2018-10-15T16:22:55-05:00 2017-12-31 391203191 SVA CERTIFIED PUBLIC ACCTS SC 1221 JOHN Q HAMMONS DRIVE MADISON WI 53717 990 2017-01-01 391546086 DEAN FOUNDATION FOR HEALTH RESEARCH AND EDUCATION INC DEAN 6088272325 2711 ALLEN BLVD MIDDLETON WI 53562 JULIEANNE POFAHL CHAIR 6088272325 2018-10-01 1 KIRSTEN HOUGHTON P01273230 6088318181 69.128.11.234 2018-10-01 09:54:34 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D7FC22F2CD73B75FB55C0548CE708C118A1D68C6 2017 2018-06-14 16:35:46Z JULIEANNE POFAHL 2711 ALLEN BLVD MIDDLETON WI 53562 2720744 0 X N/A X 1985 WI THE FOUNDATION IS ORGANIZED TO CONDUCT MEDICAL RESEARCH ON PHYSICAL AND MENTAL DISEASES AND TO PROVIDE HEALTH EDUCATION AND CARE FOR THE UNDER SERVED. 8 8 33 75 0 0 193068 56846 2092929 1273073 43873 154813 2400 0 2332270 1484732 0 0 0 0 1860821 1520126 18158 0 0 783474 465724 2662453 1985850 -330183 -501118 1524554 156230 927797 162754 596757 -6524 X THE FOUNDATION IS ORGANIZED TO CONDUCT MEDICAL RESEARCH ON PHYSICAL AND MENTAL DISEASES AND TO PROVIDE HEALTH EDUCATION AND CARE FOR THE UNDER SERVED. 0 1 1663996 1273073 1) ACTIVE CONDUCT OF MEDICAL RESEARCH TO INCLUDE STUDIES TO DISCOVER OR VERIFY KNOWLEDGE RELATED TO THE CAUSES, DIAGNOSIS, TREATMENT AND/OR PREVENTION OR CONTROL OF PHYSICAL OR MENTAL DISEASES. 2) TO PROVIDE RESEARCH, TREATMENT, INFORMATION AND EDUCATION ON A VARIETY OF PSYCHIATRIC DISEASES AND THEIR TREATMENT. 3) PUBLIC SERVICE/EDUCATION - TO ORGANIZE OR SPONSOR SEMINARS OR OTHER EDUCATIONAL ACTIVITIES OPEN TO THE PUBLIC. TO PROVIDE CHARITABLE SERVICES WHERE THEY ARE NEEDED IN THE COMMUNITY, SPECIFICALLY: FREE SPECIALIST CARE AND ASTHMA EDUCATION TO THE UNINSURED OR UNDER INSURED. 1663996 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 26 0 33 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 WI X TRICIA A LEVENHAGEN CLINIC MANAGER BSP FREE CLINIC 6088272325 2711 ALLEN BLVD MIDDLETON WI 53562 SANDRA BRUHN SECRETARY 1.00 X X 0 0 0 VICTORIA SZEWCZYK MBA CPA DIRECTOR 1.00 X 0 0 0 JULIEANNE POFAHL RN BS CHAIR 1.00 X X 0 0 0 DANIEL DANAHY MD DIRECTOR 1.00 X 0 0 0 TOM OAKLEY DIRECTOR 1.00 X 0 0 0 MARSHALL HEYWORTH DIRECTOR 1.00 X 0 0 0 DAVID GORWITZ TREASURER 1.00 X X 0 0 0 SARAH JOELSON DIRECTOR 1.00 X 0 0 0 M SCOTT STATZ EXECUTIVE DIRECTOR 40.00 X 87539 0 2724 ANNE KOPLIN MD MEDICAL DIRECTOR 27.00 X 198500 0 5219 286039 0 7943 1 0 1 0 0 56846 56846 PSYCH CONTRACT REVENUE 541700 932717 932717 OTHER PROGRAM SERVICES 900099 170273 170273 MEDICAL CONTRACT REVENUE 541700 170083 170083 1273073 11538 11538 1379287 1220596 15416 158691 -15416 143275 143275 1484732 1273073 0 154813 262039 222733 39306 948470 806200 142270 28243 24007 4236 186238 158303 27935 95136 80865 14271 1968 1968 7941 7941 