Civic Intelligence

Wisconsin Dialysis Inc

990 • Fiscal year 2017 • EIN 30-0072647

Jul 01, 2016 to Jun 30, 2017 • Filed on Dec 05, 2017

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

0.05x

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

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Liabilities / Revenue

16th percentile

0.04x

Higher debt load relative to revenue than 16% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Net Margin

74th percentile

15%

Higher net margin than 74% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Top Officer Pay

93rd percentile

$675,493

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 3.6% of source-year revenue.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Asset Growth

83rd percentile

20%

Faster asset growth than 83% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Revenue Growth

52nd percentile

5.3%

Faster revenue growth than 52% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Assets

Up

$16,844,007

Up $2,758,267 (+20%) from 2016

Net Assets

Up

$16,002,789

Up $2,785,643 (+21%) from 2016

Liabilities

Down

$841,218

Down $27,376 (-3.2%) from 2016

Revenue

Up

$18,870,527

Up $957,935 (+5.3%) from 2016

Expenses

Up

$15,979,830

Up $340,375 (+2.2%) from 2016

Net Income

Up

$2,890,697

Up $617,560 (+27%) from 2016

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

2017

Assets$16,844,007
Liabilities$841,218
Net Assets$16,002,789

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

2017

Revenue$18,870,527
Expenses$15,979,830
Net Income$2,890,697
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
Dec 5, 2017
Return Version
2016v3.0
Gross Receipts
$20,725,077
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
Investments in Publicly Traded Securities$7,000,018$7,039,044▲ $39,026
Savings and Temporary Cash Investments$2,862,769$5,569,621▲ $2,706,852
Accounts Receivable$2,286,551$2,152,563▼ $133,988
Land, Buildings, and Equipment, Net$1,887,045$2,021,103▲ $134,058
Prepaid Expenses and Deferred Charges$33,427$61,676▲ $28,249
Total Assets$14,085,740$16,844,007▲ $2,758,267
Other Assets Total$15,930$0▼ $15,930
Liabilities
Other Liabilities$626,159$637,009▲ $10,850
Accounts Payable and Accrued Expenses$223,119$184,464▼ $38,655
Deferred Revenue$19,316$19,745▲ $429
Total Liabilities$868,594$841,218▼ $27,376
Net Assets / Fund Balance
Unrestricted Net Assets$13,217,146$16,002,789▲ $2,785,643
Total Net Assets Fund Balance$13,217,146$16,002,789▲ $2,785,643
Total Liabilities and Net Assets / Fund Balance$14,085,740$16,844,007▲ $2,758,267

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$1,411,947$1,189,368$2,601,315
Equipment$609,156$1,068,871$1,678,027
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Karen Schlageter RNClinic ManagerPT$148,786$148,786
Xinliu Meyer RNClinical Nurse SpecialistPT$133,053$133,053

Board Members and Trustees

NameTitle
Kristine Holmes RNPresident
Chris Green MDDirector
Jodi VitellioDirector
Mary LinkDirector (As of March 2017)
Steven MeansDirector (Until 9/12/16)
Mark A HamiltonExecutive Director and Secretary
Michelle Walker RNClinical Nurse Manager
Ronald SchroederTreasurer (As of 9/4/16)
Robert O'KeefeTreasurer (Until 9/3/16)

Highest Paid Contractors

ContractorServicesLocationCompensation
Foundation Medical StaffingAgency Staffing416 West 15th Street 600, Edmond, OK 73013$692,879
JH Findorff & Son IncConstruction Contractor300 South Bedford Street, Madison, WI 53703$478,812
Medefis IncAgency Staffing2121 North 117th Avenue Ste 200, Omaha, NE 68164$198,223
Ascend Clinical LLCMedical Lab Testing1400 Industrial Way, Redwood City, CA 94063$184,440
Dialysis Solutions LLCRepairs and Maintenance1961 Hillcrest Drive, Delafield, WI 53018$150,998
Revenue and Support

Revenue Composition

Contributions and Grants
$2,700
Program Service Revenue
$18,718,811
Investment Income
$118,339
Other Revenue
$30,677
All Other Contributions
$2,700
Change in Net Assets
$2,890,697

