THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS (EIN 91-1336707)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-11
IRS object ID
201611329349303686
Schema version
2014v6.0
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)
Return2016-05-11T16:09:45-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

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 1700AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911336707EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlASSOBusinessNameControlTxt
Phone2069878450PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 SANDPOINT WAY NE NO 100AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98105ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPATTI ADAMICHPersonNm
Person TitleASSOCIATE DIRECTOR OF FINANCEPersonTitleTxt
Phone2069878450PhoneNum
Signature2016-05-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSARA ELIZABETH J HYREPreparerPersonNm
PTINP00235495PTIN
Phone4254544919PhoneNum
Preparation2016-05-06PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S UNIVERSITY MEDICAL GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerCHRISTINE KESSLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 SANDPOINT WAY NE NO 100AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98105ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$165,655,462GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO ASSIST SEATTLE CHILDREN'S HOSPITAL ("SCH") AND UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE ("UWSOM") IN CARRYING OUT THEIR PEDIATRIC CARE, CHARITABLE, EDUCATIONAL, AND SCIENTIFIC MISSIONS.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee679TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$135,348,421PYProgramServiceRevenueAmt
CY Program Service Revenue$155,068,610CYProgramServiceRevenueAmt
PY Investment Income$712,642PYInvestmentIncomeAmt
CY Investment Income$301,687CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$136,061,063PYTotalRevenueAmt
CY Total Revenue$155,370,297CYTotalRevenueAmt
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$129,325,646PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$145,885,719CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,477,514PYOtherExpensesAmt
CY Other Expenses$9,030,860CYOtherExpensesAmt
PY Total Expenses$136,803,160PYTotalExpensesAmt
CY Total Expenses$154,916,579CYTotalExpensesAmt
PY Revenues Less Expenses-$742,097PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$453,718CYRevenuesLessExpensesAmt
Total Assets BOY$33,754,733TotalAssetsBOYAmt
Total Assets EOY$35,378,563TotalAssetsEOYAmt
Total Liabilities BOY$33,692,843TotalLiabilitiesBOYAmt
Total Liabilities EOY$35,316,673TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$61,890NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$61,890NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS, DBA CHILDREN'S UNIVERSITY MEDICAL GROUP (CUMG), OPERATES A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE THAT BILLS AND COLLECTS FOR THE CLINICAL SERVICES PROVIDED BY APPROXIMATELY 600 UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE (UWSOM) FACULTY PHYSICIANS AND COMPENSATES THE EMPLOYED PHYSICIANS, PURSUANT TO A 1989 OPERATING AGREEMENT BETWEEN THE UNIVERSITY OF WASHINGTON (UW), SEATTLE CHILDREN'S HOSPITAL (SCH), AND CUMG. UNDER THAT OPERATING AGREEMENT, CUMG PAYS OPERATING EXPENSES AND COMPENSATES FACULTY PHYSICIANS (THE PROFESSIONAL MEMBERS) AS DIRECTED BY UWSOM. ALL REMAINING REVENUES ARE HELD BY CUMG SOLELY FOR THE SUPPORT OF UW MEDICINE AND SCH. CUMG IS A WASHINGTON STATE NOT FOR PROFIT, FEDERALLY TAX-EXEMPT CORPORATION FORMED IN 1986 TO SUPPORT UWSOM AND SCH IN THE FULFILLMENT OF THEIR RESPECTIVE PEDIATRIC PATIENT CARE, CHARITABLE, EDUCATIONAL, AND SCIENTIFIC MISSIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$147,737,702ExpenseAmt
Revenue$155,068,610RevenueAmt
DescPHYSICIANS AND OTHER HEALTH CARE PRACTITIONERS (TOGETHER, PROFESSIONAL MEMBERS) OF CUMG PROVIDE CLINICAL HEALTH CARE SERVICES TO PEDIATRIC PATIENTS AT SEATTLE CHILDREN'S HOSPITAL, UW MEDICINE FACILITIES, AND OTHER SITES OF PRACTICE APPROVED BY THE CEO OF UW MEDICINE, EVP FOR MEDICAL AFFAIRS AND DEAN OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE (UW MEDICINE CEO) AND CEO OF SEATTLE CHILDREN'S HOSPITAL. CUMG PROFESSIONAL MEMBERS PROVIDE PRIMARY, SPECIALTY, AND SUBSPECIALTY CLINICAL CARE TO COMMUNITIES THAT WOULD NOT OTHERWISE HAVE ACCESS TO SUFFICIENT CLINICAL RESOURCES. CUMG PROVIDES SIGNIFICANT UNDERCOMPENSATED AND CHARITY CARE, CONSISTENT WITH THE CHARITY CARE POLICY OF THE FACILITY IN WHICH THE CLINICAL CARE IS PROVIDED.Desc