8622 8622 5476 5476 5489 5489 13878 10778 3100 155769 132403 23366 237 237 5922 5922 12847 12847 3866 3286 580 MEDICAL EXPENSES 197126 197126 PT RECRUITMENT 20690 20690 CERF 7727 7727 PAYROLL PROCESSING EXPE 5987 5987 12179 2116 10063 1985850 1663996 321854 0 100 23831 38400 0 341855 115744 34490 16174 81126 80645 19763 481 1089946 1524554 156230 241708 137026 660000 0 26089 25728 927797 162754 X 71686 -323326 525071 316802 596757 -6524 1524554 156230 -501118 -102163 0 X 0 0 0 X ST MARY'S HOSPITAL MADISON WI 81126 80645 481 481 DEAN PSYCH DEPARTMENT PAYABLE 25728 25728 0 0 0 0 0 0 0 0 0 ANNE KOPLIN MD MEDICAL DIRECTOR 198500 0 0 0 0 0 0 0 5219 0 203719 0 0 0 FORM 990, PART III, LINE 3 AS OF OCTOBER 26, 2017, ALL OF THE FOUNDATION'S RESEARCH FUNCTIONS WERE TRANSITIONED TO DEAN MEDICAL GROUP TO ALLOW FOR CONTINUITY OF A NUMBER OF THE FOUNDATION'S ONGOING STUDIES. THE MAJORITY OF THE STAFF ASSOCIATED WITH THESE STUDIES BECAME EMPLOYEES OF SSM HEALTH. THOSE EMPLOYEES WHO WERE NOT NEEDED FOR THE EXISTING STUDIES WERE LAID OFF, RESIGNED OR WERE TRANSFERRED TO ANOTHER DEPARTMENT WITHIN DEAN MEDICAL GROUP. THE FOUNDATION CONTINUES TO MANAGE THE BSP FREE CLINIC; HOWEVER, ALL FOUNDATION ADMINISTRATIVE STAFF NOT ASSOCIATED WITH CLINIC ACTIVITIES WERE ALSO LAID OFF. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW FORM 990: DEAN FOUNDATION FOR HEALTH, RESEARCH & EDUCATION, INC'S BUDGET & FINANCE COMMITTEE (A SUB-COMMITTEE OF THE BOARD OF DIRECTORS) AND THE BOARD OF DIRECTORS REVIEWED THE FORM 990 PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. THE FORM 990 WAS MADE AVAILABLE TO THE BUDGET & FINANCE COMMITTEE SO THAT THE COMMITTEE COULD REVIEW IT IN DETAIL AND ASK QUESTIONS PRIOR TO PRESENTATION TO THE FULL BOARD. THE FULL BOARD RECEIVED IT PRIOR TO THE MEETING SO THAT THEY COULD REVIEW IT IN DETAIL TO DETERMINE IF THEY HAD QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C PROCESS USED TO MONITOR TRANSACTIONS FOR CONFILICTS OF INTEREST: THE FOUNDATION MONITORS CONFLICT OF INTEREST BY REQUIRING THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES TO COMPLETE AN ANNUAL STATEMENT ABOUT ANY POTENTIAL CONFLICT SITUATIONS. DETERMINATIONS OF CONFLICT ARE DETECTED AT THE MANAGEMENT LEVEL AND ELEVATED TO BOARD LEVEL FOR DISCUSSION AND/OR ACTION. ACTUAL CONFLICTS (OF WHICH THERE HAVE BEEN NONE) WOULD BE REVIEWED AT THE BOARD LEVEL. IF IT WAS DETERMINED A CONFLICT OF INTEREST EXISTED, THE PERSON WOULD BE PROHIBITED FROM PARTICIPATING IN DISCUSSIONS OF DECISIONS CONCERNING THE TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATION'S POLICY REGARDING MAKING CERTAIN DOCUMENTS PUBLIC: THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY PROVIDING COPIES ON REQUEST.