Audited Revenue Reconciliation

Revenue per Audited Statements
$18,870,527
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-105,054
Total Revenue per Audited Statements
$18,765,473
Total Revenue per Form 990
$18,870,527
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$6,995,292
Salaries, Compensation, and Employee Benefits$6,984,538
Grants and Similar Amounts Paid$2,000,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,111,303$865,869-$4,977,172
Grants to Domestic Orgs$2,000,000--$2,000,000
Fees for Services Other$1,268,580$209,738-$1,478,318
Other Employee Benefits$830,223$156,817-$987,040
Occupancy$587,351$49,217-$636,568
Pension Plan Contributions$322,416$68,768-$391,184
Payroll Taxes$315,192$60,655-$375,847
Depreciation Depletion$367,324--$367,324
Fees for Services Management-$284,431-$284,431
Current Officers, Directors, Trustees, and Key Employees$209,449$43,846-$253,295
Office Expenses$80,512$13,371-$93,883
Other Expenses$71,301$9,965-$81,266
Information Technology$15,706$42,946-$58,652
All Other Expenses$37,780$19,625-$57,405
Insurance-$39,844-$39,844
Travel$16,566$9,004-$25,570
Fees for Services Accounting-$10,735-$10,735
Conferences and Meetings$358$6,564-$6,922
Total Functional Expenses$14,087,904$1,891,926$0$15,979,830

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$15,979,830
Total Expenses per Audited Statements$15,979,830
Total Expenses per Form 990$15,979,830
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
UnityPoint Health-MeriterMadison, WI501(c)(3)Dialysis Services$900,000
University of Wisconsin Hospitals and Clinics AuthorityMadison, WI115Dialysis Services$900,000
University of Wisconsin Medical FoundationMiddleton, WI501(c)(3)Dialysis Services$200,000
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to UWHCA$637,009
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
No
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
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, line 3

DELEGATION OF CONTROL OVER MANAGEMENT DUTIES Wisconsin Dialysis, Inc.'s Board Secretary functions as the Organization's Executive Director and compensation is paid by a related organization, University of Wisconsin Hospitals and Clinics Authority (UWHCA). All management duties are provided for under a Management Services Agreement between WDI and UWHCA. Mark A. Hamilton spends 80% of his time carrying out the decision/director of WDI's Board of Directors. WDI incurred and paid $253,295 for his services. The remaining 20% of his time is spent working at UWHCA. WDI's highest compensated individuals with $100,000 or more reportable compensation for services provided to WDI includes Michelle Walker (R.N.), Karen Schlageter (R.N.), and Xinliu Meyer (R.N).

Form 990, Part VI, Section A, line 6

MEMBERS OF THE ORGANIZATION Members are all of one class with a 45% ownership by UnityPoint Health-Meriter, 45% owned by University of Wisconsin Hospitals and Clinics Authority, and 10% owned by University of Wisconsin Medical Foundation.

Form 990, Part VI, Section A, line 7A

POWER TO ELECT OR APPOINT GOVERNING BODY The Board of Directors will be appointed solely by the Members of Wisconsin Dialysis, Inc.

Form 990, Part VI, Section A, line 7B

GOVERNANCE DECISIONS RESERVED TO PERSONS OTHER THAN GOVERNING BODY The Members of Wisconsin Dialysis shall have the rights to approve, - Merger, consolidation or dissolution of the Company; - Amendment or restatement of the Articles of Incorporation or the Bylaws of the Company; and - Amendment of Management Services Agreement between the Company and University of Wisconsin Hospitals and Clinics Authority.

Form 990, Part VI, Section B, line 11B

REVIEW OF FORM 990 BY THE ORGANZATION'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.

Form 990, Part VI, Section B, line 12C

MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY To ensure that the Organization operates in a manner consistent with 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 reason able 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 payers further the Corporation's charitable purposes and do not result in inurement or impermissible private benefit; 5) The policy covers all voting and ex-officer 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.

Form 990, Part VI, Section C, line 19

AVAILABILIIY OF ORGANZATION DOCUMENTS All referenced documents are available to the public upon request pursuant to the guidelines of Section 6104(d).

Filing and Contact Details

Filer

Filer Name
Wisconsin Dialysis Inc
EIN
30-0072647
Phone
6082705600
Address
3034 Fish Hatchery Road, Madison, WI 53713-3125

Signing Officer

Name
Mark A Hamilton
Title
Executive Director and Secretary
Phone
6082705600
Signed
2017-12-05
Discuss with paid preparer
Yes

Organization Details

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

Preparer

Firm
Rsm US Llp
Address
1 S WACKER DRIVE STE 800, CHICAGO, IL 60606
Preparer
Wayne Harder
Phone
3126343400
Supplemental Narrative

Financial Statement Notes

Part X, Line 2:

