ASSOCIATION OF UNIVERSITY PHYSICIANS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ASSOCIATION OF UNIVERSITY PHYSICIANS (EIN 91-1220843)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201401359349304095
Schema version
2012v2.1
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)
Timestamp2014-05-15T11:10:33-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN911194016EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1700AddressLine1
CityBELLEVUECity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911220843EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ASSOCIATION OF UNIVERSITY PHYSICIANSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlASSONameControl
Phone2065436420Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 5TH AVENUE NO 700AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98104ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMAUREEN HOOLEYName
TitleCHIEF FINANCIAL OFFICERTitle
Phone2065436420Phone
Date Signed2014-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSARA ELIZABETH J HYREName
PTINP00235495PTIN
Phone4254544919Phone
Date Prepared2014-05-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1UW PHYSICIANSBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonCATHERINE BOELKENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1701 5TH AVENUE NO 700AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98104ZIPCode
FieldValueIRS element (for citing)
Gross Receipts215297809GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteSEE SCHEDULE OWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionPRACTICE PLAN FOR THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE ("UWSOM") FACULTY PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS THAT PROVIDES SUBSTANTIAL SUPPORT TO THE UWSOM.ActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees1293TotalNbrEmployees
Total Nbr Volunteers215TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year177894873ProgramServiceRevenuePriorYear
Program Service Revenue CY170697342ProgramServiceRevenueCY
Investment Income Prior Year8875721InvestmentIncomePriorYear
Investment Income Current Year6317312InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year186770594TotalRevenuePriorYear
Total Revenue Current Year177014654TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year147433112SalariesEtcPriorYear
Salaries Etc Current Year139353756SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year32855916OtherExpensePriorYear
Other Expenses Current Year37380452OtherExpensesCurrentYear
Total Expenses Prior Year180289028TotalExpensesPriorYear
Total Expenses Current Year176734208TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6481566RevenuesLessExpensesPriorYear
Revenues Less Expenses CY280446RevenuesLessExpensesCY
Total Assets BOY105334098TotalAssetsBOY
Total Assets EOY113206197TotalAssetsEOY
Total Liabilities BOY105334098TotalLiabilitiesBOY
Total Liabilities EOY113206197TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY0NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY0NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ASSOCIATION OF UNIVERSITY PHYSICIANS IS A CLINICAL PRACTICE PLAN FOR THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE ("UWSOM") FACULTY PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS AND PROVIDES SUBSTANTIAL SUPPORT TO THE UWSOM.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense153322260Expense
Revenue170697342Revenue
DescriptionTHE PHYSICIANS AND OTHER HEALTH CARE PRACTITIONERS OF THE ASSOCIATION OF UNIVERSITY PHYSICIANS (TOGETHER, "UWP PRACTITIONERS") PROVIDE CLINICAL CARE AT UNIVERSITY OF WASHINGTON OWNED, OPERATED, AND AFFILIATED FACILITIES. UWP PRACTITIONERS ARE REQUIRED TO BE FACULTY MEMBERS OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE AS A CONDITION OF PRACTICE PLAN MEMBERSHIP AND PRACTICE ONLY AT SITES APPROVED BY THE CEO OF UW MEDICINE, EVP FOR MEDICAL AFFAIRS AND DEAN OF THE UWSOM (UW MEDICINE CEO). UWP PRACTITIONERS ALSO PROVIDE CLINICAL CARE IN OTHER LOCAL AND NATIONAL COMMUNITY SETTINGS AS APPROVED BY THE UW MEDICINE CEO. THESE ACTIVITIES INCREASE COMMUNITY ACCESS TO SPECIALIST AND SUB-SPECIALIST CLINICAL CARE AND EXPERTISE, PROVIDE PRIMARY CARE IN COMMUNITIES THAT MAY NOT HAVE SUFFICIENT LOCAL RESOURCES, AND HELP TO ASSURE SUFFICIENT PRACTICE SITES AND PATIENT POPULATIONS TO MAINTAIN THE UWSOM TEACHING AND RESEARCH ACTIVITIES. PURSUANT TO AN OPERATING AGREEMENT BETWEEN THE ASSOCIATION OF UNIVERSITY PHYSICIANS ("UWP") AND THE UNIVERSITY OF WASHINGTON BOARD OF REGENTS, ALL UWP REVENUES IN EXCESS OF ITS OPERATING EXPENSES AND PHYSICIAN COMPENSATION ARE HELD IN AN ACADEMIC SUPPORT FUND SOLELY FOR THE SUPPORT OF THE UWSOM. THE UW MEDICINE CEO CONTROLS ALL PHYSICIAN COMPENSATION BY UWP AND HIS APPROVAL IS REQUIRED FOR THE SIGNIFICANT ACTIONS OF THE UWP BOARD OF TRUSTEES.Description
