2011-06-28T16:34:24-04:00 2010-12-31 Grant Thornton LLP 100 E Wisconsin Ave Milwaukee WI 53202 990 2010-01-01 391534744 Shared Magnetic Resonance Imaging Facility Inc SHAR 6082594376 1104 John Nolen Drive Madison WI 53713 CHARLES JOHNSON III 2011-06-17 4142898200 X 2010 2016-02-24 21:20:13Z TURVILLE BAY MRI BARBARA THIERMANN 1104 JOHN NOLEN DRIVE MADISON WI 53713 16930263 false X www.turvillebay.com X 1986 WI TO OPERATE AND MAINTAIN A FACILITY FOR THE PERFORMANCE OF MAGNETIC RESONANCE IMAGING AND RADIATION THERAPY PROCEDURES, AND TO PROVIDE ADVANCED MEDICAL TECHNOLOGY FOR ITS PATIENTS. 5 1 71 5 0 0 0 0 14764215 16770253 128566 93799 79885 59683 14972666 16923735 4500000 2000000 0 0 6245366 6417283 0 0 0 5691341 5578854 16436707 13996137 -1464041 2927598 16511536 19574928 855169 990963 15656367 18583965 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. false false 5749326 1000000 8240236 RADIATION ONCOLOGY SERVICES: TURVILLE BAY RADIATION ONCOLOGY CENTER PROVIDES RADIATION THERAPY TREATMENT SERVICES. THE CENTER PERFORMED 10,362 TREATMENTS IN 2010. 4289340 1000000 8530017 MRI SERVICES: TURVILLE BAY MRI CENTER PROVIDES DIAGNOSTIC EXAMINATIONS USING MAGNETIC RESONANCE IMAGING. THE CENTER PERFORMED 9,295 SCANS IN 2010. 10038666 true false false false false false false false false true false false false false true true false false false false false false false false false false true false true false false false false false false false false false false false false false true false false false false true 22 0 71 true false false false false false false false false false false false X 5 1 false false false false false false false true true false false true true true true true true true true false X SARAH FAUST 6082594376 1104 JOHN NOLEN DRIVE MADISON WI 53713 X DAVID CHILDERS 2.0 X X 0 138211 17540 MARILYN BIROS 2.0 X X 0 277670 62032 CHARLES JOHNSON III 2.0 X X 0 411911 60554 RICHARD BAKER MD 2.0 X 0 0 0 TIMOTHY RIDDLE 2.0 X 0 166093 1968 KEVIN BOREN 2.0 X 0 129637 5308 BARBARA THIERMANN 40.0 X 112511 0 26060 SARAH FAUST 40.0 X 102262 0 15210 MICHAEL ZINDA MD 36.0 X 548613 0 61052 MING TENG MD 36.0 X 480536 0 55934 GLENN APPLEGATE MD 36.0 X 481952 0 44267 FRANK GOODIN 40.0 X 181686 0 33446 SEAN FRIGO 40.0 X 113922 0 6889 2021482 1123522 390260 7 false true false ADAMS OUTDOOR ADVERTISING PO BOX 60451 CHARLOTTE NC 28260 BILLBOARD ADVERTSING 193665 1 0 MRI REVENUE 621500 8530017 8530017 RADIATION ONCOLOGY REVENUE 621500 8240236 8240236 16770253 54667 54667 0 0 45660 6528 39132 39132 39132 0 0 0 ST. CLARE HOSPITAL 621300 33120 33120 STANDARD IMAGING 621500 10338 10338 MEDICAL RECORDS 561000 6381 6381 9844 694 9150 59683 16923735 16820786 102949 2000000 2000000 0 0 0 865708 609665 256043 0 4185399 3165852 1019547 184392 136618 47774 879429 506271 373158 302355 207370 94985 0 4619 4619 41829 41829 0 0 0 45344 25097 20247 323531 323531 216635 216635 269142 269142 0 190000 190000 27035 6440 20595 0 36907 16288 20619 0 0 1716397 1293337 423060 76767 29289 47478 MAINTENANCE CONTRACTS 956602 956602 BAD DEBT EXPENSE 459476 459476 DRUGS 235433 235433 TRANSCRIPTION 152958 152958 UTILITIES & WASTE DISPOSAL 144933 144933 681246 200928 480318 13996137 10038666 3957471 0 0 4136435 6033147 5006554 1571405 2199919 482534 505095 27449469 20028119 8049138 7421350 375312 305575 16511536 19574928 855169 990963 855169 990963 X 15656367 18583965 15656367 18583965 16511536 19574928 2927598 X false true true X false X X X false false false MERITER HOSPITAL INC 390806367 03 true 1000000 SSM HEALTHCARE OF WISCONSIN 430688874 03 true 1000000 2 2000000 475509 475509 7616588 3041344 4575244 797712 579998 217714 18531633 16385000 2146633 28027 21777 6250 7421350 0 0 16923735 13996137 2927598 2927598 16923735 16923735 16923735 13996137 13996137 13996137 ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740-10 SCHEDULE D, PART X, QUESTION 2 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. true 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 2 0 PROCESS FOR MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, QUESTION 2 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. X true true X X X true false false true false false false false false 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 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. 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. 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 false true false false false false false false false true false false false false true false false false