UW PHYSICIANS NETWORK: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
UW PHYSICIANS NETWORK (EIN 91-1715882)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-16
IRS object ID
202211369349306531
Schema version
2020v4.2
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)
Return2022-05-16T11:58:32-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911194016PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1400AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911715882EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UW PHYSICIANS NETWORKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUWPHBusinessNameControlTxt
Phone2065205503PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14333 BROOKLYN AVE NE BOX 359415AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98195ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEBRA GUSSINPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2065205503PhoneNum
Signature2022-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDEBRAPersonFirstNm
Person LastGUSSINPersonLastNm
FieldValueIRS element (for citing)
SSN888008888SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSARA ELIZABETH JONESPreparerPersonNm
PTINP00235495PTIN
Phone4254544919PhoneNum
Preparation2022-05-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1UW NEIGHBORHOOD CLINICSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDEBRA GUSSINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14333 BROOKLYN AVE NE BOX 359415AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98195ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$71,810,528GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UWMEDICINE.ORG/UWPNWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionUW PHYSICIANS NETWORK ("THE NETWORK") PROVIDES INCREASED ACCESS TO DIVERSE PATIENT POPULATIONS TO SUPPORT TEACHING, RESEARCHING AND TRAINING. THE NETWORK ALSO SUPPORTS THE CHARITABLE AND PUBLIC MISSION OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, HARBORVIEW MEDICAL CENTER AND THE UNIVERSITY OF WASHINGTON MEDICAL CENTER.THE NETWORK IS ALSO ORGANIZED TO COORDINATE AND DEVELOP PATIENT CARE IN A COMMUNITY CLINICAL SETTING TO ENHANCE THE ACADEMIC ENVIRONMENT OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE BY PROVIDING ADDITIONAL SITES OF PRIMARY CARE PRACTICE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee469TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$417,045PYContributionsGrantsAmt
CY Contributions Grants$391,897CYContributionsGrantsAmt
PY Program Service Revenue$67,941,668PYProgramServiceRevenueAmt
CY Program Service Revenue$69,476,535CYProgramServiceRevenueAmt
PY Investment Income$900PYInvestmentIncomeAmt
CY Investment Income-$243,811CYInvestmentIncomeAmt
PY Other Revenue$2,074,668PYOtherRevenueAmt
CY Other Revenue$1,722,889CYOtherRevenueAmt
PY Total Revenue$70,434,281PYTotalRevenueAmt
CY Total Revenue$71,347,510CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$29,191,616PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$29,425,007CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$41,789,598PYOtherExpensesAmt
CY Other Expenses$42,270,247CYOtherExpensesAmt
PY Total Expenses$70,981,214PYTotalExpensesAmt
CY Total Expenses$71,695,254CYTotalExpensesAmt
PY Revenues Less Expenses-$546,933PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$347,744CYRevenuesLessExpensesAmt
Total Assets BOY$26,374,432TotalAssetsBOYAmt
Total Assets EOY$28,108,083TotalAssetsEOYAmt
Total Liabilities BOY$15,969,010TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,050,405TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,405,422NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,057,678NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE HEALTH OF THE PUBLIC.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$54,490,057ExpenseAmt
Revenue$69,476,535RevenueAmt
DescTHE NETWORK PROVIDES INCREASED ACCESS TO DIVERSE PATIENT POPULATIONS TO UW MEDICINE IN SUPPORT OF TEACHING, RESEARCHING, AND TRAINING. THE NETWORK ALSO SUPPORTS THE PUBLIC MISSION OF UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, HARBORVIEW MEDICAL CENTER, AND UNIVERSITY OF WASHINGTON MEDICAL CENTER THROUGH INCREASED ACCESSIBILITY AND OUTREACH BY CLINICS TO LOCAL COMMUNITIES. IN THE FISCAL YEAR 2021, THE NETWORK PROVIDED 347,476 PATIENT VISITS INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, GERIATRIC, OBSTETRIC AND PEDIATRIC CARE.Desc
