Civic Intelligence

Wisconsin Dialysis Inc

990 • Fiscal year 2015 • EIN 30-0072647

Jul 01, 2014 to Jun 30, 2015 • Filed on Nov 06, 2015

3034 Fish Hatchery RoadMadison, WI 53713-3125

(608) 270-5600

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

27th percentile

0.06x

Higher debt load relative to assets than 27% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Liabilities / Revenue

15th percentile

0.05x

Higher debt load relative to revenue than 15% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Net Margin

77th percentile

17%

Higher net margin than 77% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Top Officer Pay

36th percentile

$137,464

Higher top officer pay than 36% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Asset Growth

77th percentile

11%

Faster asset growth than 77% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Revenue Growth

68th percentile

11%

Faster revenue growth than 68% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Assets

Up

$11,617,185

Up $1,124,582 (+11%) from 2014

Net Assets

Up

$10,925,841

Up $820,422 (+8.1%) from 2014

Liabilities

Up

$691,344

Up $304,160 (+79%) from 2014

Revenue

Up

$14,238,450

Up $1,359,679 (+11%) from 2014

Expenses

Up

$11,818,028

Up $1,374,864 (+13%) from 2014

Net Income

Down

$2,420,422

Down $15,185 (-0.6%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$40M$30M$20M$10M$0Assets 2010: $4,253,399Liabilities 2010: $425,080Net Assets 2010: $3,828,3192010Assets 2012: $7,068,114Liabilities 2012: $656,768Net Assets 2012: $6,411,3462012Assets 2013: $8,779,822Liabilities 2013: $1,110,010Net Assets 2013: $7,669,8122013Assets 2014: $10,492,603Liabilities 2014: $387,184Net Assets 2014: $10,105,4192014Assets 2015: $11,617,185Liabilities 2015: $691,344Net Assets 2015: $10,925,8412015Assets 2016: $14,085,740Liabilities 2016: $868,594Net Assets 2016: $13,217,1462016Assets 2017: $16,844,007Liabilities 2017: $841,218Net Assets 2017: $16,002,7892017Assets 2018: $16,081,597Liabilities 2018: $807,824Net Assets 2018: $15,273,7732018Assets 2019: $18,230,807Liabilities 2019: $1,195,829Net Assets 2019: $17,034,9782019Assets 2020: $35,354,594Liabilities 2020: $574,312Net Assets 2020: $34,780,2822020

Highlighted filing

2015

Assets$11,617,185
Liabilities$691,344
Net Assets$10,925,841

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$80M$60M$40M$20M$0-$20MExpenses 2010: $8,258,3012010Expenses 2012: $9,415,7552012Expenses 2013: $9,571,2292013Revenue 2014: $12,878,771Expenses 2014: $10,443,164Net Income 2014: $2,435,6072014Revenue 2015: $14,238,450Expenses 2015: $11,818,028Net Income 2015: $2,420,4222015Revenue 2016: $17,912,592Expenses 2016: $15,639,455Net Income 2016: $2,273,1372016Revenue 2017: $18,870,527Expenses 2017: $15,979,830Net Income 2017: $2,890,6972017Revenue 2018: $18,198,424Expenses 2018: $18,775,065Net Income 2018: -$576,6412018Revenue 2019: $17,820,903Expenses 2019: $16,308,277Net Income 2019: $1,512,6262019Revenue 2020: $60,451,264Expenses 2020: $6,113,223Net Income 2020: $54,338,0412020

Highlighted filing

2015

Revenue$14,238,450
Expenses$11,818,028
Net Income$2,420,422
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
Nov 6, 2015
Return Version
2014v5.0
Gross Receipts
$14,240,397
Mission and Program Overview

Mission

Through 9/30/19, Wisconsin Dialysis, Inc. exists to provide In-Center, Home, and Inpatient Dialysis to patients in Central Wisconsin with End State Renal Disease. As of 10/1/19, Wisconsin Dialysis, Inc. no longer provides services and holds a 30% membership interest in Fresenius Kidney Care of Madison, LLC.

