2022-05-11T13:16:31-05:00 2021-06-30 420714325 RSM US LLP 30 S WACKER DRIVE STE 3300 CHICAGO IL 60606 990 2020-07-01 391824445 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC UNIV 6082657131 7974 UW HEALTH COURT MIDDLETON WI 53562 JODILYNN VITELLO VP OF FINANCE 6082657131 2022-05-05 1 JODILYNN VITELLO 999009999 REBEKUH ELEY P01247672 3126343400 2022-05-05 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ALAN KAPLAN MD 7974 UW HEALTH COURT MIDDLETON WI 53562 1091814632 0 X WWW.UWHEALTH.ORG X 1996 WI UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION (UWMF) SUPPORTS THE TEACHING, RESEARCH AND SERVICE MISSIONS OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH BY PROMOTING THE DELIVERY OF EXCELLENT AND INNOVATIVE PATIENT CARE BY FACULTY AND STAFF WHO SERVE LOCAL, REGIONAL, NATIONAL AND INTERNATIONAL POPULATIONS. 15 4 5099 4 839588 129341 158164850 218103907 784991654 820165566 10526670 6947195 3002537 5217078 956685711 1050433746 58058271 57200117 0 0 630624806 702419312 0 0 0 270272625 293539052 958955702 1053158481 -2269991 -2724735 1086870157 827644125 733546308 440073832 353323849 387570293 X UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION (UWMF) SUPPORTS THE TEACHING, RESEARCH AND SERVICE MISSIONS OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH BY PROMOTING THE DELIVERY OF EXCELLENT AND INNOVATIVE PATIENT CARE BY FACULTY AND STAFF WHO SERVE LOCAL, REGIONAL, NATIONAL AND INTERNATIONAL POPULATIONS. 0 0 826713711 74895 823981777 FUNDING ALLOCATED TO PROVIDE HEALTHCARE FOR THE BENEFIT OF, AND IN SUPPORT OF, THE PURPOSE OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH. DELIVERY OF PATIENT CARE SERVING LOCAL, REGIONAL, NATIONAL, AND INTERNATIONAL POPULATIONS. 187202216 45844809 0 FUNDING PROVIDED TO SUPPORT THE TEACHING/ACADEMIC MISSION AND SUPPORT THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH. 10417069 10417069 FUNDING ALLOCATED TO PROVIDE MEDICAL RESEARCH FOR THE BENEFIT OF, AND IN SUPPORT OF, THE PURPOSE OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH. 863345 863345 OTHER PROGRAM REVENUE AND EXPENSES ALLOCATED TO PROVIDE MEDICAL EDUCATION FOR THE BENEFIT OF AND IN SUPPORT OF THE PURPOSE OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH. 863345 863345 1025196341 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 5099 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 IL X ROBERT W FLANNERY SVPCFO 6082657131 7974 UW HEALTH COURT MIDDLETON WI 53562 ALAN KAPLAN MD CHAIRMAN OF THE BOARD 1.00 39.00 X X 0 2722677 406291 PETROS ANAGNOSTOPOULOS MD DIRECTOR 1.00 39.00 X 1048870 0 58436 