Total Program Service Expenses$147,737,702TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee679EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
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 Line1PATTI ADAMICHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2069878450PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 SANDPOINT WAY NE SUITE 100AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98105ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SUSAN APKON MD
DIRECTOR40.000.00Yes (X)$278,848$0$62,567
JEREMY GEIDUSCHEK MD
DIRECTOR40.000.00Yes (X)$346,116$114,473$98,932
J CRAIG JACKSON MD
DIRECTOR40.000.00Yes (X)$95,645$169,781$63,205
LYNN MARTIN MD
VICE CHAIRMAN40.000.00Yes (X)$280,200$204,659$77,116Yes (X)
RUTH A MCDONALD MD
DIRECTOR40.000.00Yes (X)$45,854$276,365$50,446
PAUL MERGUERIAN MD
DIRECTOR40.000.00Yes (X)$693,354$0$144,048
RUSSELL MIGITA MD
DIRECTOR40.000.00Yes (X)$231,202$0$42,830
RANDOLPH OTTO MD
SECRETARY/TREASURER40.000.00Yes (X)$398,437$0$48,621Yes (X)
ROBERT SAWIN MD
BOARD CHAIRMAN40.000.00Yes (X)$538,095$121,256$72,214Yes (X)
F BRUDER STAPLETON MD
DIRECTOR40.000.00Yes (X)$335,686$247,952$75,304
SUZANNE YANDOW MD
DIRECTOR40.000.00Yes (X)$137,688$0$14,830
JERRY ZIMMERMAN MD
DIRECTOR40.000.00Yes (X)$251,004$99,950$81,451
ERNEST CONRAD MD
DIRECTOR (THRU DEC 2014)40.000.00Yes (X)$281,321$251,886$217,210
ED WEINBERGER MD
SECRETARY/TREASURER (THRU NOV 2014)40.000.00Yes (X)$309,350$53,463$35,676Yes (X)
PATTI ADAMICH
ASSOC DIR OF FINANCE40.000.00$146,611$0$34,559Yes (X)
CHRISTINE KESSLER
EXECUTIVE DIRECTOR40.000.00$233,835$0$41,405Yes (X)
SAMUEL BROWD MD
MEDICAL STAFF40.000.00$627,447$5,445$111,522Yes (X)
JONATHAN M CHEN MD
DIVISION CHIEF40.000.00$1,237,143$0$48,872Yes (X)
D MICHAEL MCMULLAN MD
MEDICAL STAFF40.000.00$881,619$0$51,307Yes (X)
LESTER PERMUT MD
PROGRAM DIRECTOR40.000.00$873,678$59,101$50,263Yes (X)
JOHN WALDHAUSEN MD
DIVISION CHIEF40.000.00$614,871$0$100,560Yes (X)
DENNIS CHRISTIE MD
FORMER VICE PRESIDENT40.000.00$241,423$0$29,163Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,079,427TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,604,331TotReportableCompRltdOrgAmt
Total Other Compensation$1,552,101TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K166IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UW PHYSICIANSBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 5TH AVENUE SUITE 700AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98104ZIPCd
FieldValueIRS element (for citing)
ServicesPATIENT BILLING, IT, HR, LEGAL SERVICESServicesDesc
Compensation$2,407,892CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INSTITUTIONAL SUPPORT621110$101,406,066$101,406,066
NET PHYSICIAN REVENUE621110$30,839,991$30,839,991
MEDICAID REVENUE621110$19,796,889$19,796,889
OTHER GOVT AGENCY REV621110$2,898,196$2,898,196
BILLING SERVICES561000$127,468$127,468
FieldValueIRS element (for citing)
Total Program Service Revenue$155,068,610TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$563,142TotalRevenueColumnAmt
Exclusion$563,142ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,023,710SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,285,165SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$261,455SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$261,455TotalRevenueColumnAmt
Exclusion-$261,455ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$155,370,297TotalRevenueColumnAmt
Related Or Exempt Func Income$155,068,610RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$301,687ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,709,640TotalAmt
Program Services$5,281,264ProgramServicesAmt
Management And General$428,376ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$134,217TotalAmt
Program Services$134,217ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$122,268,087TotalAmt
Program Services$119,948,668ProgramServicesAmt
Management And General$2,319,419ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,108,648TotalAmt