The Organization is exempt from federal income tax as an organization described in Section 501(c)(3) of the Internal Revenue Code. The Organization is also exempt from state income tax. The Organization follows guidance relative to the uncertainty in income taxes, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this guidance, the Organization may 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 taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Organization, and various positions related to the potential sources of unrelated business taxable income (UBIT). Any tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1030274
IRS990/Form990PartVIISectionAGrp/PersonNm0Kristine Holmes RN
IRS990/Form990PartVIISectionAGrp/PersonNm1Ronald Schroeder
IRS990/Form990PartVIISectionAGrp/PersonNm2Robert O'Keefe
IRS990/Form990PartVIISectionAGrp/PersonNm3Chris Green MD
IRS990/Form990PartVIISectionAGrp/PersonNm4Jodi Vitellio
IRS990/Form990PartVIISectionAGrp/PersonNm5Mary Link
IRS990/Form990PartVIISectionAGrp/PersonNm6Steven Means
IRS990/Form990PartVIISectionAGrp/PersonNm7Mark A Hamilton
IRS990/Form990PartVIISectionAGrp/PersonNm8Michelle Walker RN
IRS990/Form990PartVIISectionAGrp/PersonNm9Karen Schlageter RN
IRS990/Form990PartVIISectionAGrp/PersonNm10Xinliu Meyer RN
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt0175255
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt1195073
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt2585258
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt3361211
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt4191479
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt6321728
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt7281750
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt8122379
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt9114902
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10102779
IRS990/Form990PartVIISectionAGrp/TitleTxt0President
IRS990/Form990PartVIISectionAGrp/TitleTxt1Treasurer (As of 9/4/16)
IRS990/Form990PartVIISectionAGrp/TitleTxt2Treasurer (Until 9/3/16)
IRS990/Form990PartVIISectionAGrp/TitleTxt3Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director (As of March 2017)
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director (Until 9/12/16)
IRS990/Form990PartVIISectionAGrp/TitleTxt7Executive Director and Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt8Clinical Nurse Manager
IRS990/Form990PartVIISectionAGrp/TitleTxt9Clinic Manager
IRS990/Form990PartVIISectionAGrp/TitleTxt10Clinical Nurse Specialist
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02002
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IRS990/FSAuditedInd01
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IRS990/GainOrLossGrp/SecuritiesAmt0-7775
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt05
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IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt02000000
IRS990/GrantsToDomesticOrgsGrp/TotalAmt02000000
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd01
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt01846775
IRS990/GrossReceiptsAmt020725077
IRS990/GrossRentsGrp/RealAmt030677
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt042946
IRS990/InformationTechnologyGrp/ProgramServicesAmt015706
IRS990/InformationTechnologyGrp/TotalAmt058652
IRS990/InsuranceGrp/ManagementAndGeneralAmt039844
IRS990/InsuranceGrp/TotalAmt039844
IRS990/InvestmentIncomeGrp/ExclusionAmt0126114
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0126114
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IRS990/InvestmentsPubTradedSecGrp/BOYAmt07000018
IRS990/InvestmentsPubTradedSecGrp/EOYAmt07039044
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt02258239
IRS990/LandBldgEquipBasisNetGrp/BOYAmt01887045
IRS990/LandBldgEquipBasisNetGrp/EOYAmt02021103
IRS990/LandBldgEquipCostOrOtherBssAmt04279342
IRS990/LegalDomicileStateCd0WI
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt01854550
IRS990/LessRentalExpensesGrp/RealAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0Wisconsin Dialysis, Inc. exists to provide In-Center, Home, and Inpatient Dialysis to patients in Central Wisconsin with End Stage Renal Disease.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt013217146
IRS990/NetAssetsOrFundBalancesEOYAmt016002789
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0-7775
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0-7775
IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt030677
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt030677
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-105054
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt049217
IRS990/OccupancyGrp/ProgramServicesAmt0587351
IRS990/OccupancyGrp/TotalAmt0636568
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt013371
IRS990/OfficeExpensesGrp/ProgramServicesAmt080512
IRS990/OfficeExpensesGrp/TotalAmt093883
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt015930
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0156817
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0830223
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0987040
IRS990/OtherExpensesGrp/Desc0Pharmaceutical Supplies
IRS990/OtherExpensesGrp/Desc1Medical Supplies
IRS990/OtherExpensesGrp/Desc2Equipment Purchases
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0531
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt19965
IRS990/OtherExpensesGrp/ProgramServicesAmt02216515
IRS990/OtherExpensesGrp/ProgramServicesAmt11637328
IRS990/OtherExpensesGrp/ProgramServicesAmt271301
IRS990/OtherExpensesGrp/TotalAmt02216515
IRS990/OtherExpensesGrp/TotalAmt11637859
IRS990/OtherExpensesGrp/TotalAmt281266
IRS990/OtherLiabilitiesGrp/BOYAmt0626159
IRS990/OtherLiabilitiesGrp/EOYAmt0637009
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0865869
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt04111303
IRS990/OtherSalariesAndWagesGrp/TotalAmt04977172
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt060655
IRS990/PayrollTaxesGrp/ProgramServicesAmt0315192
IRS990/PayrollTaxesGrp/TotalAmt0375847
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt068768
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0322416
IRS990/PensionPlanContributionsGrp/TotalAmt0391184
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt033427