Total Program Service Expenses$54,490,057TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee469EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LINDSEY PERVINICHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2065201579PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1850 REPUBLICAN ST BLDG C FLOOR 2AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98195ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LISA BRANDENBURG
PRESIDENT/CHIEF HEALTH SYS OFFICER0.5039.50Yes (X)Yes (X)$0$935,234$137,643
BRADLEY ANAWALT MD
TRUSTEE0.5039.50Yes (X)$0$349,409$42,231
ANTHONY DORSCH
EX-OFFICIO TRUSTEE0.5039.50Yes (X)$0$347,695$48,205
PETER EVANS
TRUSTEE, COMMUNITY MEMBER0.500.00Yes (X)$0$0$0
MATTHEW JAFFY MD
TRUSTEE40.000.00Yes (X)$0$259,434$31,036
KATHRYN HARRIS MD
TRUSTEE40.000.00Yes (X)$0$284,443$41,925
PAUL JAMES MD
TRUSTEE0.5039.50Yes (X)$0$438,415$55,001
BRIAN JOHNSTON MD
TRUSTEE0.5039.50Yes (X)$0$288,317$41,390
GARY KOHWLES
TRUSTEE, COMMUNITY MEMBER0.500.00Yes (X)$0$0$0
JACKIE MACLEAN
TRUSTEE, COMMUNITY MEMBER0.500.00Yes (X)$0$0$0
JOANN TARICANI
TRUSTEE0.5039.50Yes (X)$0$154,703$23,371
SHERYL WHITNEY
TRUSTEE0.500.00Yes (X)$0$0$0
CRYSTAL KONG-WONG MD
TRUSTEE40.000.00Yes (X)$0$280,480$38,301
RAOUF MAOUD MD
TRUSTEE40.000.00Yes (X)$0$355,589$49,412
VICTORIA FANG MD
VICE-PRESIDENT, MEDICAL DIRECTOR40.000.00Yes (X)$0$326,831$46,385
DEBRA GUSSIN
EXECUTIVE DIRECTOR AND ASSOC VP40.000.00Yes (X)$0$414,786$41,162
LINDSEY PERVINICH
FINANCE SITE LEAD, UWNC40.000.00Yes (X)$0$134,143$19,124
PAUL RAMSEY
CEO, UW MEDICINE0.5039.50$0$914,275$77,364Yes (X)
JACQUELINE CABE
CFO, UW MEDICINE0.5039.50$0$764,878$62,236Yes (X)
DANIELLE DEBELAK
PHYSICIAN34.000.00$0$256,503$36,834Yes (X)
SEEMA DIDDEE MD
PHYSICIAN34.000.00$0$270,009$42,061Yes (X)
MARTIN CAHN
PHYSICIAN40.000.00$0$269,546$44,978Yes (X)
THOMAS HEI
PHYSICIAN40.000.00$0$266,851$40,214Yes (X)
CHRISTOPHER COPPEANS
PHYSICIAN36.000.00$0$267,891$38,907Yes (X)
PAUL HAYES
FORMER OFFICER0.0040.00$0$606,402$61,309Yes (X)
CYNTHIA HECKER
FORMER OFFICER0.5039.50$0$693,500$105,334Yes (X)
LOUISE SIMPSON
FORMER OFFICER0.0040.00$0$223,908$36,740Yes (X)
MAUREEN BROOM
FORMER KEY EMPLOYEE0.5039.50$0$443,444$48,297Yes (X)
PAMELA YUNG
FORMER KEY EMPLOYEE40.000.00$0$215,746$34,897Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,762,432TotReportableCompRltdOrgAmt
Total Other Compensation$1,244,357TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NUWEST GROUP HOLDINGS LLC
PO BOX 940ROSEVILLECA95661CONTRACTED EMPLOYEES$371,258
WILL'S CLEANING SERVICES LLC
637 STRANDER BOULEVARD BLDG ETUKWILAWA98188JANITORIAL$323,261
PRESS GANEY ASSOCIATES INC
BOX 88335MILWAUKEEWI53288HEALTHCARE CONSULTING$187,271
TELELANGUAGE INC
610 SW BROADWAY SUITE 200PORTLANDOR97205TELEPHONIC INTERPRETATION$123,763
UNIMARK CONSTRUCTION LLC
1221 4TH AVESEATTLEWA98101CONSTRUCTION$117,534
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$259,934GovernmentGrantsAmt
All Other Contributions$131,963AllOtherContributionsAmt
Total Contributions$391,897TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NETWORK FUNDING621110$51,664,321$51,664,321
PATIENT VISITS621111$17,333,761$17,333,761
RESIDENCY REVENUE611600$478,453$478,453
FieldValueIRS element (for citing)
Total Program Service Revenue$69,476,535TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$115TotalRevenueColumnAmt
Exclusion$115ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$219,092OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$463,018OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$243,926OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$243,926TotalRevenueColumnAmt
Exclusion-$243,926ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
EXPENSE REIMBURSEMENT900099$1,569,086$1,569,086
SALE OF SUPPLIES900099$143,424$143,424

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,379TotalRevenueColumnAmt