Program Services$6,896,081ProgramServicesAmt
Management And General$212,567ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,563,135TotalAmt
Program Services$5,978,885ProgramServicesAmt
Management And General$584,250ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,101,992TotalAmt
Program Services$3,887,719ProgramServicesAmt
Management And General$214,273ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$27,990TotalAmt
Management And General$27,990ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$235,093TotalAmt
Management And General$235,093ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$91,070TotalAmt
Management And General$91,070ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$76,880TotalAmt
Management And General$76,880ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,503,215TotalAmt
Program Services$15,636ProgramServicesAmt
Management And General$2,487,579ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$94,067TotalAmt
Management And General$94,067ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$339,562TotalAmt
Program Services$339,562ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$259,823TotalAmt
Management And General$259,823ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,329TotalAmt
Management And General$15,329ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$71,474TotalAmt
Management And General$71,474ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,268,592TotalAmt
Program Services$1,268,592ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
STATE/LOCAL TAXES$3,470,862$3,469,986$876
CLINIC DEVELOPMENT$131,185$131,185
BUSINESS INSURANCE$45,375$45,375

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$400,343TotalAmt
Program Services$385,907ProgramServicesAmt
Management And General$14,436ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$154,916,579TotalAmt
Program Services$147,737,702ProgramServicesAmt
Management And General$7,178,877ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,503,659BOYAmt
EOY-$49,540EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,161,450BOYAmt
EOY$6,621,911EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,706,948BOYAmt
EOY$12,196,341EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$124,295BOYAmt
EOY$82,137EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$496,768LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$487,825LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$28,541BOYAmt
EOY$8,943EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$16,030,564BOYAmt
EOY$16,488,239EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$199,276BOYAmt
EOY$30,532EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$33,754,733BOYAmt
EOY$35,378,563EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,090,050BOYAmt
EOY$14,737,966EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$19,310BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,583,483BOYAmt
EOY$20,578,707EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,692,843BOYAmt
EOY$35,316,673EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$61,890BOYAmt
EOY$61,890EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,890BOYAmt
EOY$61,890EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,754,733BOYAmt
EOY$35,378,563EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$453,718ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$453,718NetUnrlzdGainsLossesInvstAmt
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)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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 Organizations2SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
UWSOM
9160015372Yes (1)$10,609,310$0
SCH
9105647483Yes (1)$10,623,114$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$21,232,424SupportSumAmt
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

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$193,099OtherCostOrOtherBasisAmt
Depreciation$193,099DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,483OtherCostOrOtherBasisAmt
Depreciation$44,482DepreciationAmt
Book Value$2,001BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$257,186OtherCostOrOtherBasisAmt
Depreciation$250,244DepreciationAmt