Total Program Service Expense153322260TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1293NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members26NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MAUREEN HOOLEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2065205778TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1701 5TH AVENUE SUITE 700AddressLine1
CitySEATTLECity
StateWAState
ZIP Code98104ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (42 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
NORMAN BEAUCHAMP MD
TRUSTEE40.000.00X21532534327862451
WILLIAM BREMNER MD PHD
TRUSTEE40.000.00X20864224878463220
JENS CHAPMAN MD
TRUSTEE40.000.00X555004295080246187
RICHARD ELLENBOGEN MD
TRUSTEE40.000.00X378545380934119437
DAVID ESCHENBACH MD
TRUSTEE40.000.00X19003223159259458
PETER ESSELMAN MD
TRUSTEE40.000.00X10665527594372101
JAMES FINE MD
TRUSTEE40.000.00X14267723736086145
NEAL FUTRAN MD
TRUSTEE40.000.00X15356036192078035
GEORGE LARAMORE MD PHD
TRUSTEE40.000.00X36377325257571159
BURKHARD MACKENSEN MD PHD
TRUSTEE40.000.00X15793219688756899
THOMAS MONTINE MD PHD
TRUSTEE40.000.00X9574926639551995
TOM NORRIS MD
TRUSTEE40.000.50X17409618808852111
CARLOS PELLEGRINI MD
TRUSTEE40.000.00X27919242444069227
BRUCE RANSOM MD PHD
TRUSTEE40.000.00X10960822155650525
DEB SCHWINN MD
TRUSTEE40.000.00X19205716144056382
BRUDER STAPLETON MD
TRUSTEE8.000.00X023372439292
RUSSELL VAN GELDER MD PHD
TRUSTEE40.000.00X8470837746843779
RICHARD VEITH MD
TRUSTEE40.000.00X15637221278953782
HUNTER WESSELLS MD
TRUSTEE40.000.00X5400033234450828
MIKA SINANAN MD PHD
PRESIDENT40.000.50X23670014827856443X
PETER MCGOUGH MD
VICE-PRESIDENT40.000.00X238407049554X
HUGH FOY MD
SECRETARY/TREASURER40.000.00X3117629923557017X
JOHN BRAMHALL MD PHD
TRUSTEE40.000.00X12001517760068412
BRANT OELSCHLAGER MD
TRUSTEE40.000.00X20201315115859407
APRIL STEMPIEN-OTERO MD
TRUSTEE40.000.00X5680410313037551
JUDITH PAUWELS MD
TRUSTEE40.000.00X2466413209135759
BRUCE MONTGOMERY MD
TRUSTEE40.000.00X019968216162
CATHERINE BOELKE
EXECUTIVE DIRECTOR40.000.00259642050604X
MAUREEN HOOLEY
CFO40.000.00190498046273X
RUTH MAHAN
CHIEF BUSINESS OFFICER40.000.0014000440821656536X
JOHNESE SPISSO
CHIEF HEALTH SYSTEM OFFICER40.000.5017882451026461570X
PAUL G RAMSEY MD
UW MEDICINE CEO40.000.5049160429152868123X
LORI MITCHELL
CHIEF HEALTH SYSTEM OFFICER40.000.508666438406047347X
RICHARD BRANSFORD MD
ASSOCIATE PROFESSOR40.000.00430393256739241201X
NICHOLAS VEDDER MD
PROFESSOR40.000.00356556332340165658X
CARLO BELLABARBA MD
PROFESSOR40.000.00505286193377249127X
JORGE DIONISIO REYES MD
PROFESSOR40.000.0025595051693673770X
LALIGAM N SEKHAR MD
PROFESSOR40.000.00444012535848132355X
BRUCE SANGEORZAN
FORMER SECRETARY/TREASURER40.000.00216573260455134949X
ANNELIESE SCHLEYER MD
FORMER SECRETARY/TREASURER40.000.00017925635155X
MARGARET PEYTON
FORMER KEY EMPLOYEE40.000.00212648044108X
MARK GREEN
FORMER KEY EMPLOYEE40.000.00750028881216765X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8303860TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs10611602TotalReportableCompFrmRltdOrgs
Total Other Compensation3186859TotalOtherCompensation
Number Individuals GT100 K378NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HAYES MANAGEMENT CONSULTING
1320 CENTRE STREETNEWTON CENTREMA02459CONSULTING496670
STATE COLLECTION SERVICE
2509 S STOUGHTON RDMADISONWI53716COLLECTION AGENCY394599
KFORCE INC
1001 EAST PALM AVETAMPAFL33605CONTRACT LABOR377643
OPTUMINSIGHT
PO BOX 6250MADISONWI53716SOFTWARE MAINTENANCE295036
CULBERT HEALTHCARE SOLUTIONS
800 WEST CUMMINGS PARK SUITE 6000WOBURNMA01801CONSULTING167818
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT PROF FEES621110169742032169742032
BILLING AND COLLECTION561000955310955310
FieldValueIRS element (for citing)
Total Program Service Revenue170697342TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3856106TotalRevenueColumn
Exclusion$3,856,106ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities40744361Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities38283155Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2461206Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2461206TotalRevenueColumn
Exclusion$2,461,206ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column177014654TotalRevenueColumn
