BONUS WHICH IS BASED ON VOLUME (wrvus) WHICH IS INDIRECTLY RELATED TO REVENUE IN THAT THE MORE PATIENTS, TREATMENTS, ETC. THERE ARE, THE MORE WRVUS THERE ARE AND THEREFORE, THE MORE REVENUE THERE IS. THERE IS NO CALCULATION TO DETERMINE THE BoNUS WHICH USES THE REVENUE MONEY AMOUNT.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROCESS USED TO REVIEW FORM 990	PART VI, SECTION B, QUESTION 11	AFTER THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S ACCOUNTING FIRM, AND PRIOR TO FILING THE FORM 990, THE CONTROLLER PERFORMED AN IN-DEPTH REVIEW; AND THEN THE EXECUTIVE DIRECTOR AND MEDICAL DIRECTOR PERFORMED A CURSORY REVIEW, FOLLOWED BY A HIGH-LEVEL REVIEW PERFORMED BY ALL MEMBERS OF THE BOARD OF DIRECTORS. BOARD MEMBERS, THE EXECUTIVE DIRECTOR, AND MEDICAL DIRECTOR BROUGHT QUESTIONS OR CHANGES TO THE ATTENTION OF THE CONTROLLER, AS APPLICABLE. THE CONTROLLER COMMUNICATED THESE CHANGES TO THE PREPARING ACCOUNTING FIRM, GRANT THORNTON LLP. THE ORGANIZATION'S CONTROLLER WAS PROVIDED A COPY OF THE RETURN BY EMAIL BY THE ORGANIZATION'S TAX PREPARER. THE CONTROLLER REVIEWED THE FINAL COPY OF FORM 990 TO ENSURE THAT ALL CHANGES HAD BEEN MADE. FINALLY, THE ORGANIZATION E-FILED THE RETURN PROVIDED BY THE ORGANIZATION'S TAX PREPARER WITH THE INTERNAL REVENUE SERVICE.
ORGANIZATION'S PRACTICES FOR MONITORING CONFLICTS OF INTEREST	PART VI, SECTION B, QUESTION 12C	THE ORGANIZATION REQUIRES COMPLIANCE TRAINING AND EDUCATION INITIALLY ON HIRE AND ANNUALLY THEREAFTER. ALL EMPLOYEES, OFFICERS, AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. DETERMINATIONS ABOUT WHETHER A CONFLICT OF INTEREST EXISTS ARE MADE BY THE ORGANIZATION'S BOARD OF DIRECTORS UPON REVIEW BY MANAGEMENT. PERSONS FOUND TO HAVE A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION OR MATTER UNDER CONSIDERATION.
PROCESS FOR DETERMINING/REVIEWING/APPROVING COMPENSATION	PART VI, SECTION B, QUESTIONS 15A & B	THE BOARD OF DIRECTORS DETERMINES COMPENSATION FOR THE EXECUTIVE DIRECTOR, MEDICAL DIRECTOR, AND OTHER PHYSICIANS WITH INPUT FROM THE HUMAN RESOURCES MANAGER AND AN OUTSIDE CONSULTANT. THE PROCESS FOR DETERMINING, REVIEWING, AND APPROVING COMPENSATION OF THE EXECUTIVE DIRECTOR IS CONDUCTED ANNUALLY. WITH RESPECT TO PHYSICIANS, THE PROCESS DESCRIBED ABOVE IS CONDUCTED EVERY THREE YEARS DURING THE PHYSICIAN CONTRACT RENEWAL PROCESS.
PROCESS FOR MAKING GOVERNING DOCUMENTS, ETC. AVAILABLE FOR PUBLIC INSPECT.	PART VI, SECTION C, QUESTION 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
ESTIMATED AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS	FORM 990, PART VII, LINE 1A	MARILYN BIROS, DAVID CHILDERS, CHARLIE JOHNSON III, KEVIN BOREN, AND TIMOTHY RIDDLE WERE EMPLOYED BY RELATED ORGANIZATIONS DURING TAX YEAR 2010. EACH OF THESE PERSONS PROVIDE BETWEEN 40-50 HOURS OF SERVICE PER WEEK TO THESE RELATED ORGANIZATIONS. THE REMAINING PERSONS LISTED IN FORM 990, PART VII, SECTION A DO NOT DEVOTE ANY OF THEIR TIME TO THE ACTIVITIES OF RELATED ORGANIZATIONS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 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
SSM HEALTHCARE OF WISCONSIN
700 S PARK STREET	MADISON	WI	53715	430688874	HOSPITAL	MO	501 (C)(3)	3	NA
MERITER HOSPITAL INC
202 S PARK STREET	MADISON	WI	53715	390806367	HOSPITAL	WI	501 (C)(3)	3	NA

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg