MERITER HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MERITER HOSPITAL INC (EIN 39-0806367)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-14
IRS object ID
201122269349300002
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-14T00:11:40-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1555 EAST WELLS STREET SUITE 1400AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390806367EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN BORENName
TitleCFOTitle
Phone6084176210Phone
Date Signed2011-08-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4142713000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1202 SOUTH PARK STREETAddressLine1
CityMADISONCity
StateWIState
ZIP Code537151596ZIPCode
FieldValueIRS element (for citing)
Gross Receipts525868083GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MERITER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1898YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionMERITER HOSPITAL 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 Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees3127TotalNbrEmployees
Total Nbr Volunteers656TotalNbrVolunteers
Total Gross UBI143637TotalGrossUBI
Net Unrelated Business Txbl Income50950NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year319481ContributionsGrantsPriorYear
Contributions Grants Current Year508463ContributionsGrantsCurrentYear
Program Service Revenue Prior Year354537707ProgramServiceRevenuePriorYear
Program Service Revenue CY355327823ProgramServiceRevenueCY
Investment Income Prior Year6127584InvestmentIncomePriorYear
Investment Income Current Year10087792InvestmentIncomeCurrentYear
Other Revenue Prior Year4586399OtherRevenuePriorYear
Other Revenue Current Year5145114OtherRevenueCurrentYear
Total Revenue Prior Year365571171TotalRevenuePriorYear
Total Revenue Current Year371069192TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year85531GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY134143GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year171814356SalariesEtcPriorYear
Salaries Etc Current Year176990665SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year922541TotalFundrsngExpCurrentYear
Other Expense Prior Year158394668OtherExpensePriorYear
Other Expenses Current Year158317004OtherExpensesCurrentYear
Total Expenses Prior Year330294555TotalExpensesPriorYear
Total Expenses Current Year335441812TotalExpensesCurrentYear
Revenues Less Expenses Prior Year35276616RevenuesLessExpensesPriorYear
Revenues Less Expenses CY35627380RevenuesLessExpensesCY
Total Assets BOY490600734TotalAssetsBOY
Total Assets EOY527282205TotalAssetsEOY
Total Liabilities BOY236982819TotalLiabilitiesBOY
Total Liabilities EOY230538522TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY253617915NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY296743683NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMERITER HOSPITAL IS DEDICATED TO PROVIDING EXCEPTIONAL HEALTH CARE AND LIVING BY ITS MISSION TO HEAL, TEACH AND SERVE.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense301248782Expense
Grants134143Grants
Revenue358514548Revenue
DescriptionMERITER HOSPITAL IS A 448-BED COMMUNITY HOSPITAL THAT WAS RECOGNIZED IN 2010 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 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; 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, UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION PHYSICIANS AND CERTIFIED NURSE-MIDWIVES AND 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 SUPPORT TO NEW FAMILIES THROUGH THE BREASTFEEDING HELP LINE AND MOTHER-BABY HOUR, A FREE EDUCATIONAL SUPPORT PROGRAM.Description
Total Program Service Expense301248782TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096145NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3127NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LINDA HOFFBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6084175811TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JAMES WOODWARD
CEO/PRESIDENT10.00XX7082363741343986
LONDA DEWEY
CHAIR6.00XX12500125000
GARY WOLTER
PAST CHAIR - TERM ENDED 6/106.00XX000
DAVE BOYER
VICE CHAIR6.00XX000
PHIL BLAKE
BOARD MEMBER4.00X000
BRADLEY MANNING MD
BOARD MEMBER - TERM ENDED 6/104.00X000
HOLLY CREMER-BERKENSTADT
BOARD MEMBER4.00X000
PAUL PEERCY PHD
BOARD MEMBER4.00X000
PAT RICHTER
BOARD MEMBER4.00X000
CATHERINE DURHAM
BOARD MEMBER4.00X000
DAVE ANDERSON
BOARD MEMBER4.00X000
JOAN BURKE
BOARD MEMBER4.00X000
KLAUS DIEM MD
BOARD MEMBER - TERM ENDED 2/104.00X000
VIRGINIA GRAVES
BOARD MEMBER4.00X000
GEORGE KAMPERSCHROER
BOARD MEMBER4.00X000
RICH LYNCH
BOARD MEMBER4.00X000
LAURENCE ROTHSTEIN MD
BOARD MEMBER4.00X000
JULIE SCHURR MD
BOARD MEMBER4.00X000
EILEEN MERSHART
BOARD MEMBER4.00X000
MICHEAL GOLDROSEN MD
BOARD MEMBER4.00X000
BARBARA SWAN
BOARD MEMBER4.00X000
SUSAN TOTH MD
BOARD MEMBER4.00X000
LYNNE MYERS
COO/ASST SECRETARY35.00X038145528773
LINDA HOFF
SYSTEM CFO/SECRETARY/TREASURER30.00X045492138835
TIMOTHY RIDDLE
ASST. TREASURER35.00X16609301968
KEVIN BOREN
CFO HOSPITAL30.00X01296385309
GEOFFREY R PRIEST MD
CHIEF MEDICAL OFFICER40.00041357246792X
KERRA GUFFEY
EXECUTIVE35.00031505930142X
TIMOTHY PRINCE
EXECUTIVE25.000220052146861X
SUE ERICKSON
EXECUTIVE25.00020729243782X
PATRICIA GRUNWALD
EXECUTIVE35.00028293543004X
BRUCE SLATER
CHIEF MEDICAL INFORMATION OFFICER40.0002323807599X
MARY M NICK
CHIEF HR OFFICER40.00027928822589X
MARGO FRANCISCO
AVP- BUS DEV40.0002050669324X
KEVIN SNITCHLER
AVP- FACILITIES40.00020434922194X
LOUIS S BRYSH
DDS40.00248137035896X
TIM SIO
FORMER EXECUTIVE015454310265X
MILES MEYER
FORMER EXECUTIVE013292225310X
FieldValueIRS element (for citing)
Total Reportable Comp From Org497553TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4263385TotalReportableCompFrmRltdOrgs
Total Other Compensation562629TotalOtherCompensation
Number Individuals GT100 K89NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
JH FINDORFF AND SON INC
300 SOUTH BEDFORD STREETMADISONWI53703CONSTRUCTION17036435
UNIVERSITY OF WISCONSIN HOSPITAL AND CLI
750 HIGHLAND AVENUEMADISONWI53278INTERNS, RESIDENTS, MED-FLIGHTS, TEACHIN4895214
EPIC
1979 MILKY WAY LANEVERONAWI53593INFORMATION SYSTEMS2280868
UNIVERSITY OF WISCONSIN
600 HIGHLAND AVENUEMADISONWI53278INTERNS AND RESIDENTS1980450
UW MEDICAL FOUNDATION
1685 HIGHLAND AVENUEMADISONWI53278INTERNS AND RESIDENTS1709057
FieldValueIRS element (for citing)
Number Of Contractors GT100 K62NumberOfContractorsGT100K
Related Organizations508463RelatedOrganizations
Total Contributions508463TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PATIENT SERVICE REVENU621400348224299348224299
MNGT CONTRACT REV62111020857332085733
CAFETERIA REVENUE72221010980161591$1,096,425
CHILD CARE REVENUE624410854643$854,643
PARKING REVENUE722210843106$843,106

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column2222026TotalRevenueColumn
Related Or Exempt Function Income1195153RelatedOrExemptFunctionIncome
Unrelated Business Revenue90865UnrelatedBusinessRevenue
Exclusion$936,008ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue355327823TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8209950TotalRevenueColumn
Unrelated Business Revenue6133UnrelatedBusinessRevenue
Exclusion$8,203,817ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2567459Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2553866Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real13593Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column13593TotalRevenueColumn
Unrelated Business Revenue45048UnrelatedBusinessRevenue
Exclusion-$31,455ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities152888952Securities
Other983150Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities151072806Securities
Other921454Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1816146Securities
Other61696Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1877842TotalRevenueColumn
Related Or Exempt Function Income1877842RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Sales Of Inventory461117GrossSalesOfInventory
Cost Of Goods Sold250765CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column210352TotalRevenueColumn
Related Or Exempt Function Income210352RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionINCOME FROM UNCONSOLIDDescription
Business Code900099BusinessCode
Total Revenue Column4921169TotalRevenueColumn
Related Or Exempt Function Income4921169RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4921169TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column371069192TotalRevenueColumn
Related Or Exempt Function Income358514548RelatedOrExemptFunctionIncome
Unrelated Business Revenue143637UnrelatedBusinessRevenue
Exclusion$11,902,544ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total106143Total
Program Services106143ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total28000Total
Program Services28000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total497553Total
Program Services235730ProgramServices
Management And General261823ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total136811282Total
Program Services132218492ProgramServices
Management And General4592790ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6493005Total
Program Services6274840ProgramServices
Management And General218165ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total23118183Total
Program Services22341412ProgramServices
Management And General776771ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10070642Total
Program Services9732268ProgramServices
Management And General338374ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15829408Total
Program Services318499ProgramServices
Management And General15510909ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total322336Total
Management And General322336ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10329135Total
Program Services10027509ProgramServices
Management And General301626ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total288548Total
Program Services279488ProgramServices
Management And General9060ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1141517Total
Program Services840370ProgramServices
Management And General301147ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10375617Total
Program Services10049823ProgramServices
Management And General325794ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total147780Total
Program Services143140ProgramServices
Management And General4640ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5795618Total
Management And General5795618ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total896141Total
Fundraising896141Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total23179380Total
Program Services22451547ProgramServices
Management And General727833ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1008491Total
Program Services976824ProgramServices
Management And General31667ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES48105036465945381510498
STATE REVENUE ASSESSMEN1132391911323919
TEST FEES1065049010650490
BAD DEBTS PROVISION58465515662969183582
EQUIPMENT RENTAL AND MA54033635233697169666

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7673674Total
Program Services5759084ProgramServices
Management And General1888190ManagementAndGeneral
Fundraising26400Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total335441812Total
Program Services301248782ProgramServices
Management And General33270489ManagementAndGeneral
Fundraising922541Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2223091BOY
EOY107505EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY30801641BOY
EOY25992088EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY36008720BOY
EOY39510233EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY33617194BOY
EOY56307170EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3743260BOY
EOY3317243EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2801880BOY
EOY3350287EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis436716044LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec243339682LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY175190475BOY
EOY193376362EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY176615234BOY
EOY171865494EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY29599239BOY
EOY33455823EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY490600734BOY
EOY527282205EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY45136603BOY
EOY37084997EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY6041BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY167426862BOY
EOY173166910EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4337407BOY
EOY4052091EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20075906BOY
EOY16234524EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY236982819BOY
EOY230538522EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY246308252BOY
EOY290773794EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7036661BOY
EOY5666887EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY273002BOY
EOY303002EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY253617915BOY
EOY296743683EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY490600734BOY
EOY527282205EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses35627380ReconcilationRevenueExpenses
Reconcilation Other Changes7498388ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$13,431DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$18,641OtherActivitiesAmount
Total Lobbying Expenditures IIB32072TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationTHE AMOUNT ON LINE I IS A PORTION OF ANNUAL MEMBERSHIP DUES PAID TO THE WHA AND AHA ATTRIBUTABLE TO LOBBYING. WHA - $7,346 AHA - $11,294Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4900484OtherCostOrOtherBasis
Book Value4900484BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis219841521OtherCostOrOtherBasis
Depreciation109569261Depreciation
Book Value110272260BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis585405OtherCostOrOtherBasis
Depreciation135017Depreciation
Book Value450388BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis184993922OtherCostOrOtherBasis
Depreciation133635404Depreciation
Book Value51358518BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26394712OtherCostOrOtherBasis
Book Value26394712BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings193376362TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN JOINT VENTURES20873969
OTHER LONG-TERM ASSETS4172743
DUE FROM MERITER FOUNDATION6486492
LOAN RECEIVABLE NET OF CURRENT1922619
FieldValueIRS element (for citing)
Total Book Value Other Assets33455823TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
RETIREMENT LIABILITIES$15,315,770
INSURANCE RESERVCES$611,000
ASSET RETIREMENT OBLIGATION$307,754
FieldValueIRS element (for citing)
Total Of Amounts16234524TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationFIN 48 FOOTNOTE: ASC 740-10, INCOME TAXES-OVERALL 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, COMPANIES 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. ASC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURES. THE CORPORATION HAS ANALYZED THE REQUIREMENTS OF ASC 740-10 AND THE ADOPTION DID NOT HAVE A MATERIAL IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS. IT IS THE CORPORATION'S POLICY TO RECORD INTEREST AND PENALTIES ON UNCERTAIN TAX PROVISIONS AS INCOME TAX EXPENSE. AS OF DECEMBER 31, 2010, THE CORPORATION HAS NO ACCRUED INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served15888PersonsServed
Total Community Benefit Expense6623883TotalCommunityBenefitExpense
Net Community Benefit Expense6623883NetCommunityBenefitExpense
Percent Of Total Expense0.01970PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served25786PersonsServed
Total Community Benefit Expense51491523TotalCommunityBenefitExpense
Direct Offsetting Revenue26415429DirectOffsettingRevenue
Net Community Benefit Expense25076094NetCommunityBenefitExpense
Percent Of Total Expense0.07480PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served572PersonsServed
Total Community Benefit Expense1150963TotalCommunityBenefitExpense
Direct Offsetting Revenue896501DirectOffsettingRevenue
Net Community Benefit Expense254462NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served42246PersonsServed
Total Community Benefit Expense59266369TotalCommunityBenefitExpense
Direct Offsetting Revenue27311930DirectOffsettingRevenue
Net Community Benefit Expense31954439NetCommunityBenefitExpense
Percent Of Total Expense0.09530PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs83NumberOfActivitiesOrPrograms
Persons Served118001PersonsServed
Total Community Benefit Expense624615TotalCommunityBenefitExpense
Direct Offsetting Revenue5905DirectOffsettingRevenue
Net Community Benefit Expense618710NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs81NumberOfActivitiesOrPrograms
Persons Served9012PersonsServed
Total Community Benefit Expense6503564TotalCommunityBenefitExpense
Direct Offsetting Revenue42640DirectOffsettingRevenue
Net Community Benefit Expense6460924NetCommunityBenefitExpense
Percent Of Total Expense0.01930PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served2820PersonsServed
Total Community Benefit Expense4514000TotalCommunityBenefitExpense
Net Community Benefit Expense4514000NetCommunityBenefitExpense
Percent Of Total Expense0.01350PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs106NumberOfActivitiesOrPrograms
Persons Served10144PersonsServed
Total Community Benefit Expense564813TotalCommunityBenefitExpense
Net Community Benefit Expense564813NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs276NumberOfActivitiesOrPrograms
Persons Served139977PersonsServed
Total Community Benefit Expense12206992TotalCommunityBenefitExpense
Direct Offsetting Revenue48545DirectOffsettingRevenue
Net Community Benefit Expense12158447NetCommunityBenefitExpense
Percent Of Total Expense0.03630PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs276NumberOfActivitiesOrPrograms
Persons Served182223PersonsServed
Total Community Benefit Expense71473361TotalCommunityBenefitExpense
Direct Offsetting Revenue27360475DirectOffsettingRevenue
Net Community Benefit Expense44112886NetCommunityBenefitExpense
Percent Of Total Expense0.13160PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served953PersonsServed
Total Community Building Expense30231TotalCommunityBuildingExpense
Net Community Building Expense30231NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense4481TotalCommunityBuildingExpense
Net Community Building Expense4481NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served3PersonsServed
Total Community Building Expense8876TotalCommunityBuildingExpense
Net Community Building Expense8876NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served10PersonsServed
Total Community Building Expense925TotalCommunityBuildingExpense
Net Community Building Expense925NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served12PersonsServed
Total Community Building Expense35562TotalCommunityBuildingExpense
Net Community Building Expense35562NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs30NumberOfActivitiesOrPrograms
Persons Served978PersonsServed
Total Community Building Expense80075TotalCommunityBuildingExpense
Net Community Building Expense80075NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$2,373,700BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare68503383AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare82432625CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-13929242MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERITER HOSPITAL INCBusinessNameLine1

Address Address

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: MERITER HOSPITAL USES A FAMILY INCOME LIMIT OF 300% TO 500% OF FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIILITY FOR DISCOUNTED CARE.
PART I, LINE 6A: A COMMUNITY BENEFIT REPORT IS FILED ON BEHALF OF MERITER HEALTH SERVICES; MERITER HOSPITAL IS A SUBSIDIARY. THE COMMUNITY BENEFIT TEXT IN THIS RETURN IS RELATED TO THE HOSPITAL.
PART I, L7 COL(F): BAD DEBT EXPENSE OF $5,846,551 IS INCLUDED IN PART IX, LINE 25, COLUMN A, BUT EXCLUDED FOR PURPOSES OF CALCULATING THE COST TO CHARGE RATIO.
PART II: MERITER IS A STRONG PARTNER IN THE HEALTH OF THE COMMUNITY AND BELIEVES THAT A HEALTHY COMMUNITY MEANS MORE THAN A NEIGHBORHOOD WITH CONTROLLED BLOOD PRESSURES. A HEALTHY COMMUNITY POSSESSES INTERCONNECTED AND COLLABORATIVE NEIGHBORHOODS; SAFE WATER, AND A STRONG AND DIVERSE WORKFORCE. THROUGH PARTNERSHIPS WITH AREA AGENCIES AND NON-PROFIT ORGANIZATIONS, MERITER STRIVES TO ENSURE THAT HEALTHY NEIGHBORHOODS ARE CONSIDERED THE NORM AS OPPOSED TO THE RARE PLACE. MERITER SUPPORTS THRIVING AND CONNECTED NEIGHBORHOODS THROUGH ITS SPONSORSHIP AND INVOLVEMENT IN SOUTH METROPOLITAN PLANNING COUNCIL, SOUTH WISCONSIN HMONG ASSOCIATION, BAYVIEW FOUNDATION AND OTHERS. THESE GROUPS CREATE ACTIVITIES THAT INVOLVE WHOLE FAMILIES AND OFTEN FOCUS ON RAISING AWARENESS OF COMMUNITY RESOURCES AND NEIGHBORHOOD ASSETS. FOR EXAMPLE, THE SOUTH METROPOLITAN PLANNING COUNCIL PARTNERED WITH MULTIPLE ORGANIZATIONS AND AGENCIES TO HOST A COMMUNITY FESTIVAL WHICH ATTRACTED AREA RESIDENTS AS WELL AS OTHERS TO THE SOUTH SIDE OF MADISON. FOR MANY YEARS, THE NEIGHBORHOODS ON MADISON'S SOUTH SIDE HAVE LONG BEEN VIEWED AS UNSAFE. HOWEVER, THE FESTIVAL WHICH FEATURED AREA RESTAURANTS, A FARMER'S MARKET, DANCE, MUSIC AND CHILDREN'S ACTIVITIES, PROVIDED ALL WHO ATTENDED WITH A DIFFERENT PICTURE OF THIS AREA. FURTHERING MERITER'S COMMITMENT TO THE COMMUNITY IS ITS CONTINUED INVOLVEMENT WITH THE COMMUNITY'S MED-DROP PROGRAM. THIS PROGRAM HELPS REDUCE UNWANTED MEDICINES IN THE HOMES BY PROVIDING A PLACE WHERE RESIDENTS CAN TAKE THEIR UNWANTED, UNUSED AND EXPIRED MEDICATIONS FOR PROPER DISPOSAL. THE MED-DROP PROGRAM CONTINUES TO EXPAND AND NOW IS HOUSED AT SOME MADISON POLICE STATIONS, ALLOWING FOR ACCESS 24-HRS IN THE DAY, 7 DAYS A WEEK. MERITER HAS BEEN INSTRUMENTAL IN PROVIDING WEBSITE AND ADMINISTRATIVE SUPPORT AS WELL AS STAFF TO ASSIST IN PROMOTIONS AND MEDIA RELATIONS TO ALERT THE PUBLIC TO THE INCREASED ACCESS. BY REDUCING ACCESS TO UNWANTED MEDICINES, MERITER IS HELPING REDUCE THE INCIDENCE OF ACCIDENTAL OVERDOSES AND ACCIDENTAL INGESTION OF MEDICATIONS AS WELL AS PROTECT THE WATER WAYS FROM PHARMACEUTICAL POLLUTANTS. 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 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 A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS AND TRENDS.COSTING METHODOLOGY: THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. THE RATIO OF COSTS TO CHARGES IS BASED ON WORKSHEET 3 OF SCHEDULE H.AS A NOT-FOR-PROFIT TAX EXEMPT HOSPITAL, WE MUST PROVIDE NECESSARY PATIENT CARE SERVICES TO ALL, REGARDLESS OF THE ABILITY TO PAY FOR THAT CARE. THIS BROAD SCOPE FOR PROVIDING CARE QUALIFIES BAD DEBTS AS A COMMUNITY BENEFIT.AFTER MAKING EVERY EFFORT ON OUR PART TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE FORMS, WE WILL REMIT THE REMAINING UNCOLLECTIBLE ACCOUNTS TO A COLLECTION AGENCY. THE COLLECTION AGENCY MAKES FURTHER EFFORTS TO UNDERSTAND THE CIRCUMSTANCES OF WHY THE RECEIVABLES ARE NOT ABLE TO BE COLLECTED. FINANCIAL STATEMENT FOOTNOTE: AUDITED FINANCIAL STATEMENT FOOTNOTES DO NOT HAVE A SPECIFIC REFERENCE TO BAD DEBT EXPENSE. A COST TO CHARGE RATIO WAS USED.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 A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS AND TRENDS.
PART III, LINE 8: THE MEDICARE SHORTFALL WAS NOT INCLUDED AS COMMUNITY BENEFIT.
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 FAHHCP (FINANCIAL ASSISTANCE FOR HEALTH CARE PROGRAM), AND WE FOLLOW WHA BILLING GUIDELINES. OUR POLICY STATES "PATIENT ACCOUNTS IN THE PROCESS OF FINANCIAL AID REVIEW WILL NOT KNOWINGLY BE SENT TO COLLECTIONS."
PART VI, LINE 2: MERITER UTILIZES A HEALTHY COMMUNITIES MODEL BASED OFF OF THE STATE OF WISCONSIN'S HEALTHIER WISCONSIN 2010 AS WELL AS UNITED WAY AND SAFE COMMUNITIES DATA. ALL ORGANIZATIONS USE PUBLICALLY AVAILABLE DATA TO ASSESS THE HEALTH CONDITION OF THE COUNTY. THE MERITER HEALTH SERVICES PRESIDENT IS INVOLVED IN THE UNITED WAY'S HEALTH COUNCIL, WHICH IDENTIFIES SPECIFIC HEALTH ISSUES THEN DEVELOPS SOLUTIONS. IN ADDITION TO UNITED WAY, MERITER EMPLOYEES WORK VERY CLOSELY WITH SAFE COMMUNITIES TO DETERMINE AND ADDRESS SPECIFIC HEALTH NEEDS. IN ADDITIONAL TO PUBLICLY AVAILABLE DATA, SAFE COMMUNITIES ALSO UTILIZES DE-IDENTIFIED HOSPITAL DATA TO DETERMINE MORE SPECIFIC NEEDS OR OBTAIN ADDITIONAL INFORMATION RELATED TO SPECIFIC ISSUES AT HAND.
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 FAHHCP (FINANCIAL ASSISTANCE FOR HEALTH CARE PROGRAM), AND WE FOLLOW WHA BILLING GUIDELINES. OUR POLICY STATES "PATIENT ACCOUNTS IN THE PROCESS OF FINANCIAL AID REVIEW WILL NOT KNOWINGLY BE SENT TO COLLECTIONS."
PART VI, LINE 4: MERITER CONSIDERS ITS PRIMARY SERVICE AREA TO BE DANE COUNTY (76% OF DISCHARGES). THE SECONDARY SERVICE AREAS ARE ADAMS, COLUMBIA, CRAWFORD, DODGE, GRANT, GREEN, IOWA, JEFFERSON, JUNEAU, LAFAYETTE, MARQUETTE, RICHLAND, ROCK, SAUK, VERNON AND WALWORTH COUNTIES. THE POPULATION OF DANE COUNTY IS 488,073 WITH A MEDIAN HOUSEHOLD INCOME OF $58,002 (2010 CENSUS). THE COUNTY IS 81.9% WHITE (NON HISPANIC), 5.2% ARE BLACK, 4.7% ARE ASIAN, AND 5.9% ARE HISPANIC OR LATINO. 13.1% OF RESIDENTS ARE BELOW THE POVERTY LINE.
PART VI, LINE 6: MERITER'S COMMITMENT TO COMMUNITY HEALTH IS INCORPORATED INTO ITS MISSION STATEMENT - WE ARE COMMITTED TO PROVIDING A "LIFETIME OF HEALTHCARE" AND TO "SERVE THE COMMUNITIES. COMMUNITY HEALTH IS INCORPORATED IN ALL THAT MERITER DOES.MERITER HEALTH SERVICES UTILIZES A COMMUNITY BASED BOARD OF DIRECTORS AS WELL AS SEVERAL OTHER COMMITTEES STAFFED BY COMMUNITY MEMBERS, INCLUDING THE QUALITY & PUBLIC SERVICE COMMITTEE, WHICH OVERSEES THE ORGANIZATION'S COMMUNITY BENEFIT PROGRAMS. THE MEMBERS OF THE BOARD AND THE COMMITTEE ARE VALUABLE COMPONENTS IN IDENTIFYING AND ASSESSING THE PROGRAMS AND PARTNERSHIPS OF THE ORGANIZATION.MERITER RE-INVESTS IN THE COMMUNITY HEALTH IN A VARIETY OF WAYS INCLUDING SPONSORSHIP AND PARTNERSHIPS WITH NON-PROFIT ORGANIZATIONS TO ADDRESS HEALTH NEEDS OF THE COMMUNITY, OR THROUGH THE DEVELOPMENT OF PROGRAMS GEARED TOWARDS IMPROVING HEALTH AND PREVENTING ILLNESS AND INJURY. ADDITIONALLY, MERITER PROVIDES MANY SERVICES THAT WILL NEVER BE PROFIT OR BREAK-EVEN SERVICES INCLUDING IN-PATIENT PSYCHIATRIC SERVICES, IN-PATIENT ADDICTION MEDICINE, A DENTAL CLINIC, AND EMERGENCY SERVICE. THERE ARE NO OTHER HEALTH CARE PROVIDERS IN DANE COUNTY PROVIDING IN-PATIENT PSYCHIATRIC SERVICES OR ADDICTION MEDICINE. OUR DENTAL CLINIC SEES PREDOMINANTLY PATIENTS ON MEDICAL ASSISTANCE. OUR EMERGENCY ROOM RECEIVED A HIGHER PERCENTAGE OF PATIENTS NEEDING ALCOHOL AND DRUG DETOXIFICATION AS WELL AS PSYCHIATRIC SERVICES.
PART VI, LINE 7: MERITER HOSPITAL IS PART OF THE MERITER HEALTH SYSTEM GROUP. THERE ARE NO OTHER HOSPITALS UNDER THE MERITER HEALTH SYSTEM UMBRELLA.
WIREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
MERITER FOUNDATION INC
202 SOUTH PARK STREETMADISONWI53715237098688501 (C)(3)38220N/AN/AHOSPITAL PROGRAMS
CENTER FOR NURSING EXCELLENCE
3001 W BELTLINE HWYMADISONWI53713271081808501 (C)(3)50000N/AN/AHOSPITAL PROGRAMS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantHOSPITAL SCHOLARSHIPSTypeOfGrant
Number Of Recipients18NumberOfRecipients
Amount Of Cash Grant28000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES WOODWARD
48223434006164511480636149553441557140152841255737522167700100
LYNNE MYERS
0289207069064023184014919013854041022800
LINDA HOFF
0316435095595042891023719015116049375600
TIMOTHY RIDDLE
805402025701377820466015020168061000
GEOFFREY R PRIEST MD
0311032074667027873022066024726046036400
KERRA GUFFEY
0239103058293017663014796015346034520100
TIMOTHY PRINCE
01197160295300708060131085015776036691300
SUE ERICKSON
0154665036441016186023311020471025107400
PATRICIA GRUNWALD
0208732049945024258029915013089032593900
BRUCE SLATER
020897302257608310525902340023997900
MARY M NICK
021052305083501793001700005589030187700
MARGO FRANCISCO
017464103019802270787501449021439000
KEVIN SNITCHLER
0170844032850065507327014867022654300
LOUIS S BRYSH
216049030750013380217200141760284033000
TIM SIO
000001545430102650001648080154543
MILES MEYER
0000013292201194201336801582320132922

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ABUSINESS CLUB DUES WERE PAID FOR TWO PEOPLE. THE BUSINESS CLUB IS AN IRS SECTION 501(C)(7).
PART I, LINE 1BIF BENEFITS PAID ARE NOT PART OF AN ESTABLISHED COMPENSATION OR BENEFIT PROGRAM, THE VP OF HUMAN RESOURCES (HR) WORKS WITH OUR HR CONSULTING FIRM TO ENSURE THAT TOTAL COMPENSATION IS WITHIN THE ORGANIZATION'S PHILOSOPHY AND IS REASONABLE. DEPARTURES FROM THE ESTABLISHED GUIDELINES MUST BE REVIEWED BY THE EXTERNAL CONSULTANT, PROPOSED TO THE COMPENSATION COMMITTEE OF THE BOARD, AND APPROVED IN ADVANCE.
PART I, LINES 4A-BSEVERANCE PAYMENTS WERE RECEIVED BY THE FOLLOWING INDIVIDUALS: M. MEYER $158,232 T. SIO $164,808 AMOUNTS LISTED INCLUDE EMPLOYEE DEFERRALS, WHERE APPLICABLE: J. WOODWARD $47,903 L. MYERS $72,236 L. HOFF $30,139 K. BOREN $6,100 S. ERICKSON $9,494 P. GRUNWALD $67,021 K. GUFFEY $17,067 G. PRIEST $25,632 T. PRINCE $11,594
PART I, LINE 7SYSTEM 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)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
WI HEALTH & EDU FACILITIES AUTH ADJ RATE REV BONDS #2008A
39133785597710BBH42008-05-2123750000CURRENT REFUNDING OF 2006 SERIES A, ISSUANCE COSTS, CREDIT ENHANCEMENT000
WI HEALTH & EDU FACILITIES AUTH ADJ RATE REV BONDS # 2008B
39133785597710BBJ12008-05-2128400000CURRENT REFUNDING OF 2006 SERIES B, ISSUANCE COSTS, CREDIT ENHANCEMENT000
WI HEALTH & EDU FACILITIES AUTH ADJ RATE REV BONDS # 2008C
39133785597710BBK72008-05-2134940000CURRENT REFUNDING OF 2006 SERIES C, ISSUANCE COSTS, CREDIT ENHANCEMENT000
WI HEALTH & EDU FACILITIES AUTH RATE REV BONDS SERIES 2009
39133785597710BKL52009-07-2850000000CONSTRUCT AND EQUIP HOSPITAL FACILITIES, ISSUANCE COSTS AND FUNDING OF DEBT000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFund
2375000013692472238075220091011
284000002840000020091011
349400003494000020091011
50000000162731444898623201200113649677

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
010000.000000.000000.000001
010000.010000.000000.010001
010000.000000.000000.000001
000000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
PIPER JAFFRAY
01100000
PIPER JAFFRAY
01100000
(no name)
010000
(no name)
000001

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
RICHARD LYNCH
BOARD MEMBER17036435CONSTRUCTIONMR. LYNCH, A MERITER HEALTH SERVICES AND MERITER HOSPITAL BOARD MEMBER, IS PRESIDENT OF THE FINDORFF ORGANIZATIONS REPORTED ON SCHEDULE L. THE TRANSACTIONS LISTED RELATE TO CONSTRUCTION CONTRACTS THAT WERE COMPLETED AT ARM'S LENGTH COMMERCIAL TERMS.THE DOLLARS FOR THIS TRANSACTION ARE REPORTED ON THE MERITER HOSPITAL FORM 990. MR. LYNCH RECUSES HIMSELF FROM CONSTRUCTION RELATED VOTES.0
GARY WOLTER
PAST BOARD CHAIR2600000UTILITIESPAST BOARD CHAIR IS CHAIRMAN, PRESIDENT, AND CEO OF UTILITY PROVIDER FOR MERITER HOSPITAL. ALL TRANSACTIONS ARE ENTERED INTO AT ARMS' LENGTH.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2IN 2010, MERITER CONTINUED TO MEET PATIENT NEEDS BY IMPLEMENTING A NEW PEDIATRIC CARE MODEL WHICH INVOLVED OPENING A NEW PEDIATRIC CENTER TO PROVIDE EMERGENCY, OBSERVATION AND INPATIENT CARE; OPENING A NEW DIGESTIVE HEALTH CENTER, PROVIDING GREATER PATIENT PRIVACY AND SERVICE FOR PREVENTION, EARLY DETECTION AND TREATMENT OF GASTROINTESTINAL DISEASE; AND PROVIDING LEADING EDGE ORTHOPEDIC CARE WITH THE INTRODUCTION OF MAKOPLASTY KNEE REPLACEMENT PROCEDURE.