THOMAS ZDEBLICK MD DIRECTOR (UNTIL 12/31/20) 1.00 39.00 X 1008321 0 57546 STEPHEN NAKADA MD DIRECTOR 1.00 39.00 X 966273 0 58436 LAUREL RICE MD DIRECTOR 1.00 39.00 X 738162 0 58436 TERRI YOUNG MD MBA DIRECTOR 1.00 39.00 X 679231 0 57978 LYNN SCHNAPP MD DIRECTOR (AS 1/1/21) 1.00 39.00 X 517018 0 1553 ELIZABETH TROWBRIDGE MD DIRECTOR 1.00 39.00 X 413231 0 53433 SANDRA KAMNETZ MD DIRECTOR 1.00 39.00 X 328895 0 53331 J CARTER RALPHE MD DIRECTOR 1.00 39.00 X 335554 0 43323 JOHN FROHNA MD MPH PRESIDENT (AS OF 7/1/20) 1.00 39.00 X X 244206 0 29892 KELSIE DOTY CAO 40.00 0.00 X X 209325 0 49057 JENNIFER ALEXANDER DIRECTOR 1.00 0.00 X 0 0 0 RONALD ANDERSON DIRECTOR 1.00 0.00 X 0 0 0 DEB ARCHER DIRECTOR 1.00 0.00 X 0 0 0 GEORGE KAMPERSCHROER DIRECTOR 1.00 0.00 X 0 0 0 KELLY WILSON SECRETARY 1.00 39.00 X 0 543272 119327 JODI VITELLO TREASURER 1.00 39.00 X 0 326416 90211 PETER NEWCOMER MEDICAL DIRECTOR 1.00 39.00 X 969241 0 166488 KATHERINE GAST PHYSICIAN 39.00 1.00 X 1494904 0 14313 MUSTAFA BASKAYA PHYSICIAN 39.00 1.00 X 1421367 0 57063 ROBERT DEMPSEY PHYSICIAN 39.00 1.00 X 1152354 0 57042 DAVID NIEMANN PHYSICIAN 39.00 1.00 X 1145196 0 57063 TERRY BOLZ CEO OF QUARTZ 40.00 0.00 X 1119329 0 20735 ROBERT FLANNERY FORMER CAO 40.00 0.00 X 947493 0 158049 NIZAR JARJOUR MD PRESIDENT (UNTIL 6/30/20) 0.00 0.00 X 670025 0 53608 15408995 3592365 1721611 1670 1 1 1 0 217936942 166965 218103907 PATIENT SERVICES 621111 574339589 574339589 PREMIUM REVENUE 900099 238269094 238269094 MEDICARE QPP INCENTIVE 900099 4317240 4317240 3239643 2407762 831881 820165566 4466085 4466085 2256310 841 2255469 2255469 7707 2247762 42135705 39654595 2481110 2481110 2481110 3816211 1725450 2090761 2090761 LEGAL REVENUE 900099 468226 468226 INCOME TAX REFUND 900099 360281 360281 42341 42341 870848 1050433746 821424446 839588 10065805 57200117 57200117 6487470 5204950 1282520 608636097 583829193 24806904 14784323 14784323 44366979 44366979 28144443 28144443 34847778 33176574 1671204 79996 79996 91536 91536 147923 147923 1462813 1462813 1500385 1500385 38683570 38683570 394918 394918 2028357 2028357 29980 29980 4955721 4955721 1535551 1535551 REIMB. OF MED SCHOOL EX 141357407 141357407 DRUGS AND PATIENT CARE 50859999 50859999 DUE AND SUBSCRIPTIONS 2274908 2274908 EQUIPMENT REPAIR/MAINTE 1871834 1871834 11416376 11416376 1053158481 1025196341 27962140 0 298498538 348675969 97682106 69998635 3913771 5480583 1112099 1055949 155430556 100705592 59081968 54724964 172076922 208297589 72315782 75843689 382188971 63566747 1086870157 827644125 77137746 120325977 19022488 15287492 25305000 20520000 612081074 