Book Value$6,942BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,943TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CLINICAL MEDICINE FUND DEPARTMENT PAYABLES$4,445,708
DEPARTMENT PAYABLES$16,132,999
FieldValueIRS element (for citing)
Total Liability$20,578,707TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$154,839,699TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$453,718NetUnrealizedGainsInvstAmt
Revenue Not Reported-$453,718RevenueNotReportedAmt
Revenue Subtotal$155,293,417RevenueSubtotalAmt
Investment Expenses Not Incld$76,880InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$76,880RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$155,370,297TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$154,839,699TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$154,839,699ExpensesSubtotalAmt
Investment Expenses Not Incld2$76,880InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$76,880ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$154,916,579TotalExpensesPerForm990Amt

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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 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
SUSAN APKON MD
DIRECTOR$232,227$0$46,621$0$0$0$48,973$0$13,594$0$341,415$0$20,229$0
JEREMY GEIDUSCHEK MD
DIRECTOR$237,564$114,473$108,552$0$0$0$68,948$11,720$6,876$11,388$421,940$137,581$45,313$0
J CRAIG JACKSON MD
DIRECTOR$63,029$169,781$32,616$0$0$0$28,831$17,242$5,828$11,304$130,304$198,327$12,205$0
LYNN MARTIN MD
VICE CHAIRMAN$230,823$204,659$49,377$0$0$0$37,340$20,738$7,650$11,388$325,190$236,785$23,343$0
RUTH A MCDONALD MD
DIRECTOR$0$253,373$45,854$0$0$22,992$12,060$25,751$3,023$9,612$60,937$311,728$11,000$0
PAUL MERGUERIAN MD
DIRECTOR$542,643$0$150,711$0$0$0$114,147$0$29,901$0$837,402$0$73,102$0
RUSSELL MIGITA MD
DIRECTOR$207,619$0$23,583$0$0$0$32,343$0$10,487$0$274,032$0$7,564$0
RANDOLPH OTTO MD
SECRETARY/TREASURER$346,156$0$52,281$0$0$0$29,847$0$18,774$0$447,058$0$29,457$0
ROBERT SAWIN MD
BOARD CHAIRMAN$489,303$99,260$48,792$0$0$21,996$42,101$12,357$6,776$10,980$586,972$144,593$13,195$0
F BRUDER STAPLETON MD
DIRECTOR$310,686$225,452$25,000$0$0$22,500$26,000$25,335$9,905$14,064$371,591$287,351$0$0
SUZANNE YANDOW MD
DIRECTOR$97,688$0$0$0$40,000$0$9,877$0$4,953$0$152,518$0$0$0
JERRY ZIMMERMAN MD
DIRECTOR$192,205$99,950$58,799$0$0$0$55,546$10,197$5,028$10,680$311,578$120,827$30,916$0
ERNEST CONRAD MD
DIRECTOR (THRU DEC 2014)$104,988$228,894$176,333$0$0$22,992$174,949$25,577$5,627$11,057$461,897$288,520$94,927$0
ED WEINBERGER MD
SECRETARY/TREASURER (THRU NOV 2014)$196,868$53,463$15,948$0$96,534$0$26,351$0$9,325$0$345,026$53,463$0$0
PATTI ADAMICH
ASSOC DIR OF FINANCE$146,311$0$300$0$0$0$15,029$0$19,530$0$181,170$0$0$0
CHRISTINE KESSLER
EXECUTIVE DIRECTOR$233,535$0$300$0$0$0$21,442$0$19,963$0$275,240$0$0$0
SAMUEL BROWD MD
MEDICAL STAFF$270,549$5,445$356,898$0$0$0$83,132$0$28,390$0$738,969$5,445$50,806$0
JONATHAN M CHEN MD
DIVISION CHIEF$1,229,627$0$7,516$0$0$0$23,400$0$25,472$0$1,286,015$0$0$0
D MICHAEL MCMULLAN MD
MEDICAL STAFF$878,643$0$2,976$0$0$0$23,400$0$27,907$0$932,926$0$0$0
LESTER PERMUT MD
PROGRAM DIRECTOR$870,888$59,101$2,790$0$0$0$26,000$6,182$6,693$11,388$906,371$76,671$0$0
JOHN WALDHAUSEN MD
DIVISION CHIEF$535,643$0$79,228$0$0$0$72,261$0$28,299$0$715,431$0$32,509$0
DENNIS CHRISTIE MD
FORMER VICE PRESIDENT$149,780$0$28,163$0$63,480$0$15,444$0$13,719$0$270,586$0$14,434$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMPENSATION OF THE CUMG EXECUTIVE DIRECTOR AND ASSOCIATE DIRECTOR OF FINANCE IS REVIEWED BY REPRESENTATIVES OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE AND SEATTLE CHILDREN'S HOSPITAL. THE REVIEW RELIES ON COMPARISON OF COMPENSATION TO SIMILARLY SITUATED INDIVIDUALS, IN LIKE-SIZED ORGANIZATIONS ENGAGED IN SIMILAR ACTIVITIES. THE COMPARISON IS PERFORMED BY AN INDEPENDENT CONTRACTOR CONSULTANT WITH EXPERIENCE AND EXPERTISE IN COMPENSATION OF ACADEMIC MEDICAL CENTER PERSONNEL. THE COMPENSATION COMPARISON DATA IS REVIEWED BY DISINTERESTED EMPLOYEES OF UW MEDICINE AND SEATTLE CHILDREN'S HOSPITAL. FOR UW MEDICINE, THIS IS PART OF AN OVERALL REVIEW OF COMPENSATION FOR SIMILARLY SITUATED INDIVIDUALS IN OTHER COMPONENTS OF UW MEDICINE. THE REVIEW IS PERFORMED REGULARLY, AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE.
PART I, LINE 7CUMG IS THE PRACTICE PLAN FOR UNIVERSITY OF WASHINGTON (UW) FACULTY PHYSICIANS AND HEALTH CARE PRACTITIONERS WHO PROVIDE CLINICAL CARE PRIMARILY TO PEDIATRIC PATIENTS. CUMG BILLS AND COLLECTS REVENUE GENERATED BY THE CLINICAL SERVICES OF THESE FACULTY PHYSICIANS. ALL REVENUES COLLECTED BY CUMG ARE ALLOCATED IN ACCORDANCE WITH THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS D/B/A CHILDREN'S UNIVERSITY MEDICAL GROUP AMENDED AND RESTATED INCOME DISTRIBUTION PLAN (IDP). CUMG MAINTAINS A "MASTER" IDP AND EACH CUMG DEPARTMENT OR DIVISION ALSO MAINTAINS A DEPARTMENTAL (OR DIVISIONAL) IDP THAT PROVIDES MORE DETAIL AS TO HOW ADDITIONAL COMPENSATION (INCENTIVE PAYMENT) IS CALCULATED AND PAID TO PARTICIPATING INDIVIDUALS (THE PHYSICIANS AND HEALTH CARE PRACTITIONERS WITH PRACTICE AGREEMENTS MAKING THEM ELIGIBLE FOR INCENTIVE PAYMENTS). DEPARTMENTS AND DIVISIONS ARE COMPRISED OF THE FACULTY PHYSICIANS WITHIN EACH SPECIALTY OR PRIMARY CARE AREA OF CLINICAL PRACTICE. THE DEPARTMENTAL AND DIVISIONAL IDPS ALIGN WITH THE CLINICAL DEPARTMENTS OF THE UWSOM. EACH CLINICAL DEPARTMENT OF THE UWSOM HAS A DEPARTMENT CHAIR WHO APPROVES THE IDP FOR THE CUMG DEPARTMENT/DIVISION. THE CUMG DIVISION CHIEF ALSO APPROVES THE IDP FOR THE DIVISION. UNDER ALL IDPS, REVENUES GENERATED BY FACULTY ARE ALLOCATED TO THE FACULTY MEMBER'S DEPARTMENT, AND THE FUNDS FLOW IS SUBJECT TO CERTAIN STANDARDIZED DEDUCTIONS AS FOLLOWS: FIRST, REVENUES ARE USED TO PAY CUMG OPERATING EXPENSES. OF THE REMAINING REVENUES, ELEVEN PERCENT (11%) IS DIVIDED EQUALLY AND ALLOCATED TO THE UWSOM CLINICAL MEDICINE FUND AND SEATTLE CHILDREN'S HOSPITAL CLINICAL MEDICINE FUND, RESPECTIVELY. THE REMAINING REVENUES ARE USED TO PAY DEPARTMENT DIRECT CLINICAL COSTS, THEN PHYSICIAN/PRACTITIONER SALARY AND BENEFITS. THERE IS A PERCENTAGE CONTRIBUTION TO DEPARTMENT (AND DIVISION) OPERATIONS AND RESERVE FUNDS. PAYMENTS FOR SERVICES PROVIDED TO SEATTLE CHILDREN'S HOSPITAL AND SUPPORT FROM UW SCHOOL OF MEDICINE ARE RECEIVED. FINALLY, A POOL IS CREATED FOR ADDITIONAL COMPENSATION. WHILE SOME ADDITIONAL COMPENSATION MAY BE IN THE FORM OF FIXED PAYMENTS FOR A DEFINED PERIOD, EACH DEPARTMENTAL/DIVISIONAL IDP PROVIDES FOR PARTICIPATING INDIVIDUALS TO RECEIVE VARIABLE ADDITIONAL COMPENSATION. THE METRICS FOR CALCULATING ADDITIONAL COMPENSATION GENERALLY ARE BASED ON WORK PERSONALLY PERFORMED BY THE PRACTICE PLAN PHYSICIAN OR HEALTH CARE PROFESSIONAL DURING THE PERIOD OF RECORD. WHERE PERSONAL WORK IS NOT THE METRIC, THE UWSOM CLINICAL DEPARTMENTAL CHAIR ESTABLISHES A PER CAPITA DISTRIBUTION OF THE POOL TO ALL PARTICIPATING INDIVIDUALS. THE PERCENTAGE OF REVENUES ALLOCATED TO THE DEPARTMENT AND/OR DIVISION OPERATING AND RESERVE FUND IS ESTIMATED BY THE DEPARTMENT AND APPROVED BY THE UW MEDICINE CEO AND THE CHIEF EXECUTIVE OFFICER OF SCH, OR THEIR RESPECTIVE DESIGNEES, IN A BUDGET ESTABLISHED PRIOR TO THE PERIOD OF RECORD. THE PERIOD OF RECORD IS EITHER A 12-MONTH OR SIX-MONTH PERIOD DURING WHICH THE REVENUES AND EXPENSES FOR THE PRACTICE PLAN ARE ALLOCATED. THE ACTUAL PERCENTAGE FOR DEPARTMENTAL/DIVISIONAL OPERATIONS AND