To provide outpatient kidney dialysis treatments for patients in a clinic or home based setting according to the regulations established by the centers for medicare & medicaid.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$6,883,440$7,563,921▲ $680,481
Accounts Receivable$1,777,208$2,194,486▲ $417,278
Land, Buildings, and Equipment, Net$1,799,671$1,822,283▲ $22,612
Prepaid Expenses and Deferred Charges$32,284$28,011▼ $4,273
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$10,492,603$11,617,185▲ $1,124,582
Other Assets Total$0$8,484▲ $8,484
Liabilities
Other Liabilities$363,894$485,860▲ $121,966
Accounts Payable and Accrued Expenses$23,290$205,484▲ $182,194
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$387,184$691,344▲ $304,160
Net Assets / Fund Balance
Unrestricted Net Assets$10,105,419$10,925,841▲ $820,422
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$10,105,419$10,925,841▲ $820,422
Total Liabilities and Net Assets / Fund Balance$10,492,603$11,617,185▲ $1,124,582

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$1,344,719$824,810$2,169,529
Equipment$477,564$794,213$1,271,777
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Mark a HamiltonSecretary & Admin DirectorFT$90,546$46,918$137,464
Karen SchlageterClinical Nurse ManagerFT$106,920-$106,920

Board Members and Trustees

NameTitle
Kristine HolmesPresident
Chris GreenDirector
Ron SchroederDirector
Steven MeansDirector
ROBERT O'KEEFETreasurer
Michael BuhlTreasurer - Termed 3/2015

Highest Paid Contractors

ContractorServicesLocationCompensation
Fresenius Medical CareMed Supplies/product920 WINTER STREET, Waltham, MA 02451-1457$1,139,589
Foundation Medical StaffingTemp Staffing Srvcs416 WEST 15TH STREET BLDG 600, Edmond, OK 73013$746,740
Nxstage Medical INCMed Supplies/product350 MERRIMACK STREET, Lawrence, MA 01843$190,021
BaxterMed Supplies/product1 BAXTER PKWY, Deerfield, IL 60015$151,344
Univ Of Wisconsin Medical FoundatiMed Director Srvcs1 S PARK STREET 555, Madison, WI 53715$145,208
Revenue and Support

Revenue Composition

Contributions and Grants
$2,627
Program Service Revenue
$14,198,902
Investment Income
$8,494
Other Revenue
$28,427
All Other Contributions
$2,627
Change in Net Assets
$2,420,422

Audited Revenue Reconciliation

Revenue per Audited Statements
$14,238,450
Total Revenue per Audited Statements
$14,238,450
Total Revenue per Form 990
$14,238,450
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$11,818,028
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$262,079$198,168-$460,247
Occupancy$341,454$55,712-$397,166
Depreciation Depletion$254,051--$254,051
All Other Expenses$195,148$21,326-$216,474
Office Expenses$69,455$8,494-$77,949
Information Technology$2,681$42,865-$45,546
Insurance$37,352--$37,352
Travel$12,777$11,383-$24,160
Fees for Services Accounting-$11,440-$11,440
Conferences and Meetings-$4,557-$4,557
Total Functional Expenses$9,937,610$1,880,418$0$11,818,028

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$11,818,028
Total Expenses per Audited Statements$11,818,028
Total Expenses per Form 990$11,818,028
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Liability to Uwhc$466,824
Unearned Income$19,036
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Part VI, Line 7A

Election of members of the governing body: the ceo of the three member owners has the right to assign his/her representatives from his/her organization to serve as members of the wdi board of directors.

Part VI, Line 11B

REVIEW OF FORM 990 BY THE ORGANIZATION'S GOVERNING BODY: A copy of the Form 990 is emailed as an attachment to each board member during a brief comment period before it is filed with the IRS.

Part VI, Line 12C

MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: To ensure that the ORGANIZATION operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted. The periodic reviews shall, at a minimum, include the following subjects to the extent such subjects are applicable: 1. Whether compensation arrangements and benefits are reasonable and are the result of arm's length bargaining. 2. Whether acquisitions of physician practices and other provider services result in inurement or impermissible private benefit. 3. Whether partnership and joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payments for goods and services, further the ORGANIZATION's charitable purposes and do not result in inurement or impermissible private benefit. 4. Whether agreements to provide health care and agreements with other health care providers, employees, and third party payors further the Corporation's charitable purposes and do not result in inurement or impermissible private benefit. 5. The policy covers all voting and ex-officio board members. Anyone found to be in violation of this policy would be recused from voting on and discussion about the transaction or topic. All review activity of actual or potential conflicts takes place at the full board level.

