2016-05-09T11:44:16-05:00 2015-06-30 420714325 RSM US LLP 1 S Wacker Drive Chicago IL 60606 990 2014-07-01 391824445 University of Wisconsin Medical Foundation Inc UNIV 6088214223 7974 UW Health Court Middleton WI 53562 Robert W Flannery CAO 6088214223 2016-05-03 1 Wayne Harder P00294296 3126343400 2014 2016-08-17 19:52:53Z Jeffrey Grossman MD 600 W Highland Avenue Madison WI 53792 797207415 0 X www.uwhealth.org X 1996 WI University of Wisconsin Medical Foundation (UWMF) supports the teaching, research and service missions of the University of Wisconsin School of Medicine and Public Health by promoting the delivery of excellent and innovative patient care by faculty and staff who serve local, regional, national and international populations. 18 5 4512 0 4381569 -466224 54241924 57193313 658892013 699550184 7680053 5944790 3406168 3443609 724220158 766131896 63353739 81811331 0 0 425698463 459049660 0 0 0 201926269 199055292 690978471 739916283 33241687 26215613 508804661 727132485 194399515 205329976 314405146 521802509 X University of Wisconsin Medical Foundation (UWMF) supports the teaching, research and service missions of the University of Wisconsin School of Medicine and Public Health by promoting the delivery of excellent and innovative patient care by faculty and staff who serve local, regional, national and international populations. 0 0 128743147 43500000 Funding allocated to provide medical education for the benefit of, and in support of, the purpose of the UW Medical School and Public Health. 26060331 26060331 Funding allocated to provide medical research for the benefit of, and in support of, the purpose of the UW Medical School and Public Health. 578036589 10638632 699550184 Funding allocated to provide healthcare for the benefit of, and in support of, the purpose of the UW Medical School and Public Health. 1612368 1612368 Other Program Revenue and Expenses allocated to provide medical education for the benefit of and in support of the purpose of the UW Medical School and Public Health. 1612368 1612368 734452435 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 311 0 1 4512 1 1 1 0 0 0 0 0 0 0 0 0 X 18 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 IL WI X Robert W Flannery CAO 6088214223 7974 UW Health Court Middleton WI 53562 Jennifer Alexander Public Board Director 1.00 X 0 0 0 Ronald Anderson Public Board Director 1.00 X 0 0 0 Patricia Brady Public Board Director 1.00 X 0 0 0 Ann Casey Public Board Director 1.00 X 0 0 0 Frederick Wenzel Public Board Director 1.00 X 0 0 0 Robert N Golden MD Dean - UWSMPH 1.00 39.00 X 303880 303102 53463 Ben Graf MD Department of Orthopedics & Rehab. 1.00 39.00 X 579708 66239 39090 Nizar Jarjour MD Department of Medicine 1.00 39.00 X 227352 210036 53090 K Craig Kent MD Department of Surgery 1.00 39.00 X 552680 229407 53463 Jon Matsumura MD Department of Surgery 1.00 39.00 X 575053 97600 55963 Stephen Nakada MD Department of Urology 1.00 39.00 X 395824 188528 53463 Richard Page MD Department of Medicine 1.00 39.00 X 392450 209183 55963 Laurel Rice MD Department of OB/Gynecology 1.00 39.00 X 346622 171277 53463 Deborah Rusy MD MBA Department of Anesthesiology 1.00 39.00 X 276170 69490 52090 William Schwab MD Dept. of Family Med. & Comm. Health 1.00 39.00 X 143943 95609 39176 James Shull PhD Chair/Department of Oncology 1.00 39.00 X 0 247240 0 Gregory Trost MD Department of Neurological Surgery 1.00 39.00 X 481644 68311 52090 Jeffrey Grossman MD President & CEO 39.00 1.00 X X 755905 168650 62164 Peter Christman COO 40.00 X 594766 0 63525 Robert Flannery CAO 40.00 X 387398 0 61720 Peter Newcomer Medical Director 1.00 39.00 X 302712 67393 53463 Jonathan Jaffery MD Medical Director 1.00 39.00 X 163459 115273 40955 Steven Means VP of Legal Services & Compliance 40.00 X 278737 0 59875 Geoffrey S Baer MD PhD Physician 39.00 1.00 X 933509 47926 52090 Gregory K Hartig MD Physician 39.00 1.00 X 791693 69001 52090 Nilto C De Oliveira MD Physician 39.00 1.00 X 755401 32711 52090 Kenneth J Noonan MD Physician 39.00 1.00 X 785991 55664 90 Robert J Dempsey MD Physician 39.00 1.00 X 806430 162740 52090 10831327 2675380 1111466 1012 0 1 0 Epic Systems Corp PO Box 88314 Milwaukee WI 53288 Health Record Consulting 1899130 Huron Consulting Services LLC 3005 Momentum Place Chicago IL 60689 Consulting