RESERVE CONTRIBUTION MAY BE MODIFIED FROM THE ORIGINAL ESTIMATE BASED ON THE OPERATIONAL NEEDS OF THE DEPARTMENT OR DIVISION, AND WHEN THAT OCCURS, THE PERCENTAGE IS ADJUSTED RETROACTIVELY BY THE CHAIR OF THE DEPARTMENT AND THE DIVISION HEAD OF THE CUMG DIVISION, UPON APPROVAL BY THE DEAN AND THE CEO. AT THE END OF THE PERIOD OF RECORD, AMOUNTS REMAINING AFTER ALL ALLOCATIONS HAVE BEEN MADE ARE AVAILABLE TO PAY THE ADDITIONAL COMPENSATION TO PARTICIPATING INDIVIDUALS. ADDITIONAL COMPENSATION IS CALCULATED FOR EACH PARTICIPATING INDIVIDUAL AND THE ADDITIONAL COMPENSATION AMOUNT IS PAID APPROXIMATELY THREE MONTHS LATER. IN FISCAL YEAR 2014, SEATTLE CHILDREN'S HOSPITAL INSTITUTED A UW FACULTY ALIGNMENT INCENTIVE PLAN (FAP) TO FURTHER THE ABILITY OF SEATTLE CHILDREN'S TO MEET ITS OPERATIONAL AND MISSION GOALS. UWSOM FACULTY MEMBERS WHO PRACTICE AT CHILDREN'S HAVE SUBSTANTIAL IMPACT ON CHILDREN'S ABILITY TO MEET THESE HOSPITAL GOALS. THE FAP ACTIVELY ENGAGES FACULTY TO FOCUS ON THESE ANNUAL GOALS AND REWARDS THEM FOR THEIR CONTRIBUTIONS TOWARD ACHIEVING THESE GOALS. THE FAP IDENTIFIES THE SPECIFIC GOALS AND METRICS AGREED TO BY EACH CLINICAL DEPARTMENT AND DIVISION OF THE UWSOM IN WRITING PRIOR TO IMPLEMENTATION OF THE PLAN EACH YEAR. WHEN GOALS ARE MET, SEATTLE CHILDREN'S PAYS TO CUMG AN AGGREGATE AMOUNT, WHICH THEN IS DISTRIBUTED TO THE ELIGIBLE PARTICIPATING FACULTY BASED ON ACHIEVEMENT OF DEPARTMENT AND/OR DIVISIONAL GOALS. ADDITIONAL COMPENSATION PAYMENTS ARE SUBJECT TO THE COMPENSATION CAP POLICY ADOPTED BY CUMG: THE "CUMG METHOD OR STANDARD REGARDING BASIC INDIVIDUAL CAPS UNDER AMENDED INCOME DISTRIBUTION PLAN, AS OF JULY 1, 1999." THIS COMPENSATION CAP POLICY LIMITS THE AMOUNT OF COMPENSATION TO INDIVIDUAL PHYSICIANS AND HEALTH CARE PROFESSIONALS BY COMPARISON TO OBJECTIVE DATA FOR LIKE ACTIVITIES AND LIKE PHYSICIANS OR PRACTITIONERS, INCLUDING SURVEYS SUCH AS THE ASSOCIATION OF AMERICAN COLLEGE (AAMC) AND MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) COMPENSATION SURVEYS. FOR THE MOST FREQUENTLY USED MEASURE (AAMC SURVEY), THE MAXIMUM "BASIC INDIVIDUAL CAP" GENERALLY IS 90% OF THE APPLICABLE STANDARD OR MEASURE. IF AAMC DATA IS NOT AVAILABLE OR DOES NOT PROVIDE THE MOST APPROPRIATE COMPARATIVE DATA, THE POLICY ALLOWS FOR OTHER COMPARATORS TO BE USED. IN GENERAL, THE 90TH PERCENTILE IS THE MAXIMUM BASIC INDIVIDUAL CAP IMPOSED UNDER ANY SURVEY OR DATA. IN ALL INSTANCES, COMPENSATION IS LIMITED BY A CAP ESTABLISHED USING A COMPARATIVE SURVEY OR DATA DETERMINED BY THE UWSOM AND SEATTLE CHILDREN'S HOSPITAL PRIOR TO THE PERIOD OF RECORD. BEFORE PAYMENT OF ADDITIONAL COMPENSATION FOLLOWING A PERIOD OF RECORD, CUMG REVIEWS AND, WHERE NECESSARY, LIMITS INDIVIDUAL COMPENSATION PURSUANT TO THE APPLICABLE CAP. THUS, WHILE THE AMOUNT OF ADDITIONAL COMPENSATION MAY NOT BE FIXED, THE TOTAL COMPENSATION, INCLUDING BASE SALARY AND ADDITIONAL COMPENSATION TO INCLUDE FAP, IS SUBJECT TO LIMITS ESTABLISHED BY RELEVANT COMPARATORS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6THERE WERE 14 UNPAID FACULTY MEMBERS WHO VOLUNTEERED TO PROVIDE CLINICAL CARE THROUGH CUMG.