Exclusion$10,379ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,722,889OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,347,510TotalRevenueColumnAmt
Related Or Exempt Func Income$69,476,535RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,479,078ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,744,076TotalAmt
Program Services$18,209,504ProgramServicesAmt
Management And General$3,534,572ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$642,113TotalAmt
Program Services$574,317ProgramServicesAmt
Management And General$67,796ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,182,808TotalAmt
Program Services$5,504,828ProgramServicesAmt
Management And General$677,980ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$856,010TotalAmt
Program Services$766,192ProgramServicesAmt
Management And General$89,818ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$7,116,375TotalAmt
Program Services$137,271ProgramServicesAmt
Management And General$6,979,104ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$78,770TotalAmt
Management And General$78,770ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$56,410TotalAmt
Management And General$56,410ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,152,830TotalAmt
Program Services$1,898,551ProgramServicesAmt
Management And General$5,254,279ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$233,196TotalAmt
Program Services$208,127ProgramServicesAmt
Management And General$25,069ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,217,506TotalAmt
Program Services$1,128,930ProgramServicesAmt
Management And General$88,576ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,808,193TotalAmt
Program Services$10,808,193ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,054,314TotalAmt
Program Services$6,865,565ProgramServicesAmt
Management And General$188,749ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$47,411TotalAmt
Program Services$38,161ProgramServicesAmt
Management And General$9,250ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,023TotalAmt
Program Services$4,195ProgramServicesAmt
Management And General$3,828ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$39,983TotalAmt
Program Services$39,983ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,603,820TotalAmt
Program Services$1,571,512ProgramServicesAmt
Management And General$32,308ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$113,300TotalAmt
Management And General$113,300ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICALS$3,548,748$3,548,748
LAB & MED SUPPLIES$1,468,470$1,468,470
REPAIRS AND MAINTENANCE$1,328,235$1,325,295$2,940
B&O TAXES$325,142$325,142

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$69,521TotalAmt
Program Services$67,073ProgramServicesAmt
Management And General$2,448ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$71,695,254TotalAmt
Program Services$54,490,057ProgramServicesAmt
Management And General$17,205,197ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,223,732BOYAmt
EOY$10,766,739EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,325,440BOYAmt
EOY$6,563,936EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$673,159BOYAmt
EOY$584,887EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$94,654BOYAmt
EOY$54,866EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,511,000LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,532,034LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,878,758BOYAmt
EOY$9,978,966EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$178,689BOYAmt
EOY$158,689EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$26,374,432BOYAmt
EOY$28,108,083EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,750,813BOYAmt
EOY$8,894,593EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$5,858,232BOYAmt
EOY$5,788,166EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,359,965BOYAmt
EOY$3,367,646EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,969,010BOYAmt
EOY$18,050,405EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,405,422BOYAmt
EOY$10,057,678EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,405,422BOYAmt
EOY$10,057,678EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,374,432BOYAmt