Services 1116665 Tri-North Builders Inc 2625 Research Park Drive Fitchburg WI 53711 Construction Management 1087898 Environment Control of Wisconsin Inc 2902 Agriculture Drive Madison WI 53718 Custodial Services 836643 Intuitive Technology Group LLC 1650 W 82nd Street Suite 650 Bloomington MN 55431 Information Technology Support 802197 47 57193313 57193313 Patient Services 621111 470766376 470766376 Premium Revenue 900099 188254984 188254984 40528824 36863383 3665441 699550184 4126674 4126674 2609322 21551 2587771 2587771 -1131 2588902 32262088 609996 30427538 626430 1834550 -16434 1818116 1818116 Administrative Support 561110 717259 717259 138579 138579 855838 766131896 695884743 4381569 8672271 81786356 81786356 24975 24975 7733924 4922785 2811139 396523858 396523858 10528841 10528841 26241491 26241491 18021546 18021546 18141844 17538285 603559 748943 748943 162475 162475 177718 177718 1210036 1210036 4505270 4505270 6670983 6670983 18890990 18890990 669927 669927 5312186 5312186 960014 960014 7040560 7040560 1316435 1316435 Reimb. of Med School Ex 85243147 85243147 Drugs and Patient Care 33187693 33187693 Bad Debt Expense 3120013 3120013 11697058 11697058 739916283 734452435 5463848 0 153775529 176993704 53694792 61340250 4796237 4574698 16020219 19626431 130430567 71435910 57437203 58994657 177322895 175906285 45134232 229110418 113971 108224 509583 477818 508804661 727132485 143268834 148832724 43115000 40070000 8015681 16427252 194399515 205329976 X 314405146 521802509 314405146 521802509 508804661 727132485 X 26215613 -6989872 188171622 X 0 1 X 1 0 X 29657867 37593827 48104050 54241924 57193313 226790981 565719339 606732366 622980230 658892013 700536394 3154860342 595377206 644326193 671084280 713133937 757729707 3381651323 0 0 0 3381651323 5787502 6393597 7894444 10221619 6735997 37033159 5787502 6393597 7894444 10221619 6735997 37033159 61657 152449 98351 337265 649722 234498 740900 224253 181069 138579 1519299 601460863 651613139 679301328 723873890 764604283 3420853503 0.98850 0.98820 0.01080 0.01110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 93893 1 83825 0 0 177718 0 Part II-B, Line 1: Amounts in support of lobbying are for Venn Strategies, LLC of $83,825. Dues were paid to State and National Medical Societies totaling $93,893. 7988432 7988432 56855976 24151491 32704485 11871016 6105897 5765119 53715143 41178522 12536621 58994657 Wisconsin Sleep, Inc. 2076914 C Generations Fertility Care, Inc. 353513 C Madison Medical Center 4995530 C Madison Surgery Center 4257523 C Meriter Physician Contracting 24843 C Wisconsin Dialysis, Inc. 909040 C Transformation Surgery Center, Inc. 818656 C Regional Division, Inc. 181136000 C University Health Care, Inc. 30334827 C Chartwell Wisconsin Enterprises, LLC 4070586 C UW Health Accountable Care Org. 132986 C 229110418 Due to Med. School Dev. Fund 8049999 Due to Research & Dev. Fund 377253 Due to Carbone Cancer Center 8000000 16427252 X 944215185 -6374437 187577739 181203302 763011883 3120013 3120013 766131896 736817822 21552 21552 736796270 3120013 3120013 739916283 Part X, Line 2: The Foundation has been determined to qualify as exempt from federal income tax under Internal Revenue Code Section 501(a) as an organization described in Section 501(c)(3) of the Code. The Foundation follows the Financial Accounting Standards Board (FASB) guidance on income taxes, Accounting for Uncertainty in Income Taxes, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this guidance, the Foundation may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Foundation and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. Most of the income earned by the Foundation is exempt from taxation as income related to the mission of the organization. However, the Foundation does earn an immaterial amount of unrelated business income and recognized income tax expense of approximately $130,000 and $115 for the years ended June 30, 2015 and 2014, respectively, within order, net in the statements of operations and changes in net assets. With few exceptions, the Foundation is no longer subject to examination by the Internal Revenue Service for the years 2011 and earlier. Part XI, Line 2d - Other Adjustments: Revenue from Unconsolidated Entities 187,556,187. Reclassification of Rent Expenses 21,552. Part XI, Line 4b - Other Adjustments: Reclassification of Bad Debt Expenses 3,120,013. Part XII, Line 2d - Other Adjustments: Reclassification of Rent Expenses 21,552. Part XII, Line 4b - Other Adjustments: Reclassification of Bad Debt Expenses 3,120,013. 