283940363 733546308 440073832 X 353323849 387570293 353323849 387570293 1086870157 827644125 X -2724735 29799304 7171875 X 0 1 X 1 0 X 96330345 110594924 138204587 158164850 218103907 721398613 750377423 817469698 828351162 783958482 823149896 4003306661 846707768 928064622 966555749 942123332 1041253803 4724705274 0 0 0 4724705274 6320733 7826122 7912005 8285122 6713847 37057829 6320733 7826122 7912005 8285122 6713847 37057829 834123 703869 108943 1646935 283859 299869 236359 798942 870848 2489877 853312360 936190613 975538236 951911265 1048947441 4765899915 0.99140 0.99110 0.00780 0.00810 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER NON-PROGRAM REVENUE - 2016 AMOUNT: $ 283,859. 2017 AMOUNT: $ 299,869. 2018 AMOUNT: $ 236,359. 2019 AMOUNT: $ 798,942. 2020 AMOUNT: $ 510,567. INCOME TAX REFUND - 2020 AMOUNT: $ 360,281. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7959113 7959113 73981827 34907787 39074040 13519321 9890480 3628841 59790375 55907325 3883050 179920 179920 54724964 UNIVERSITY HEALTH CARE, INC. 44580868 F MADISON MEDICAL CENTER 13122523 F CHARTWELL WISCONSIN ENTERPRISES, LLC 7437544 F MADISON SURGERY CENTER 5120780 F WISCONSIN DIALYSIS, INC. 2693744 F WISCONSIN SLEEP, INC. 1516478 F TRANSFORMATION SURGERY CENTER, INC. 686971 F GENERATIONS FERTILITY CARE, INC. 684781 F 75843689 DUE FROM RELATED ORGANIZATIONS 54334036 OTHER ACCOUNTS RECEIVABLE 8461206 EXECUTIVE DEFERRED COMPENSATION 771505 63566747 DUE TO RELATED ORGANIZATIONS 283168858 EXECUTIVE DEFERRED COMPENSATION 771505 283940363 1 UW SCHOOL OF MEDICINE AND PUBLIC HEALTH 750 HIGHLAND AVENUE MADISON WI 53705 396006492 STATE OF WISCONSIN 45844809 SUPPORT FUNCTIONS OF THE MEDICAL SCHOOL UNIVERSITY OF WISCONSIN FOUNDATION 1848 UNIVERSITY AVENUE MADISON WI 53708 390743975 501(C)(3) 10427619 RESEARCH SUPPORT ACCESS COMMUNITY HEALTH CENTER 2202 PARK STREET MADISON WI 53713 391391134 501(C)(3) 814345 SUPPORT FUNCTIONS OF THE ORGANIZATION ORTHOPAEDIC RESEARCH AND EDUCATION FOUNDATION 6300 N RIVER ROAD STE 700 ROSEMONT IL 60019 366009467 501(C)(3) 35000 SUPPORT FUNCTIONS OF THE ORGANIZATION YWCA MADISON 101 E MIFFLIN ST MADISON WI 53703 390806303 501(C)(3) 7500 SUPPORT FUNCTIONS OF THE ORGANIZATION HEALTHY CLASSROOMS FOUNDATION INC PO BOX 260199 MADISON WI 53726 263490947 501(C)(3) 6500 SUPPORT FUNCTIONS OF THE ORGANIZATION 6 0 PART I, LINE 2: THE GRANT SCHEDULE FOR UW SCHOOL OF MEDICINE IS BASED ON AN AGREEMENT AT A FIXED AMOUNT. UWMF MAKES A CONTRIBUTION TO UW FOUNDATION FOR R&D BASED ON AGREED UPON LEVELS OF FUNDING. X 1 1 X X X 0 1 0 0 0 0 0 0 0 ALAN KAPLAN MD CHAIRMAN OF THE