FORM 990, PART VII & SCHEDULE JFORM 990 RULES FOR REPORTING EMPLOYEE VOLUNTARY DEFERRALS OF INCOME DISTORTS THE ACCURACY OF THE PRESENTATION OF THE EMPLOYEE'S BASE COMPENSATION. THEREFORE, THE VOLUNTARY DEFERRALS FOR TWO EXECUTIVES ARE REPORTED HERE. L. MYERS AND P. GRUNWALD DEFERRED $49,533 AND $52,692 OF THEIR BASE COMPENSATION, RESPECTIVELY.
FORM 990, PART VI, SECTION A, LINE 2L. DEWEY AND G. WOLTER HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6MERITER HEALTH SERVICES (MHS) IS THE SOLE VOTING MEMBER OF MERITER HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7AAS THE SOLE VOTING MEMBER OF MERITER HOSPITAL, MHS ELECTS THE MEMBERS OF THE MERITER HOSPITAL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING ACTIONS REQUIRE THE PRIOR AUTHORIZATION OR APPROVAL OF THE MHS BOARD AS VOTING MEMBER OF THE CORPORATION,: (A) MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; (B) AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION; (C) A SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION; (D) THE ESTABLISHMENT, FORMATION, ACQUISITION, MERGER, CONSOLIDATION OR DISSOLUTION OF ANY SUBSIDIARY CORPORATION OF THE CORPORATION; (E) THE ADOPTION OF THE AGGREGATE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (F) AGGREGATE BORROWING FOR PERIODS OF ONE (1) YEAR OR LESS FOR ANY PURPOSE IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY THE VOTING MEMBER FROM TIME TO TIME; AND AGGREGATE BORROWING FOR PERIODS OF MORE THAN ONE (1) YEAR FOR ANY PURPOSE IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY THE VOTING MEMBER FROM TIME TO TIME. FOR THE PURPOSE OF THIS SUBPARAGRAPH, THE TERM AGGREGATE BORROWING MEANS BORROWINGS NOT PREVIOUSLY INCLUDED IN THE OPERATING AND/OR CAPITAL BUDGETS, AND INCLUDES BUT IS NOT LIMITED TO LEASE AGREEMENTS AND CONTRACTS FOR SALE; (G) THE PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, AND ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY THE VOTING MEMBER FROM TIME TO TIME, NOT PREVIOUSLY INCLUDED IN THE CAPITAL BUDGET; (H) THE APPOINTMENT OF THE INDEPENDENT AUDITOR AND CORPORATE COUNSEL.
FORM 990, PART VI, SECTION B, LINE 11MERITER CONTRACTS WITH AN OUTSIDE PUBLIC ACCOUNTING FIRM TO PREPARE ALL INCOME TAX RETURNS. MERITER'S ACCOUNTING DEPARTMENT STAFF COMPLETES AND THE CORPORATE CONTROLLER REVIEWS THE COMPREHENSIVE TAX ORGANIZER PROVIDED BY THE TAX FIRM. THE CORPORATE CONTROLLER AND THE TAX FIRM WORK TOGETHER TO PREPARE THE TAX RETURNS TO REFLECT INFORMATION THAT AFFECTS THE FORM 990. APPROXIMATELY ONE TO TWO WEEKS PRIOR TO FILING, THE RETURNS WILL BE POSTED TO THE BOARD GOVERNANCE INTERNAL WEB SITE ACCOMPANIED BY A MEMO HIGHLIGHTING THE KEY POINTS OF INTEREST FOR THE FILING YEAR AND CONTAINING THE ANTICIPATED FILING DATE IN ADDITION TO PROVIDING CONTACT INFORMATION FOR FURTHER INQUIRY BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12CTHE HOSPITAL BOARD OF DIRECTORS CONSISTENTLY MONITORS AND ENFORCES 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 2009 CONFLICT OF INTEREST DISCLOSURE: DRS. DIEM, ROTHSTEIN AND PRIEST ARE MEMBERS OF PHYSICIAN PLUS INVESTMENT GROUP LLP WHICH IS A 1/3 OWNER OF PHYSICIANS PLUS INSURANCE CORPORATION WHERE MERITER HEALTH SERVICES OWNS THE REMAINING 2/3. DR. ROTHSTEIN IS THE MANAGING PARTNER OF PPIG LLP AND DR. PRIEST IS A NON-VOTING MEMBER OF SAME. DRS. MANNING AND DIEM, MERITER HOSPITAL BOARD MEMBERS, ARE ALSO MEMBERS OF UW MEDICAL FOUNDATION, AND DR. TOTH IS A UW PHYSICIAN. MERITER PAYS TEACHING STIPENDS TO UW MEDICAL FOUNDATION PHYSICIANS. DR. SCHURR IS WITH MELIUS SCHURR AND CALDWELL, AND DR. GOLDROSEN IS WITH ASSOCIATED PHYSICIANS, BOTH OF WHICH HAVE MERITER PRIVILEGES.