1 UW School of Medicine and Public Health 750 Highland Avenue Madison WI 53705 396006492 State of Wisconsin 33500000 Support Functions of the Medical School University of Wisconsin Foundation 1848 University Avenue Madison WI 53708 390743975 501(c)(3) 26060331 Research Support The University of Wisconsin Carbone Cancer Center 600 Highland Avenue Madison WI 53792 391805963 501(c)(3) 10000000 Support Functions of the Cancer Center University Health Care Inc 1848 University Avenue Madison WI 53708 391446049 501(c)(3) 5615953 Support for Contract Management Madison Community Health Center Inc DBA Access Community Health Centers 2202 Park Street Madison WI 53713 391391134 501(c)(3) 927064 Support Functions of the Organization University of Wisconsin Hospital and Clinics Authority 301 S Westfield Road Ste 350 Milwaukee WI 53717 391835630 State of Wisconsin 175000 Support Functions of the Organization United Way of Dane County Inc 2059 Atwood Avenue Madison WI 53707 390817532 501(c)(3) 479655 Support Functions of the Organization Orthopaedic Research and Education Foundation 6300 N River Road Ste 700 Rosemont IL 60019 366009467 501(c)(3) 30000 Support Functions of the Organization Beloit Health System Foundation 1969 W Hart Road Beloit WI 53511 391477854 501(c)(3) 25000 Support Functions of the Organization Juvenile Diabetes Research Foundation 434 S Yellowstone Drive Ste 201 Madison WI 53719 231907729 501(c)(3) 11750 Support Functions of the Organization Pregnancy Foundation 409 12th Street SW Washington DC 20024 412103331 501(c)(3) 10000 Support Functions of the Organization Community Shares of Wisconsin 612 W Main Street Ste 200 Madison WI 53703 391172378 501(c)(3) 10000 Support Functions of the Organization American Heart Association Inc 2850 Dairy Drive Ste 300 Madison WI 53718 135613797 501(c)(3) 10000 Support Functions of the Organization UW House Staff Association PO Box 45373 Madison WI 53744 540162532 501(c)(3) 10000 Support Functions of the Organization Children's Theater of Madison 228 State Street Madison WI 53703 391579813 501(c)(3) 9500 Support Functions of the Organization Wisconsin Women's Health Foundation 2503 Todd Drive Madison WI 53713 391900678 501(c)(3) 9500 Support Functions of the Organization Friends of the UW Hospitals and Clinics 301 S Westfield Road Ste 250 Madison WI 53717 510137187 501(c)(3) 8700 Support Functions of the Organization Independent Living Inc 2970 Chapel Valley Road Ste 203 Madison WI 53711 391186642 501(c)(3) 8250 Support Functions of the Organization American Family Children's Hospital 600 Highland Avenue Madison WI 53792 391835630 501(c)(3) 8000 Support Functions of the Organization Madison Metropolitan School District 545 W Dayton Street Madison WI 53703 396003202 State of Wisconsin 7500 Support Functions of the Organization Gordon Research Conferences 512 Liberty Lane West Kingston RI 02892 260150662 501(c)(3) 6850 Support Functions of the Organization National Alliance on Mental Illness 3803 N Fairfax Drive Ste 100 Arlington VA 22203 431201653 501(c)(3) 6470 Support Functions of the Organization Wisconsin Ovarian Cancer Alliance 13825 W National Avenue Ste 103 New Berlin WI 53151 392028938 501(c)(3) 6000 Support Functions of the Organization Retreat & Refresh Stroke Camp 2000 W Pioneer Ste 16 Peoria IL 61615 640954851 501(c)(3) 6000 Support Functions of the Organization Rad-aid International 2620 Spencer Road Chevy Chase MD 20815 263914931 501(c)(3) 5905 Support Functions of the Organization UW Board of Regents 1685 Highland Avenue 4240 MFCB Madison WI 53705 391946077 501(c)(3) 5000 Start-up Funding for Dr. Sanders American Thoracic Society Foundation 25 Boadway 18th Floor New York NY 10004 202138855 501(c)(3) 5000 Support Functions of the Organization 27 UWMF Employee Children's Scholarship Fund - scholarships to children of UWMF employees to be used in their pursuit of a healthcare career. 