Related Or Exempt Function Income170697342RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,317,312ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6497305Total
Program Services5950983ProgramServices
Management And General546322ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total109193Total
Program Services109193ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total115354719Total
Program Services102313181ProgramServices
Management And General13041538ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7165384Total
Program Services5969233ProgramServices
Management And General1196151ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6436514Total
Program Services3514259ProgramServices
Management And General2922255ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3790641Total
Program Services2741995ProgramServices
Management And General1048646ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total141981Total
Program Services141981ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total101951Total
Management And General101951ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total164068Total
Management And General164068ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9778096Total
Program Services9247341ProgramServices
Management And General530755ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total9377Total
Program Services9377ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4608635Total
Program Services2901181ProgramServices
Management And General1707454ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2072365Total
Program Services2072365ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1455019Total
Management And General1455019ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total102843Total
Management And General102843ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total312710Total
Management And General312710ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3726590Total
Program Services3644823ProgramServices
Management And General81767ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
CITY/STATE BUSINESS TAX61316196131619
DEPARTMENT EXPENSES47785654778565

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3996633Total
Program Services3796164ProgramServices
Management And General200469ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total176734208Total
Program Services153322260ProgramServices
Management And General23411948ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY268702BOY
EOY307751EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6189457BOY
EOY15306419EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5040502BOY
EOY7159573EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7316548LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7091816LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY526505BOY
EOY224732EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY93125700BOY
EOY90137141EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY183232BOY
EOY70581EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY105334098BOY
EOY113206197EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18525929BOY
EOY22407903EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY86808169BOY
EOY90798294EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY105334098BOY
EOY113206197EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY105334098BOY
EOY113206197EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses280446ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-280446ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting OtherXMethodOfAccountingOther
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF WASHINGTONBusinessNameLine1
FieldValueIRS element (for citing)
EIN916001537EIN
Type Of OrganizationGOVERNMENTTypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$88,919,355Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts88919355SumOfAmounts
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART I, LINE 11H, COLUMN VII: THE AMOUNT OF SUPPORT TO THE UNIVERSITY OF WASHINGTON REPRESENTS REVENUE COLLECTED ON BEHALF OF AND FOR THE BENEFIT OF THE UNIVERSITY OF WASHINGTON FOR PHYSICIAN SERVICES PROVIDED TO PATIENTS.GeneralExplanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1398897OtherCostOrOtherBasis
Depreciation1291544Depreciation
Book Value107353BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5917651OtherCostOrOtherBasis
Depreciation5800272Depreciation
Book Value117379BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings224732TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
CLINICAL MEDICINE FUND PAYABLE$32,584,916
DEPARTMENTAL PAYABLES$58,213,378