Part VI, Line 19

AVAILABILITY OF ORGANIZATION DOCUMENTS: All referenced documents are available to the public upon request.

Part VI, Line 3

DELEGATION OF CONTROL OVER MANAGEMENT DUTIES: Wisconsin Dialysis, INC.'S Board Secretary FUNCTIONS AS THE ORGANIZATION'S administrative director AND COMPENSATION IS PAID BY AN UNRELATED ORGANIZATION, UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY (UWHC). All management duties are provided FOR under a Management Services Agreement BETWEEN WDI AND UWHC.

Part VI, Line 6

MEMBERS OF THE ORGANIZATION: Members are all of one class with 45% ownership by Meriter Hospital, 45% owned by UnivERSITY of WI Hospital and Clinics, and 10% owned by UnivERSITY of WI Medical Foundation.

Part VII, Line 1D, Line 2 and Line 4

Compensation from organization: the compensation reported in part vii, line 1d, line 2 and line 4 has been received from university of hospitals and clinics authority (uwhc), an unrelated organization, for services rendered to the organization in the individuals' capacities as officers or employees of the organization.

Filing and Contact Details

Filer

Filer Name
Wisconsin Dialysis Inc
EIN
30-0072647
In Care Of
% MEGAN DAVIS
Phone
6082705600
Address
3034 FISH HATCHERY ROAD, MADISON, WI 53713-3125

Signing Officer

Name
Mark Hamilton
Title
Secretary
Phone
6082705600
Signed
2015-11-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mark Hamilton
Formed
2002
Legal Domicile
Wi
Voting Board Members
5
Independent Board Members
5
Employees
0
Volunteers
2

Preparer

Firm
Sva Certified Public Accountants
Address
1221 JOHN Q HAMMONS DRIVE, MADISON, WI 53717
Preparer
Kirsten Houghton
Phone
6088318181
Supplemental Narrative

Additional Explanations

Part XI, Line 9

Other changes in net assets or fund balances: in accordance with the organization's by-laws and section 181.1302(3) of the wisconsin statutes, the organization may make distributions to its members. Distributions require supermajority approval of the board of directors (affirmative vote of 80% of the directors). In may 2015, the organization made distributions totaling $1,600,000 to its three members, allocated based on membership percentage.