27 24975 Part I, Line 2: The Grant Schedule for UW School of Medicine is based on a 3 year agreement at a fixed amount. UWMF makes a contribution to UW Foundation for R&D of 2.5% of professional revenues which is part of its bylaws. University Healthcare Inc. support is based on their annual budget. A monthly reconciliation is performed by reviewing the professional revenues and performing the calculation for R&D. The discrepancies are given to the departments for review and funds are adjusted on the following month's transfer. The fixed amounts are reviewed monthly to confirm transfers to contracts and budget. Any discrepancies are adjusted in the following month. The 2014 UWMF Employee Children's Scholarships were awarded to children of UWMF employees. Each child was awarded a $925 scholarship from UW Medical Foundation to be used in their pursuit of a healthcare career. UWMF places great value and pride in the opportunity to reinvest in the next generation of professionals entering the healthcare industry. X 1 1 X X X 0 0 0 0 0 0 0 0 0 Robert N Golden MD Dean - UWSMPH 303880 303102 0 0 0 0 52000 0 1463 0 357343 303102 0 0 Ben Graf MD Department of Orthopedics & Rehab. 579708 66239 0 0 0 0 39000 0 90 0 618798 66239 0 0 Nizar Jarjour MD Department of Medicine 227352 210036 0 0 0 0 52000 0 1090 0 280442 210036 0 0 K Craig Kent MD Department of Surgery 552680 229407 0 0 0 0 52000 0 1463 0 606143 229407 0 0 Jon Matsumura MD Department of Surgery 575053 97600 0 0 0 0 52000 0 3963 0 631016 97600 0 0 Stephen Nakada MD Department of Urology 395824 188528 0 0 0 0 52000 0 1463 0 449287 188528 0 0 Richard Page MD Department of Medicine 392450 209183 0 0 0 0 52000 0 3963 0 448413 209183 0 0 Laurel Rice MD Department of OB/Gynecology 346622 171277 0 0 0 0 52000 0 1463 0 400085 171277 0 0 Deborah Rusy MD MBA Department of Anesthesiology 276170 69490 0 0 0 0 52000 0 90 0 328260 69490 0 0 William Schwab MD Dept. of Family Med. & Comm. Health 143943 95609 0 0 0 0 36586 0 2590 0 183119 95609 0 0 James Shull PhD Chair/Department of Oncology 0 247240 0 0 0 0 0 0 0 0 0 247240 0 0 Gregory Trost MD Department of Neurological Surgery 481644 68311 0 0 0 0 52000 0 90 0 533734 68311 0 0 Jeffrey Grossman MD President & CEO 745951 168650 0 0 9954 0 52000 0 10164 0 818069 168650 0 0 Peter Christman COO 585154 0 0 0 9612 0 34151 0 29374 0 658291 0 0 0 Robert Flannery CAO 361262 0 20000 0 6136 0 34151 0 27569 0 449118 0 0 0 Peter Newcomer Medical Director 302712 67393 0 0 0 0 52000 0 1463 0 356175 67393 0 0 Jonathan Jaffery MD Medical Director 163459 115273 0 0 0 0 40865 0 90 0 204414 115273 0 0 Steven Means VP of Legal Services & Compliance 276198 0 0 0 2539 0 34151 0 25724 0 338612 0 0 0 Geoffrey S Baer MD PhD Physician 933509 47926 0 0 0 0 52000 0 90 0 985599 47926 0 0 Gregory K Hartig MD Physician 791693 69001 0 0 0 0 52000 0 90 0 843783 69001 0 0 Nilto C De Oliveira MD Physician 755401 32711 0 0 0 0 52000 0 90 0 807491 32711 0 0 Kenneth J Noonan MD Physician 785991 55664 0 0 0 0 0 0 90 0 786081 55664 0 0 Robert J Dempsey MD Physician 806430 162740 0 0 0 0 52000 0 90 0 858520 162740 0 0 Part I, Line 1a UWMF reimburses Chairs and the Dean of the Medical School for the business use of their social club dues. As a business expense, amounts are not taxable. Form 990, Part VI, Section B, line 11 Form 990 is completed by the organization's external accounting firm. Upon completion, the manager of financial accounting reviews the return and workpapers. Once that is complete, the return is then forwarded to the Chief Administrative Officer for review. When all reviewers have determined that Form 990 is complete and accurate, the return is provided to the members of the Board of Directors. After they have had time to review, the return is submitted for filing with the Internal Revenue Service. Form 990, Part VI, Section B, line 12c The Compliance and Legal Department reviews conflict of interest forms. If potential conflicts are found, there is a discussion between legal services, the CAO, and the individual. The Compliance Department issues questionnaires annually and there is 100% compliance in responding. If there is a conflict, the fix is to recuse oneself from any vote. If it is a sensitive matter, the fix is to recuse oneself from the discussion and the vote. The conflict of interest policy provides a process for both voluntary and involuntary recusal. Form 990, Part VI, Section B, line 15 A compensation review