FORM 990, PART VI, SECTION A, LINE 6THERE ARE TWO MEMBERS OF CHILDREN'S UNIVERSITY MEDICAL GROUP: SEATTLE CHILDREN'S HEALTHCARE SYSTEM (THE SURVIVING ENTITY OF CHILDREN'S PHYSICIANS) AND THE UNIVERSITY OF WASHINGTON.
FORM 990, PART VI, SECTION A, LINE 7ATHE UW MEDICINE CEO AND CEO OF SEATTLE CHILDREN'S HOSPITAL TOGETHER APPOINT TEN MEMBERS OF THE BOARD OF DIRECTORS. PROFESSIONAL FACULTY MEMBERS ELECT TWO MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BMOST DECISIONS OF THE CUMG BOARD OF DIRECTORS ARE SUBJECT TO THE APPROVAL OF THE UW MEDICINE CEO AND CEO OF SEATTLE CHILDREN'S HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11THE COMPLETED FORM 990 IS REVIEWED BY THE CUMG EXECUTIVE DIRECTOR, GENERAL COUNSEL FOR THE ASSOCIATION OF UNIVERSITY PHYSICIANS, AND THE CUMG ASSOCIATE DIRECTOR OF FINANCE, AS WELL AS THE ASSOCIATE DEAN FOR BUSINESS FOR THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, THE ENTERPRISE FINANCE OFFICER AND ASSOCIATE VICE PRESIDENT OF UW MEDICINE, AND THE CHIEF FINANCIAL OFFICER AND CONTROLLER FOR SEATTLE CHILDREN'S HOSPITAL. THE BOARD HAS BEEN PRESENTED WITH INFORMATION RELATED TO THE PURPOSE AND RELEVANCE OF THE FORM 990 TO TAX-EXEMPT ENTITIES, SUCH AS CUMG, AND BOARD MEMBERS MAY REQUEST A COPY OF THE FORM 990 FROM THE CUMG ASSOCIATE DIRECTOR OF FINANCE.
FORM 990, PART VI, SECTION B, LINE 12CTHE CUMG BOARD ADOPTED A CONFLICT OF INTEREST POLICY IN NOVEMBER 2009 FOR BOARD MEMBERS AND OTHER INDIVIDUALS WHO SERVE IN SIGNIFICANT ROLES WITH REGARD TO CUMG. CUMG BOARD MEMBERS AND OTHER INDIVIDUALS WHO ARE EMPLOYED BY THE UNIVERSITY OF WASHINGTON AND SERVING ON CUMG 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. CUMG BOARD MEMBERS AND OTHERS ARE REQUIRED TO DISCLOSE CERTAIN RELATIONSHIPS BOTH TO COMPLETE THE CUMG CONFLICT OF INTEREST SURVEY AND AS PART OF THE PROCESS TO COMPLETE THE FORM 990. CUMG ALSO ADDRESSES CONFLICTS AS THEY ARISE AND ARE REPORTED TO CUMG MANAGEMENT OR THE CUMG BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15THE CUMG BOARD OF DIRECTORS DO NOT REVIEW COMPENSATION. COMPENSATION OF THE CUMG EXECUTIVE DIRECTOR AND ASSOCIATE DIRECTOR OF FINANCE IS REVIEWED BY REPRESENTATIVES OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE AND SEATTLE CHILDREN'S HOSPITAL. THE REVIEW RELIES ON COMPARISON OF COMPENSATION TO SIMILARLY SITUATED INDIVIDUALS, IN LIKE-SIZED ORGANIZATIONS ENGAGED IN SIMILAR ACTIVITIES. THE COMPARISON IS PERFORMED BY AN INDEPENDENT CONTRACTOR CONSULTANT WITH EXPERIENCE AND EXPERTISE IN COMPENSATION OF ACADEMIC MEDICAL CENTER PERSONNEL. THE COMPENSATION COMPARISON DATA IS REVIEWED BY DISINTERESTED EMPLOYEES OF UW MEDICINE AND SEATTLE CHILDREN'S HOSPITAL. FOR UW MEDICINE, THIS IS PART OF AN OVERALL REVIEW OF COMPENSATION FOR SIMILARLY SITUATED