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt061676
IRS990/PrincipalOfficerNm0Mark A Hamilton
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621400
IRS990/ProgramServiceRevenueGrp/BusinessCd1621990
IRS990/ProgramServiceRevenueGrp/Desc0Outpatient Revenue
IRS990/ProgramServiceRevenueGrp/Desc1Inpatient Revenue
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt018091577
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1627234
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt018091577
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1627234
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt01998
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IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt024603
IRS990/PYOtherExpensesAmt07278615
IRS990/PYOtherRevenueAmt028092
IRS990/PYProgramServiceRevenueAmt017857899
IRS990/PYRevenuesLessExpensesAmt04273137
IRS990/PYSalariesCompEmpBnftPaidAmt06360840
IRS990/PYTotalExpensesAmt013639455
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt017912592
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt02890697
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RentalIncomeOrLossGrp/RealAmt030677
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt018718811
IRS990/SavingsAndTempCashInvstGrp/BOYAmt02862769
IRS990/SavingsAndTempCashInvstGrp/EOYAmt05569621
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd01
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesEngagedOrgInvlmntInd01
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesFurtherExemptPrpsInd01
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesTestInd0X
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/OfficersCloseRelationshipInd01
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/SupportedOrgVoiceInvestmentInd01
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/TimelyProvidedDocumentsInd01
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0University of Wisconsin Hospitals and Clinics Authority is one of the supported organizations and does not have an IRS determination of status under Section 509(a)(1) or (2). It is not required to obtain recognition of its public charity status because it is considered a governmental unit (public authority, a public body corporate and politic created by Wisconsin statutes). UnityPoint Health-Meriter is one of the supported organizations and does not have an IRS determination of status under Section 509(a)(1) or (2). It is not required to obtain recognition of its public charity status because it is a hospital under Section 170(b)(1)(A)(iii).
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1According to the Bylaws of the Organization, there shall be at least 5 Board Members. Two of the Board Members will be appointed by Meriter Hospital, Inc. (one of the three members of the Organization and is a supported organization), two of the Board Members will be appointed by University of Wisconsin Hospitals and Clinics Authority (one of the three members of the Organization and is a supported organization) and one of the Board Members will be appointed by UW Medical Foundation (one of the three members of the Organization and is a supported organization). Each Board Member has a vote. All Board Members must be from one of the three supported organizations. Based on the composition of the Board, all three supported organizations have a significant voice in directing the use of the Organization's income and assets during the year.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2How these activities directly furthered the supported organizations exempt purposes: The Organization is a collaborative project among the three tax-exempt healthcare providers in Madison, Wisconsin (and are the three supported organizations). The three supported organizations formed the Organization to provide comprehensive dialysis services to their patients. The sole activity of the Organization is providing dialysis services. By doing this, the Organization is directly furthering the exempt purposes of the three supported organizations. How the Organization was responsive to those supported organizations: The Organization's Board of Directors is composed of individuals from the three supported organizations. The Board of Directors meet throughout the year to discuss the activities of the Organization to make sure the activities further the exempt purposes of the three supported organizations. How the Organization determined that these activities constituted substantially all of its activities: The Organization was formed to provide comprehensive dialysis services. This is the sole activity of the Organization.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt3The three supported organizations are healthcare providers in Madison, Wisconsin. One of the goals of the Organization was to develop and implement a collaborative model for the provision of dialysis services that enable the three supported organizations to work together to provide patient care at a higher level of quality and satisfaction than is achievable through individual efforts. The three supported organizations as healthcare providers would have engaged in this activity (i.e. providing dialysis services) but for the Organization's involvement.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART IV, SECTION A, LINE 2
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1PART IV, SECTION D, LINE 3
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2PART IV, SECTION E, LINE 2A
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc3PART IV, SECTION E, LINE 2B
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt03
IRS990ScheduleA/SupportedOrganizationsTotalCnt03
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0390806367
IRS990ScheduleA/SupportedOrgInformationGrp/EIN1391835630
IRS990ScheduleA/SupportedOrgInformationGrp/EIN2391824445
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd11
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd21
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd16
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd210
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt0900000
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt1900000
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt2200000

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