EOY$28,108,083EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$347,744ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF WASHINGTONBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN916001537EIN
Organization Type6OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART I, LINE12G(V):FormAndLineReferenceDesc
ExplanationTHE NETWORK WAS ESTABLISHED BY THE UNIVERSITY OF WASHINGTON AS PART OF UW MEDICINE, TO PROVIDE PRIMARY CARE SERVICES THROUGHOUT KING COUNTY AND THE SURROUNDING AREA AND TO PROVIDE PRACTICE CLINICS FOR UW MEDICINE RESIDENTS. NO MONETARY SUPPORT IS PROVIDED TO THE UNIVERSITY.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,269,088OtherCostOrOtherBasisAmt
Depreciation$9,177,237DepreciationAmt
Book Value$8,091,851BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,236,612OtherCostOrOtherBasisAmt
Depreciation$3,354,797DepreciationAmt
Book Value$1,881,815BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,300OtherCostOrOtherBasisAmt
Book Value$5,300BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,978,966TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescUNEARNED OCCUPANCY EXPENSESDesc
Amt$3,367,646Amt
FieldValueIRS element (for citing)
Total Liability$3,367,646TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationINCLUDED IN THE FOOTNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, UW PHYSICIANS NETWORK ALONG WITH ITS AFFILIATES, ARE REPORTED AS "EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) OF THE IRC, EXCEPT FOR UNRELATED BUSINESS INCOME TAX." THERE ARE NO SIGNIFICANT TAX OBLIGATIONS AT JUNE 30, 2021.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LISA BRANDENBURG
PRESIDENT/CHIEF HEALTH SYS OFFICER$0$910,742$0$0$0$24,492$0$116,857$0$20,786$0$1,072,877$0$0
PAUL RAMSEY
CEO, UW MEDICINE$0$898,783$0$0$0$15,492$0$57,000$0$20,364$0$991,639$0$0
JACQUELINE CABE
CFO, UW MEDICINE$0$764,878$0$0$0$0$0$41,395$0$20,841$0$827,114$0$0
CYNTHIA HECKER
FORMER OFFICER$0$670,508$0$0$0$22,992$0$85,204$0$20,130$0$798,834$0$0
PAUL HAYES
FORMER OFFICER$0$606,402$0$0$0$0$0$44,286$0$17,023$0$667,711$0$0
PAUL JAMES MD
TRUSTEE$0$413,923$0$0$0$24,492$0$41,031$0$13,970$0$493,416$0$0
MAUREEN BROOM
FORMER KEY EMPLOYEE$0$443,444$0$0$0$0$0$28,500$0$19,797$0$491,741$0$0
DEBRA GUSSIN
EXECUTIVE DIRECTOR AND ASSOC VP$0$414,786$0$0$0$0$0$28,125$0$13,037$0$455,948$0$0
RAOUF MAOUD MD
TRUSTEE$0$245,527$0$110,062$0$0$0$33,870$0$15,542$0$405,001$0$0
ANTHONY DORSCH
EX-OFFICIO TRUSTEE$0$345,165$0$0$0$2,530$0$34,857$0$13,348$0$395,900$0$0
BRADLEY ANAWALT MD
TRUSTEE$0$349,409$0$0$0$0$0$28,500$0$13,731$0$391,640$0$0
VICTORIA FANG MD
VICE-PRESIDENT, MEDICAL DIRECTOR$0$298,831$0$28,000$0$0$0$32,808$0$13,577$0$373,216$0$0
BRIAN JOHNSTON MD
TRUSTEE$0$288,317$0$0$0$0$0$28,500$0$12,890$0$329,707$0$0
KATHRYN HARRIS MD
TRUSTEE$0$284,443$0$0$0$0$0$28,745$0$13,180$0$326,368$0$0
CRYSTAL KONG-WONG MD
TRUSTEE$0$252,480$0$28,000$0$0$0$24,981$0$13,320$0$318,781$0$0
MARTIN CAHN
PHYSICIAN$0$213,565$0$55,981$0$0$0$27,487$0$17,491$0$314,524$0$0
SEEMA DIDDEE MD
PHYSICIAN$0$181,891$0$88,118$0$0$0$27,096$0$14,965$0$312,070$0$0
THOMAS HEI
PHYSICIAN$0$246,485$0$20,366$0$0$0$26,985$0$13,229$0$307,065$0$0
CHRISTOPHER COPPEANS
PHYSICIAN$0$178,881$0$89,010$0$0$0$23,522$0$15,385$0$306,798$0$0
DANIELLE DEBELAK
PHYSICIAN$0$182,811$0$73,692$0$0$0$22,273$0$14,561$0$293,337$0$0
MATTHEW JAFFY MD
TRUSTEE$0$231,434$0$28,000$0$0$0$17,193$0$13,843$0$290,470$0$0
LOUISE SIMPSON
FORMER OFFICER$0$223,908$0$0$0$0$0$22,777$0$13,963$0$260,648$0$0
PAMELA YUNG
FORMER KEY EMPLOYEE$0$173,863$0$41,883$0$0$0$21,990$0$12,907$0$250,643$0$0
JOANN TARICANI
TRUSTEE$0$154,703$0$0$0$0$0$11,881$0$11,490$0$178,074$0$0
LINDSEY PERVINICH
FINANCE SITE LEAD, UWNC$0$134,143$0$0$0$0$0$7,005$0$12,119$0$153,267$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3:COMPENSATION OF THE NETWORK EXECUTIVE DIRECTOR IS REVIEWED BY REPRESENTATIVES OF UW MEDICINE. THE REVIEW RELIES ON COMPARISON OF COMPENSATION TO SIMILARLY SITUATED INDIVIDUALS, IN LIKE-SIZED ORGANIZATIONS ENGAGED IN SIMILAR ACTIVITIES. THE COMPENSATION COMPARISON DATA IS REVIEWED BY DISINTERESTED EMPLOYEES OF UW MEDICINE. THE REVIEW IS PERFORMED REGULARLY AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE.