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IRS990/Desc0A total of 20,695 kidney dialysis treatments were provided to 263 chronic patients and 22 traveling patients at the Fitchburg Clinic from 7/1/2014 through 6/30/2015. Treatment of patients insured by Medicare and Medicaid accounted for 73% of all WDI activity and due to being provided at a financial loss, is considered a type of quasi community service to meet the medical needs of Dane county patients with kidney failure. With a cost per treatment of ~$309 and a Medicare/Medicaid payment rate per treatment of ~$262, the total calculated loss from serving patients with Medicare and Medicaid coverage is estimated to be over $1,092,092 annually. Care provided at a loss to undocumented residents with Emergency Medical Assistance insurance meets the stricter definition of charity care and the totaled $107,327 for the year. Most ESRD patients qualify for Medicaid or Wisconsin Chronic Disease Program coverage so actual charity care for WI residents totaled only $2,979 for the year. WDI resources were used to provide uncompensated support for assisting with nephrology fellowship training to five physicians in fellowships and nine nutrition students as part of their clinical training in University of Wisconsin educational programs. Selected quality data is shown below as compared to standardized national figures from the 2014 Dialysis Facility Report: - Mortality ratio was 5% HIGHer than expected. - First year mortality ratio was 12% lower than expected. - Hospitalization rate was 3% lower than expected. - Hospitalization rate due to infection was 9.1% compared to 11% nationally. - Hospitalization days were 19% lower than expected. - The transplant rate for patients under age 70 was 10% compared to 5% nationally. - The WDI PD catheter infection rate was 2.8 per 100 patient days vs. 2.9 nationally. - 80% of WDI fitchburg patients received an influenza vaccine compared to 71% nationally. - 88% of WDI FITCHBURG PATIENTS RECEIVED A HEP B IMMUNIZATION AND 90% OF WDI FITCHBURG PATIENTS RECEIVED A PNEUMOCOCIAL IMMUNIZATION.
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IRS990/Form990PartVIISectionAGrp/PersonNm4ROBERT O'KEEFE
IRS990/Form990PartVIISectionAGrp/PersonNm5CHRIS GREEN
IRS990/Form990PartVIISectionAGrp/PersonNm6RON SCHROEDER
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IRS990/Form990PartVIISectionAGrp/TitleTxt0SECRETARY & ADMIN DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1TREASURER - TERMED 3/2015
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IRS990/MissionDesc0WISCONSIN DIALYSIS, INC. (WDI) EXISTS IN ORDER TO CARRY OUT THE FOLLOWING FOUR-PART MISSION: 1) PROVIDE EXCEPTIONAL, INDIVIDUALIZED AND FAMILY-CENTERED PATIENT CARE BY MEETING AND EXCEEDING RECOGNIZED NATIONAL STANDARDS OF HIGH QUALITY DIALYSIS CARE, INCLUDING TO THE EXTENT THAT CAN BE AFFORDED, FOR PATIENTS UNABLE TO PAY OR WITH LIMITED INSURANCE COVERAGE THAT PAYS LESS THAN WDI'S COST; 2) SUPPORT CLINICAL RESEARCH TO THE EXTENT THAN CAN BE AFFORDED TO HELP ADVANCE THE CLINICAL CARE QUALITY AND QUALITY OF LIFE FOR PEOPLE WITH KIDNEY DISEASE; 3) SERVE AS A CLINICAL EDUCATION AND PRACTICE SITE TO HELP TRAIN FUTURE HEALTH CARE STAFF AND PROVIDERS IN NEPHROLOGY; AND 4) SUPPORT COMMUNITY SERVICE PROGRAMS WORKING TO IMPROVE THE HEALTH AND LIVES OF PATIENTS WITH KIDNEY DISEASE. SINCE CARE IS PROVIDED AT LESS THAN COST TO MORE THAN 75% OF THE PATIENTS AT WDI, MEETING THE LIFE SUSTAINING MEDICAL NEEDS OF ESRD PATIENTS IN THE DANE COUNTY REGION IS THE PRIMARY MOTIVATION FOR OFFERING DIALYSIS SE
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IRS990/PrincipalOfficerNm0MARK HAMILTON
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IRS990/ProgSrvcAccomActy2Grp/Desc0A total of 8,313 kidney dialysis treatments were provided to chronic patients in the Home Program from 7/1/2014 through 6/30/2015. Please see the impact of Medicare and Medicaid activity described in Program Services #1. Please see the unfunded educational support provided by WDI as reported in Program Services #1. Please see quality data reported for Program Services #1. THE MEDICARE/MEDICAID PAYOR MIX FOR HOME PATIENTS IS 58%. For the Home Programs, another quality measure to report is that 26% of WDI patients are in the Home program as compared to only ~12% nationally. Home patients are known to experience fewer infections and hospitalizations, require fewer medications, and score higher on quality of life surveys than their in-center hemodialysis patient counterparts.
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IRS990/ProgSrvcAccomActy3Grp/Desc0A total of 8,615 kidney dialysis treatments were provided to 63 chronic patients and 3 traveling patients at the East Clinic from 7/1/2014 through 6/30/2015. Please see the impact of Medicare and Medicaid activity described in Program Services #1. Please see the unfunded educational support provided by WDI is as reported in Program Services #1. Selected quality data is shown below as compared to standardized national figures from the 2014 Dialysis Facility Report: - Mortality ratio was 21% lower than expected. - Hospitalization rate was 3% lower than expected. - Hospitalization rate due to infection was 9.7% compared to 10% nationally. - Hospitalization days were 30% lower than expected. - 86% of WDI EAST patients received an influenza vaccine compared to 71% nationally. - 96% OF WDI EAST PATIENTS RECEIVED A HEP B IMMUNIZATION AND 99% RECEIVED A PNEUMOCOCIAL IMMUNIZATION.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY IS ONE OF THE

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