INDIVIDUALS IN OTHER COMPONENTS OF UW MEDICINE. THE REVIEW IS PERFORMED REGULARLY, AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE. COMPENSATION OF CUMG BOARD MEMBERS AND OFFICERS IN THEIR CAPACITY AS CUMG PROFESSIONAL MEMBERS EMPLOYED BY CUMG AND/OR THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, 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 CUMG PROFESSIONAL MEMBERS, REVIEW OF COMPENSATION ALSO INCLUDES APPLICATION OF THE "CHILDREN'S UNIVERSITY MEDICAL GROUP METHOD OR STANDARD REGARDING BASIC INDIVIDUAL CAPS UNDER AMENDED INCOME DISTRIBUTION PLAN, AS OF JULY 1, 1999" (CUMG CAP POLICY). THE CUMG CAP POLICY LIMITS COMPENSATION OF CUMG PROFESSIONAL MEMBERS BY COMPARISON TO OBJECTIVE DATA SUCH AS THAT PUBLISHED BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES. THE REVIEW IS PERFORMED REGULARLY AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, LINE 13CUMG HAS A POLICY THAT REQUIRES MEMBERS AND ADMINISTRATIVE STAFF TO REPORT BILLING COMPLIANCE CONCERNS. THE POLICY EMPHASIZES THAT CUMG DOES NOT TOLERATE RETALIATION AGAINST THOSE REPORTING CONCERNS. THIS POLICY IS AVAILABLE TO ALL CUMG MEMBERS AND ADMINISTRATIVE STAFF AND IS BROADLY DISSEMINATED.
FORM 990, PART VII, COLUMN BHOURS FOR RELATED ORGANIZATIONS: ALL OF THE KEY EMPLOYEES AND BOARD MEMBERS, EXCEPT FOR THE ASSOCIATE DIRECTOR OF FINANCE AND THE EXECUTIVE DIRECTOR, ARE CONSIDERED BY THE UNIVERSITY OF WASHINGTON TO BE EMPLOYED FULL TIME BY THE UNIVERSITY OF WASHINGTON REGARDLESS OF WHETHER THEY RECEIVE ALL OF THEIR COMPENSATION FROM ANY COMBINATION OF THE UNIVERSITY, CUMG, OR BOTH ENTITIES. BOARD MEMBERS ARE MEMBERS OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE FACULTY, AND THEY PROVIDE CLINICAL SERVICES IN THEIR ROLE AS FACULTY MEMBERS IN SERVICE TO THE UNIVERSITY. LIKEWISE, A BOARD MEMBER'S SERVICE AS A MEMBER OF THE BOARD IS INCLUDED AS PART OF HIS OR HER ROLE AS A FACULTY MEMBER IN SERVICE TO THE UNIVERSITY AND, FOR THOSE KEY EMPLOYEES WHO ARE NOT BOARD MEMBERS, ALL OF THEIR ACTIVITIES FOR CUMG ARE CONSIDERED TO BE WITHIN THE INDIVIDUAL'S FACULTY ROLE FOR THE UNIVERSITY. WE ARE NOT ABLE TO SEGREGATE THE HOURS DEVOTED TO CUMG FROM THE HOURS EACH INDIVIDUAL DEVOTES TO THE UNIVERSITY. THUS, WE ARE REPORTING 40 HOURS FOR EACH INDIVIDUAL, TO REPRESENT THAT INDIVIDUAL'S WORK FOR THE RELATED PARTY UNIVERSITY OF WASHINGTON.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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
SEATTLE CHILDREN'S HOSPITAL
PO BOX 5371 MS RC-507SEATTLEWA981050371910564748PEDIATRIC MEDICAL CAREWA501(C)(3)30SEATTLE CHILDREN'S HEALTHCARE SYSTEM
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 Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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