SCHEDULE J, PART II:UW PHYSICIANS NETWORK IS A GROUP OF CLINICS ESTABLISHED TO SUPPORT THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, HARBORVIEW MEDICAL CENTER, AND THE UNIVERSITY OF WASHINGTON MEDICAL CENTER, AND TO PROVIDE ADDITIONAL SITES OF PRACTICE FOR FACULTY PHYSICIANS WHO ARE MEMBERS OF UW PHYSICIANS (UWP). UWP IS THE GROUP PRACTICE FOR SCHOOL OF MEDICINE FACULTY PHYSICIANS WHO PROVIDE CLINICAL CARE PRIMARILY TO ADULT PATIENTS. UWP EMPLOYS THE PHYSICIANS AND, THROUGH THE SCHOOL OF MEDICINE, ASSIGNS THESE PHYSICIANS TO PROVIDE CLINICAL CARE TO PATIENTS AND ADMINISTRATIVE SERVICES AT THE UW PHYSICIANS NETWORK CLINICS. COMPENSATION OF EACH UWP CLINICIAN AT THE NETWORK CLINICS ADHERES TO A WRITTEN UWP INCOME DISTRIBUTION PLAN THAT IS DESIGNED FOR THE CLINICAL PRACTICE AT THE NETWORK CLINICS. COMPENSATION GENERALLY IS BASED ON THE PERSONAL PRODUCTIVITY AND ACTIVITIES OF THE INDIVIDUAL CLINICIAN. THE SCHOOL OF MEDICINE ESTABLISHES AND ROUTINELY REVIEWS COMPENSATION OF EACH UWP CLINICIAN. COMPENSATION OF EACH INDIVIDUAL IS SUBJECT TO AN INDIVIDUAL COMPENSATION CAP ESTABLISHED BY THE SCHOOL. UW PHYSICIANS NETWORK EMPLOYS CERTAIN NON-PROVIDER CLINICAL STAFF TO SUPPORT THE PHYSICIAN'S PRACTICE AT THE CLINICS. THESE CLINICIANS ARE PAID A FIXED SALARY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6, VOLUNTEERS:THERE ARE FOUR VOLUNTEER MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 1THE NETWORK'S BOARD OF DIRECTORS IS GENERALLY COMPRISED OF FOURTEEN VOTING MEMBERS WHICH INCLUDES 1) FOUR ELECTED COMMUNITY MEMBERS, 2) FOUR ELECTED PRIMARY CARE PHYSICIANS FROM THE NETWORK CLINICS AND 3) SIX EX-OFFICIO MEMBERS INCLUDING THE PRESIDENT OF HOSPITALS AND CLINICS, UW MEDICINE (CHAIR), CHIEF EXECUTIVE OFFICER OF THE UW MEDICINE, EXECUTIVE DIRECTOR OF UW PHYSICIANS, AND CHAIRS AND DIRECTORS OF THE UNIVERSITY OF WASHINGTON DEPARTMENT OF MUSIC HISTORY, PEDIATRICS, AND FAMILY MEDICINE. ONLY FOUR OF THESE MEMBERS ARE INDEPENDENT BECAUSE THE REMAINDER ARE COMPENSATED BY A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 2PAUL RAMSEY, MD, IS THE CEO OF UW MEDICINE, EXECUTIVE VICE PRESIDENT FOR MEDICAL AFFAIRS AND DEAN OF THE SCHOOL OF MEDICINE, UNIVERSITY OF WASHINGTON. THE FOLLOWING INDIVIDUALS ARE ALSO EMPLOYED BY THE UNIVERSITY OF WASHINGTON AND REPORT DIRECTLY OR INDIRECTLY TO DR. RAMSEY IN THAT CAPACITY: ANTHONY DORSCH, BRADLEY ANAWALT, BRIAN JOHNSTON, DEBRA GUSSIN, JACQUELINE CABE, LINDSEY PERVINICH, LISA BRANDENBURG, KATHRYN HARRIS, RAOUF MAOUD AND PAUL JAMES.