BOARD 0 1631838 0 0 0 1090839 0 362658 0 43633 0 3128968 0 1075540 KATHERINE GAST PHYSICIAN 1494904 0 0 0 0 0 14250 0 63 0 1509217 0 0 0 MUSTAFA BASKAYA PHYSICIAN 1421367 0 0 0 0 0 57000 0 63 0 1478430 0 0 0 ROBERT DEMPSEY PHYSICIAN 1152354 0 0 0 0 0 57000 0 42 0 1209396 0 0 0 DAVID NIEMANN PHYSICIAN 1145196 0 0 0 0 0 57000 0 63 0 1202259 0 0 0 TERRY BOLZ CEO OF QUARTZ 673782 0 434277 0 11270 0 0 0 20735 0 1140064 0 0 0 PETER NEWCOMER MEDICAL DIRECTOR 684992 0 0 0 284249 0 165052 0 1436 0 1135729 0 284249 0 PETROS ANAGNOSTOPOULOS MD DIRECTOR 1048870 0 0 0 0 0 57000 0 1436 0 1107306 0 0 0 ROBERT FLANNERY FORMER CAO 734524 0 0 0 212969 0 126639 0 31410 0 1105542 0 207014 0 THOMAS ZDEBLICK MD DIRECTOR (UNTIL 12/31/20) 1006571 0 1750 0 0 0 57000 0 546 0 1065867 0 0 0 STEPHEN NAKADA MD DIRECTOR 966273 0 0 0 0 0 57000 0 1436 0 1024709 0 0 0 LAUREL RICE MD DIRECTOR 738162 0 0 0 0 0 57000 0 1436 0 796598 0 0 0 TERRI YOUNG MD MBA DIRECTOR 679231 0 0 0 0 0 57000 0 978 0 737209 0 0 0 NIZAR JARJOUR MD PRESIDENT (UNTIL 6/30/20) 491918 0 0 0 178107 0 53545 0 63 0 723633 0 178107 0 KELLY WILSON SECRETARY 0 543272 0 0 0 0 0 90494 0 28833 0 662599 0 0 LYNN SCHNAPP MD DIRECTOR (AS 1/1/21) 517018 0 0 0 0 0 0 0 1553 0 518571 0 0 0 ELIZABETH TROWBRIDGE MD DIRECTOR 409667 0 0 0 3564 0 52320 0 1113 0 466664 0 0 0 JODI VITELLO TREASURER 0 324248 0 0 0 2168 0 56438 0 33773 0 416627 0 0 SANDRA KAMNETZ MD DIRECTOR 328895 0 0 0 0 0 53268 0 63 0 382226 0 0 0 J CARTER RALPHE MD DIRECTOR 335554 0 0 0 0 0 43260 0 63 0 378877 0 0 0 JOHN FROHNA MD MPH PRESIDENT (AS OF 7/1/20) 244206 0 0 0 0 0 26456 0 3436 0 274098 0 0 0 KELSIE DOTY CAO 206912 0 0 0 2413 0 31247 0 17810 0 258382 0 0 0 PART I, LINE 1A UWMF REIMBURSES CHAIRS AND THE DEAN OF THE MEDICAL SCHOOL FOR THE BUSINESS USE OF THEIR SOCIAL CLUB DUES. AS A BUSINESS EXPENSE, AMOUNTS ARE NOT TAXABLE. PART I, LINE 4B SEVERAL MEMBERS OF THE BOARD PARTICIPATE IN SUPPLEMENTAL, NON-QUALIFIED RETIREMENT PLANS THROUGH UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, OR RELATED ORGANIZATIONS. THOSE INDIVIDUALS PARTICIPATE IN A 457(F) PLAN. IN 2020, THE FOLLOWING EMPLOYER CONTRIBUTIONS WERE MADE: - KELSIE DOTY $6,353 - ROBERT FLANNERY $89,743 - ALAN KAPLAN $340,000 - JODI VITELLO $33,780 - KELLY WILSON $67,836 - PETER NEWCOMER $108,052 THE FOLLOWING DISTRIBUTIONS WERE MADE IN 2020: - ROBERT FLANNERY $207,014 - ALAN KAPLAN $1,075,540 - NIZAR JARJOUR $178,107 - PETER NEWCOMER $284,249 PART II, COLUMN B: CERTAIN INDIVIDUALS RECEIVED COMPENSATION FROM THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH, AN UNRELATED ORGANIZATION, FOR THEIR