committee (CRC) has been established. The committee shall consist exclusively of the public directors. The CRC shall act in accordance with the foundation's compensation principles and policy. The committee shall make final decisions on such matters after satisfying itself that the standards set in the foundation's compensation principles and policy have been met. The committee may request additional data or information prior to approving matters within its jurisdiction. The CRC shall take final action to approve or disapprove all foundation and departmental compensation formulae and policy. The committee is provided benchmark data from three surveys that are weighted for physician compensation. This data is used to compare to current compensation. The deliberations are contemporaneously substantiated. Executive compensation is based on comparative data with like positions within the market. The compensation for CEO, EVP/COO and all Vice Presidents is presented to the compensation committee annually. This committee is comprised of the UWMF's public board members. Form 990, Part VI, Section C, line 19 The financial statements, bylaws, articles, conflict of interest policies, tax returns, and Form 1023 are available upon request from the corporate office for the same period of disclosure as set forth in IRC Section 6104(d). Form 990, Part XI, line 9: Revenue from Unconsolidated Entities 187,556,187. Unrealized Gain (Loss) on Financial Instrument 615,435. University of Wisconsin 1220 Linden Drive Madison WI 53706 396006492 Education WI 115 N/A N/A 0 Regional Division Inc 301 South Westfield Road Suite 320 Madison WI 53717 391446049 Regional Parent Corporation to manage and direct activities of entities WI 501(c)(2) Line 11a University of WI Hospital and Clinics 1 University Health Care Inc 301 South Westfield Road Suite 320 Madison WI 53717 391446049 Support Organization WI 501(c)(3) Line 11a University of WI Hospital and Clinics 1 Generations Fertility Care 2365 Deming Way Middleton WI 53562 273496527 Reproductive Endocrinology and Infertility Services WI 501(c)(3) Line 9 N/A 0 Wisconsin Dialysis 3034 Fish Hatchery Road Fitchburg WI 53713 300072647 Dialysis Services WI 501(c)(3) Line 11c N/A 0 Madison Surgery Center 7974 UW Health Court Middleton WI 53562 391940656 Health Care Services and Training WI 501(c)(3) Line 9 N/A 0 SwedishAmerican Health System Corporation 1401 East State Street Rockford IL 61104 363241458 Parent Corporation to manage and direct activites of entities IL 501(c)(3) Line 11a University Health Care Inc 1 SwedishAmerican Hospital 1401 East State Street Rockford IL 61104 362222696 Hospital IL 501(c)(3) Line 3 SwedishAmerican Health System Corporation 1 SwedishAmerican Foundation 1401 East State Street Rockford IL 61104 363097493 Supporting Organization for SwedishAmerican Hospital fundraising IL 501(c)(3) Line 7 SwedishAmerican Hospital 1 SwedishAmerican Realty Corporation 1313 East State Street Rockford IL 61104 363248013 Title Holding Company IL 501(c)(2) SwedishAmerican Health System Corporation 1 SwedishAmerican Hospital Self Insurance Trust 1401 East State Street Rockford IL 61104 366652702 Hospital Malpractice Trust VT 501(c)(3) Line 11a SwedishAmerican Hospital 1 Three Rivers Partners LLC 1313 East State Street Rockford IL 61104 262231757 Information Technology Services IL N/A N/A 0 0 Northern Illinois Vein Clinic 2550 Charles Street Rockford IL 61108 201642329 Outpateint Health Services IL N/A N/A 0 0 SARI Insurance Company 76 St Paul Street Suite 500 Burlington VT 054014477 030308753 Captive Insurance Company VT SAHS Corporation C 1 LSG Building Corporation 1313 East State Street Rockford IL 61104 363033985 Real Estate IL SAHS Corporation S 1 State & Charles Inc 1313 East State Street Rockford IL 61104 363321193 Holding Company IL SAHS Corporation C 1 SwedishAmerican Health Management Corp 1313 East State Street Rockford IL 61104 363246511 Management Services IL State & Charles Inc C 1 Unity Health Insurance 840 Carolina Street Sauk City WI 53583 391450766 Health Maintenance Organization WI University Health Care Inc C 1 Health Professionals of Wisconsin 301 South Westfield Road Madison WI 53717 391806711 Real Estate WI University Health Care Inc C 1 0 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0