FORM 990, PART VI, SECTION A, LINE 7ATHE DEAN OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE APPOINTS THE PRESIDENT OF UW PHYSICIANS NETWORK, OTHER OFFICERS AND BOARD MEMBERS OF UW PHYSICIANS NETWORK WHICH INCLUDE THE CHAIRS OF THE DEPARTMENTS OF PEDIATRICS, MEDICINE, AND FAMILY MEDICINE (WHO ARE ALSO APPOINTED BY THE DEAN OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE).
FORM 990, PART VI, SECTION A, LINE 7BMOST DECISIONS OF THE NETWORK'S BOARD OF DIRECTORS ARE SUBJECT TO THE APPROVAL OF THE DEAN OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD HAS BEEN PRESENTED WITH INFORMATION RELATED TO THE PURPOSE AND RELEVANCE OF THE FORM 990 TO TAX EXEMPT ENTITIES SUCH AS THE NETWORK, AND BOARD MEMBERS MAY REQUEST A COPY OF THE FORM 990 FROM THE NETWORK'S DIRECTOR OF FINANCE. THE 990 IS NOT REVIEWED BY THE BOARD BECAUSE IT CONTAINS COMPENSATION INFORMATION FOR THE EMPLOYED PHYSICIANS AND STAFF WHO SIT ON THE BOARD, AS WELL AS THEIR SUPERVISORS. OTHER CONTROL PROCESSES ASSURE COMPENSATION RATES ARE REASONABLE. THE COMPLETED FORM 990 IS REVIEWED BY THE NETWORK'S EXECUTIVE DIRECTOR AND FINANCE SITE LEAD, LEGAL COUNSEL AS WELL AS THE ENTERPRISE FINANCE OFFICER OF UW MEDICINE PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE NETWORK MAINTAINS A CONFLICT OF INTEREST POLICY THAT REQUIRES THE BOARD OF TRUSTEES AND INDIVIDUALS TO DISCLOSE ANY CONFLICTS. THE NETWORK'S BOARD MEMBERS AND OTHER INDIVIDUALS WHO ARE EMPLOYED BY THE UNIVERSITY OF WASHINGTON AND SERVING ON THE NETWORK'S COMMITTEES ARE SUBJECT TO THE STATE OF WASHINGTON ETHICS IN PUBLIC SERVICE ACT, CHAPTER 42.52 RCW. THE ACT RESTRICTS ACTIVITIES INCOMPATIBLE WITH THE INDIVIDUAL'S ROLE AS A STATE EMPLOYEE AND ALSO LIMITS THE INDIVIDUAL'S INVOLVEMENT IN TRANSACTIONS WHERE A POTENTIAL CONFLICT MAY EXIST. IN ADDITION, THE NETWORK HAS POLICIES REGARDING THE ACCEPTANCE OF GIFTS AND NON-EMPLOYMENT OF FAMILY MEMBERS. ANNUALLY, THE NETWORK BOARD MEMBERS AND OTHERS ARE REQUIRED TO DISCLOSE CERTAIN RELATIONSHIPS AS PART OF THE PROCESS TO COMPLETE THE FORM 990. THE NETWORK ADDRESSES CONFLICTS AS THEY ARISE AND/OR ARE REPORTED TO THE NETWORK'S MANAGEMENT OR THE NETWORK'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION OF THE NETWORK'S EXECUTIVE DIRECTOR, FINANCE SITE LEAD, MEDICAL DIRECTOR, CLINIC CHIEFS AND OTHER KEY EMPLOYEES IS REVIEWED BY REPRESENTATIVES OF UW MEDICINE. THE REVIEW RELIES ON COMPARISON OF COMPENSATION TO SIMILARLY SITUATED INDIVIDUALS, IN LIKE-SIZED ORGANIZATIONS ENGAGED IN SIMILAR ACTIVITIES. THE COMPENSATION COMPARISON DATA IS REVIEWED BY DISINTERESTED EMPLOYEES OF UW MEDICINE. THE NETWORK'S BOARD MEMBERS, IN THEIR CAPACITY AS UNIVERSITY OF WASHINGTON FACULTY, INCLUDING THE MEDICAL DIRECTOR AND ASSOCIATE MEDICAL DIRECTORS, ARE EMPLOYED BY UW PHYSICIANS AND/OR THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE. THEIR COMPENSATION IS REVIEWED REGULARLY THROUGH A UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE PROCESS THAT