SERVICES AS PHYSICIANS OR PROFESSORS. THE FOLLOWING INDIVIDUALS HAVE THIS COMPENSATION REPORTED ON SCHEDULE J, PART II, COLUMN B(I): - PETROS ANAGNOSTOPOULOS $71,662 - NIZAR JARJOUR $277,738 - SANDRA KAMNETZ $115,823 - STEPHEN NAKADA $228,969 - PETER NEWCOMER $111,590 - JOHN RALPHE $118,593 - LAUREL RICE $177,642 - ELIZABETH TROWBRIDGE $200,871 - TERRI YOUNG $195,872 - THOMAS ZDEBLICK $192,097 - JOHN FROHNA $70,548 - LYNN SCHNAPP $175,095 - KATHERINE GAST $50,146 - MUSTAFA BASKAYA $84,069 - ROBERTY DEMPSEY $172,396 - DAVID NIEMANN $58,902 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS THE UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO APPROVE FACULTY AND CHAIR DIRECTORS NOMINATED FOR THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE ORGANIZATION HAS THE OVERALL RIGHTS TO GOVERN, DIRECT, AND OVERSEE THE PROPERTY, FUNDS, BUSINESS, AND AFFAIRS OF THE ORGANIZATION EXCEPT WHEN RESERVED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS COMPLETED BY THE ORGANIZATION'S EXTERNAL ACCOUNTING FIRM. KEY FINANCE EMPLOYEES REVIEW THE FORM 990 TO DETERMINE COMPLETE AND ACCURATE. THE RETURN IS PROVIDED TO THE MEMBERS OF THE BOARD OF DIRECTORS BEFORE FILING. THE RETURN IS SUBMITTED FOR FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE COMPLIANCE AND LEGAL DEPARTMENT REVIEWS CONFLICT OF INTEREST FORMS. IF POTENTIAL CONFLICTS ARE FOUND, THERE IS A DISCUSSION BETWEEN LEGAL SERVICES, THE CAO, AND THE INDIVIDUAL. THE COMPLIANCE DEPARTMENT ISSUES QUESTIONNAIRES ANNUALLY AND THERE IS 100% COMPLIANCE IN RESPONDING. IF THERE IS A CONFLICT, THE FIX IS TO RECUSE ONESELF FROM ANY VOTE. IF IT IS A SENSITIVE MATTER, THE FIX IS TO RECUSE ONESELF FROM THE DISCUSSION AND THE VOTE. THE CONFLICT OF INTEREST POLICY PROVIDES A PROCESS FOR BOTH VOLUNTARY AND INVOLUNTARY RECUSAL. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION REVIEW COMMITTEE (CRC) HAS BEEN ESTABLISHED. THE COMMITTEE SHALL CONSIST EXCLUSIVELY OF THE PUBLIC DIRECTORS. THE CRC SHALL ACT IN ACCORDANCE WITH THE FOUNDATION'S COMPENSATION PRINCIPLES AND POLICY. THE COMMITTEE SHALL MAKE FINAL DECISIONS ON SUCH MATTERS AFTER SATISFYING ITSELF THAT THE STANDARDS SET IN THE FOUNDATION'S COMPENSATION PRINCIPLES AND POLICY HAVE BEEN MET. THE COMMITTEE MAY REQUEST ADDITIONAL DATA OR INFORMATION PRIOR TO APPROVING MATTERS WITHIN ITS JURISDICTION. THE CRC SHALL TAKE FINAL ACTION TO APPROVE OR DISAPPROVE ALL FOUNDATION AND DEPARTMENTAL COMPENSATION FORMULAE AND POLICY. THE COMMITTEE ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW PHYSICIAN COMPENSATION. OUTLIERS IDENTIFIED ARE SUBSTANTIATED. A