FORM 990, PART VI, SECTION B, LINE 15THE MERITER HEALTH SERVICES BOARD OF DIRECTORS APPROVES EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE BOARD OF DIRECTORS AUTHORIZES A SUB-COMMITTEE OF THE BOARD TO MAKE COMPENSATION DECISIONS WHILE RETAINING OVERSIGHT OF SAID COMMITTEE. AN EXTERNAL HUMAN RESOURCES CONSULTING FIRM IS ENGAGED BY THE BOARD OF DIRECTORS' SUB-COMMITTEE. THIS FIRM COLLECTS AND REVIEWS ALL ORGANIZATIONAL INFORMATION, COMPENSATION DATA, AND BACKGROUND INFORMATION MATCHING ALL EXECUTIVE POSITIONS TO SURVEY BENCHMARKS. USING THIS INFORMATION THE CONSULTING FIRM PRODUCES ESTIMATED MARKET VALUES FOR EACH EXECUTIVE AND RECOMMENDS ANY NECESSARY CHANGES WITH EXECUTIVE COMPENSATION TO THE BOARD COMMITTEE FOR THEIR DECISION.
FORM 990, PART VI, SECTION C, LINE 18BECAUSE THE ORGANIZATION FILED ITS FORM 1023 BEFORE JULY 1987 AND DID NOT HAVE A COPY OF FORM 1023 ON THAT DATE, IT IS NOT REQUIRED TO MAKE ITS FORM 1023 AVAILABLE FOR PUBLIC INSPECTION.
FORM 990, PART VI, SECTION C, LINE 19AS PRIVATE CORPORATIONS, THE GOVERNING DOCUMENTS ARE NOT MADE PUBLIC. THE CONFLICT OF INTEREST POLICY IS NOT GENERALLY MADE PUBLIC, BUT WOULD BE DISCLOSED TO INTERESTED PARTIES IN THE CONTEXT OF ANY ISSUE THAT MIGHT ARISE. FINANCIAL INFORMATION CONTAINED WITHIN THE 990S IS AVAILABLE TO THE PUBLIC ON GUIDESTAR AND IS AVAILABLE UPON REQUEST OF ADMINISTRATION.
FORM 990, PART VII- HOURS FROM RELATED ORG:ALL MERITER HEALTH SERVICES SYSTEM EMPLOYEES REPORTED ON THIS FORM 990 WORK, ON AVERAGE, A MINIMUM OF 40 HOURS PER WEEK BUT IN MOST CASES MORE THAN 40 HOURS PER WEEK.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 7,498,388.
FORM 990, PART XII, LINE 2C: CHANGE IN REVIEW PROCEDURETHERE HAS BEEN NO CHANGE IN THE REVIEW PROCEDURE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MERITER HEALTH SERVICES INC
202 SOUTH PARK STREETMADISONWI537151596391412318PARENT OF MERITER ENTITIES, SUPPORT NONPROFIT SUBSIDIARIESWISECTION 501(C)(3)LINE 11B, IINONE0
MERITER FOUNDATION INC
202 SOUTH PARK STREETMADISONWI537151596237098688FOUNDATION FOR MERITER HOSPITALWISECTION 501(C)(3)LINE 7MERITER HEALTH SERVICES INC0
MERITER MEDICAL GROUP
202 SOUTH PARK STREETMADISONWI537151596050545222CLINICAL SUPPORT OF MERITER HOSPITALWISECTION 501(C)(3)LINE 11B, IIMERITER HOSPITAL INC0
SHARED MAGNETIC RESONANCE IMAGING FACILITY
1104 JOHN NOLEN DRMADISONWI53713391534744MEDICAL TECHNOLOGYWISECTION 501(C)(3)LINE 11A, IMERITER HOSPITAL INC0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipDirect Controlling Entity NADirectControllingEntityNA
MERITER REAL ESTATE LLC
202 SOUTH PARK STREETMADISONWI537151596201455471REAL ESTATE MANAGEMENTWIMERITER HOSPITAL INCRELATED23720322488010.99000
MERITER UWMF PHYSICIAN CONTRACTING LLC
202 SOUTH PARK STREETMADISONWI537151596391998819HEALTH SERVICESWIN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
MERITER HEALTH ENTERPRISES
202 SOUTH PARK STREETMADISONWI537151596391293620HEALTH CARE RELATED SERVICESWIN/AC
HCP CORPORATION
202 SOUTH PARK STREETMADISONWI537151596391177562RENTAL PROPERTIESWICMERITER HOSPITAL INC342556209791.00000
MERITER MANAGEMENT SERVICES INC
202 SOUTH PARK STREETMADISONWI537151596391458235MANAGEMENT COMPANYWIN/AC
PHYSICIANS PLUS INSURANCE CORP
22 E MIFFLIN ST SUITE 200MADISONWI53703391565691INSURANCEWIN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MERITER MANAGEMENT SERVICES INC
A113551FAIR VALUE
MERITER FOUNDATION INC
C1316861COST
MERITER MANAGEMENT SERVICES INC
D1762946COST
MERITER MEDICAL GROUP
D46583546COST
MERITER HEALTH ENTERPRISES
I1305314FAIR VALUE
MERITER HEALTH SERVICES
I21721FAIR VALUE
MERITER MANAGEMENT SERVICES INC
I640321FAIR VALUE
MERITER FOUNDATION INC
L896141FAIR VALUE
MERITER HEALTH ENTERPRISES
L10978683FAIR VALUE
MERITER HEALTH SERVICES
L769518FAIR VALUE
MERITER MANAGEMENT SERVICES INC
L14741391FAIR VALUE
MERITER MEDICAL GROUP
K252337FAIR VALUE
MERITER FOUNDATION INC
I81898FAIR VALUE
MERITER FOUNDATION INC
B38220COST
MERITER HEALTH ENTERPRISES
K2107318FAIR VALUE

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.