INVOLVES DISINTERESTED SCHOOL OF MEDICINE EMPLOYEES WHO REVIEW COMPENSATION OF ALL SCHOOL OF MEDICINE FACULTY. FOR UW EMPLOYED PHYSICIANS, REVIEW OF COMPENSATION ALSO INCLUDES APPLICATION OF THE "UW PHYSICIANS METHOD OR STANDARD REGARDING BASIC INDIVIDUAL CAPS UNDER THE INCOME DISTRIBUTION PLAN" (UWP CAP POLICY). THE UWP CAP POLICY LIMITS COMPENSATION OF THE NETWORK'S MEMBERS BY COMPARISON TO OBJECTIVE DATA SUCH AS THAT PUBLISHED BY THE MEDICAL GROUP MANAGEMENT ASSOCIATION. THE REVIEW IS PERFORMED REGULARLY AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE.
FORM 990, PART VI, SECTION C, LINE 19THE NETWORK MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST TO THE EXECUTIVE DIRECTOR AND/OR FINANCE SITE LEAD.
FORM 990, PART VI, LINE 14:THE NETWORK APPLIES THE UW MEDICINE DOCUMENT RETENTION AND DESTRUCTION POLICY.
FORM 990, PART VII, COLUMN B:THE HOURS REPORTED REPRESENT THE AVERAGE WEEKLY TOTAL AMOUNT OF TIME EACH INDIVIDUAL SPENT WORKING ON ALL OF THE NETWORK'S RELATED MATTERS INCLUDING PHYSICIAN TIME SPENT IN THE CLINICS, ADMINISTRATION TIME AND TIME SPENT SERVING AS A BOARD MEMBER OF THE ORGANIZATION IF APPLICABLE.
FORM 990, PART IX, LINE 11GBANKING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,331. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,331. CONTACT CENTER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,109,973. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,109,973. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 382,656. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 382,656. INTERPRETER SERVICES: PROGRAM SERVICE EXPENSES 161,889. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 161,889. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 133,975. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 133,975. REFILL AUTHORIZATION CENTER: PROGRAM SERVICE EXPENSES 1,354,006. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,354,006.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
UNIVERSITY OF WASHINGTON
1959 NE PACIFIC STREETSEATTLEWA98195916001537EDUCATION AND MEDICAL CAREWAGOVERNMENTN/AN/A0
THE ASSOCIATION OF UNIVERSITY PHYSICIANS
501 EASTLAKE AVENUE EAST SUITE 400SEATTLEWA98109911220843MEDICAL PRACTICEWA501(C)(3)LINE 12A - TYPE I0UNIVERSITY OF WASHINGTON
UW MEDICINENORTHWEST
1550 NORTH 115TH STREET MS D-180SEATTLEWA981339733910637400HOSPITALWA501(C)(3)LINE 30UNIVERSITY OF WASHINGTON
PUBLIC HOSPITAL DISTRICT NO1 OF KING CO WA (DBA VALLEY MEDICAL CENTER)
400 SOUTH 43RD STREETRENTONWA980555010916000986HOSPITALWAGOVERNMENTN/A0UNIVERSITY OF WASHINGTON

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SUMMIT CARDIOLOGYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 NORTH 115TH STREET MS D-180AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98133ZIPCd
FieldValueIRS element (for citing)
EIN273492322EIN
Primary ActivitiesOFFICES OF PHYSICIANSPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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