PRESENTATION IS MADE TO THE CRC FOR APPROVAL. EXECUTIVE COMPENSATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS WITHIN THE MARKET. THE COMPENSATION FOR PRESIDENT, CAO, AND ALL VICE PRESIDENTS IS PRESENTED TO THE COMPENSATION COMMITTEE ANNUALLY. THIS COMMITTEE IS COMPRISED OF THE UWMF'S PUBLIC BOARD MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS, BYLAWS, ARTICLES, CONFLICT OF INTEREST POLICIES, TAX RETURNS, AND FORM 1023 ARE AVAILABLE UPON REQUEST FROM THE CORPORATE OFFICE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D). FORM 990, PART XI, LINE 9: EQUITY INTEREST IN INCOME OF JOINT VENTURES 7,171,875. GENERATIONS FERTILITY CARE 2365 DEMING WAY MIDDLETON WI 53562 273496527 REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY SERVICES WI 501(C)(3) LINE 10 N/A 1 ISTHMUS PROJECT INC 600 HIGHLAND AVENUE MADISON WI 53792 832278676 RESEARCH AND INNOVATION WI 501(C)(3) LINE 12A UNIVERSITY OF WI HOSPITAL AND CLINICS AUTHORITY 1 MADISON SURGERY CENTER 7974 UW HEALTH COURT MIDDLETON WI 53562 391940656 HEALTH CARE SERVICES AND TRAINING WI 501(C)(3) LINE 10 N/A 1 QUARTZ HEALTH PLAN CORPORATION 840 CAROLINA STREET SAUK CITY WI 53583 391807071 HEALTH MAINTENANCE ORGANIZATION WI 501(C)(4) UNIVERSITY HEALTH CARE 1 QUARTZ HEALTH PLAN MN CORPORATION 840 CAROLINA STREET SAUK CITY WI 53583 452633920 HEALTH INSURANCE WI 501(C)(4) QUARTZ HEALTH PLAN CORPORATION 1 REGIONAL DIVISION INC 7974 UW HEALTH COURT NO MC1020 MIDDLETON WI 53562 391446049 REGIONAL PARENT CORP. TO MANAGE AND DIRECT ACTIVITIES OF ENTITIES WI 501(C)(3) LINE 12A UNIVERSITY OF WI HOSPITAL AND CLINICS AUTHORITY 1 SWEDISHAMERICAN FOUNDATION 1415 EAST STATE STREET ROCKFORD IL 61104 363097493 SUPPORTS FUNDRAISING FOR SWEDISHAMERICAN HOSPITAL IL 501(C)(3) LINE 7 SWEDISHAMERICAN HOSPITAL 1 SWEDISHAMERICAN HEALTH SYSTEM CORPORATION 1401 EAST STATE STREET ROCKFORD IL 61104 363241458 PARENT CORPORATION TO MANAGE AND DIRECT ACTIVITES OF ENTITIES IL 501(C)(3) LINE 12A REGIONAL DIVISION INC 1 SWEDISHAMERICAN HOSPITAL 1401 EAST STATE STREET ROCKFORD IL 61104 362222696 HOSPITAL IL 501(C)(3) LINE 3 SWEDISHAMERICAN HEALTH SYSTEM CORPORATION 1 SWEDISHAMERICAN HOSPITAL SELF INSURANCE TRUST 1401 EAST STATE STREET ROCKFORD IL 61104 366652702 HOSPITAL MALPRACTICE TRUST VT 501(C)(3) LINE 12A SWEDISHAMERICAN HOSPITAL 1 SWEDISHAMERICAN REALTY CORPORATION 1313 EAST STATE STREET ROCKFORD IL 61104 363248013 TITLE HOLDING COMPANY IL 501(C)(2) SWEDISHAMERICAN HEALTH SYSTEM CORPORATION 1 UNIVERSITY HEALTH CARE INC 7974 UW HEALTH COURT MIDDLETON WI 53562 472553196 SUPPORT ORGANIZATION WI 501(C)(3) LINE 12A UNIVERSITY OF WI HOSPITAL AND CLINICS AUTHORITY 1 UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS AUTHORITY 7974 UW HEALTH COURT MIDDLETON WI 53562 391835630 HOSPITAL AND CLINICS WI 501(C)(3) LINE 3 N/A 0 UW HEALTH ACO INC 7974 UW HEALTH COURT MIDDLETON WI 53562 455490584 ACCOUNTABLE CARE ORGANIZATION WI 501(C)(3) LINE 10 UNIVERSITY OF WI HOSPITAL AND CLINICS AUTHORITY 1 WISCONSIN THERAPIES INC 7974 UW HEALTH COURT MIDDLETON WI 53562 391807425 INFUSION THERAPY WI 501(C)(3) LINE 12A UNIVERSITY OF WI HOSPITAL AND CLINICS AUTHORITY 1 CHARTWELL WISCONSIN ENTERPRISES LLC 2241 PINEHURST DRIVE MIDDLETON WI 53562 391796267 PARENT ENTITY OF CW AND CMW-HR WI N/A 0 0 MADISON MEDICAL CENTER LLP 7974 UW HEALTH COURT MIDDLETON WI 53562 391329429 REAL ESTATE WI N/A 0 0 NORTHERN ILLINOIS VEIN CLINIC 2550 CHARLES STREET ROCKFORD IL 61108 201642329 OUTPATIENT HEALTH SERVICES IL N/A 0 0 SIXTH STREET MEDICAL LLC 7974 UW HEALTH COURT MIDDLETON WI 53562 472705724 REAL ESTATE WI N/A 0 0 THREE RIVERS PARTNERS LLC 1313 EAST STATE STREET ROCKFORD IL 61104 262231757 INFORMATION TECHNOLOGY SERVICES IL N/A 0 0 HEALTH PROFESSIONALS OF WISCONSIN 301 SOUTH WESTFIELD ROAD MADISON WI 53717 391806711 REAL ESTATE WI N/A C 1 PHYSICIAN'S CARE NETWORK 1313 EAST STATE STREET ROCKFORD IL 61104 363455791 HEALTH SERVICES IL N/A C 1 QUARTZ HEALTH BENEFIT PLANS CORPORATION 840 CAROLINA STREET SAUK CITY WI 53583 391450766 HEALTH MAINTENANCE ORGANIZATION WI N/A C 1 QUARTZ HEALTH INSURANCE CORPORATION 840 CAROLINA STREET SAUK CITY WI 53583 391565691 HEALTH MAINTENANCE ORGANIZATION WI N/A C 1 QUARTZ HEALTH SOLUTIONS 840 CAROLINA STREET SAUK CITY WI 53583 465710709 INSURANCE WI N/A C 1 QUARTZ HOLDING COMPANY 840 CAROLINA STREET SAUK CITY WI 53583 821728929 HOLDING COMPANY WI N/A C 1 SARI INSURANCE COMPANY 76 ST PAUL STREET SUITE 500 BURLINGTON VT 054014477 030308753 CAPTIVE INSURANCE COMPANY VT N/A C 1 STATE & CHARLES INC 1313 EAST STATE STREET ROCKFORD IL 61104 363321193 HOLDING COMPANY IL N/A C 1 SWEDISHAMERICAN HEALTH MANAGEMENT CORP 1401 EAST STATE STREET ROCKFORD IL 61104 363246511 MANAGEMENT SERVICES IL N/A C 1 WISCONSIN DIALYSIS 3034 FISH HATCHERY ROAD FITCHBURG WI 53713 300072647 DIALYSIS SERVICES WI N/A C 0 1 1 1 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 0 MADISON MEDICAL CENTER LLP L 115831 FMV MADISON MEDICAL CENTER LLP K 1849753 FMV MADISON SURGERY CENTER O 8020736 FMV MADISON SURGERY CENTER L 963286 FMV MADISON SURGERY CENTER L 847392 FMV MADISON SURGERY CENTER C 2400000 FMV MADISON SURGERY CENTER A 1678518 FMV UW HEALTH ACO INC O 478191 FMV UW HEALTH ACO INC M 92240 FMV