FieldValueIRS element (for citing)
Total Of Amounts90798294TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt176734208TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-280446NetUnrealizedGainsInvestments
Revenue Not Rptd F990-280446RevenueNotRptdF990
Revenue Subtotal177014654RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990177014654TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt176734208TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal176734208ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990176734208TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (42 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
NORMAN BEAUCHAMP MD
TRUSTEE1927083072782261700360001938019500385519716238560382494226170
WILLIAM BREMNER MD PHD
TRUSTEE20864222378400025000208642500036761368023318228746400
JENS CHAPMAN MD
TRUSTEE2000042700803550000025000202500250003855148327613593349121775000
RICHARD ELLENBOGEN MD
TRUSTEE2544603556841240850025250875002525038552832469900409016590910
DAVID ESCHENBACH MD
TRUSTEE19003220805500023537190032353732381368021227326880900
PETER ESSELMAN MD
TRUSTEE705092507763614600251672962125167322514088139501315198209350
JAMES FINE MD
TRUSTEE928522133564982500240044245424004711112576192242273940246520
NEAL FUTRAN MD
TRUSTEE138560336920150000025000307562500078551442419217140134400
GEORGE LARAMORE MD PHD
TRUSTEE3355082275752826500250002500025000385517304392628294879156930
BURKHARD MACKENSEN MD PHD
TRUSTEE140085185790178470011097315111109725021178919194521977300
THOMAS MONTINE MD PHD
TRUSTEE957492413950002500095752500029311448910825530588400
TOM NORRIS MD
TRUSTEE17409616899800019090174101909028951271619440121989400
CARLOS PELLEGRINI MD
TRUSTEE27919237694000047500250002500038551537230804746481200
BRUCE RANSOM MD PHD
TRUSTEE10960819896400022592109612259327031426812327225841700
DEB SCHWINN MD
TRUSTEE19205714476400016676195391667665461362121814219173700
BRUDER STAPLETON MD
TRUSTEE019292900040795023920015372027301600
RUSSELL VAN GELDER MD PHD
TRUSTEE84708358696000187727624187713735136499606740988800
RICHARD VEITH MD
TRUSTEE15637216915100043638156372164129801352417498924795400
HUNTER WESSELLS MD
TRUSTEE540002989690003337556701837512219145647188936528300
MIKA SINANAN MD PHD
PRESIDENT23670013300200015276236701527631151438226348517793600
PETER MCGOUGH MD
VICE-PRESIDENT219475017057018750255090240450287961017100
HUGH FOY MD
SECRETARY/TREASURER9279276820218970022415170942241526761483250946336482109550
JOHN BRAMHALL MD PHD
TRUSTEE755761594574443900181433406018143248113728156556209471237020
BRANT OELSCHLAGER MD
TRUSTEE1682881396283372500115303252911530287412474237416175162177270
APRIL STEMPIEN-OTERO MD
TRUSTEE35196950562160800807413679807413741442471857125628120620
JUDITH PAUWELS MD
TRUSTEE011865224664001343988541343912681219834786157728154410
BRUCE MONTGOMERY MD
TRUSTEE0199682000000162314539162321422100
CATHERINE BOELKE
EXECUTIVE DIRECTOR2492650973706400328450177590310246072450
MAUREEN HOOLEY
CFO1805300932806400251780210950236771055500
RUTH MAHAN
CHIEF BUSINESS OFFICER14000438321600025000140002500038561368015786044689600
JOHNESE SPISSO
CHIEF HEALTH SYSTEM OFFICER17882448526400025000178822500038561483220056255009600
PAUL G RAMSEY MD
UW MEDICINE CEO49160425103600040492250002500038551426852045933079600
LORI MITCHELL
CHIEF HEALTH SYSTEM OFFICER86664359060000250008667250002248114329757942049200
RICHARD BRANSFORD MD
ASSOCIATE PROFESSOR502082372713801850019468205146194683855127326393942889391984440
NICHOLAS VEDDER MD
PROFESSOR146676284840209880004750012423925000385512564484650369904945950
CARLO BELLABARBA MD
PROFESSOR1573561615123479300031865215567148733855148327247082230821869050
JORGE DIONISIO REYES MD
PROFESSOR245268469436106820047500306472500038551426829045255620437650
LALIGAM N SEKHAR MD
PROFESSOR44401248834800047500814682500038552203252933558288000
BRUCE SANGEORZAN
FORMER SECRETARY/TREASURER7203621495914453700454968766225000385518432308090303887844140
ANNELIESE SCHLEYER MD
FORMER SECRETARY/TREASURER016509500014161014162152919464152921288200
MARGARET PEYTON
FORMER KEY EMPLOYEE2022200978806400198620242460256756058730
MARK GREEN
FORMER KEY EMPLOYEE7500288812000075002427135881067730240000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 3THE UWP GOVERNING BOARD DOES NOT REVIEW COMPENSATION OF ITS EXECUTIVES. INSTEAD, COMPENSATION OF THE UWP EXECUTIVE DIRECTOR AND CHIEF FINANCIAL OFFICER ARE REVIEWED AND SET BY REPRESENTATIVES OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE. 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 THE UWSOM, AS PART OF AN OVERALL REVIEW OF COMPENSATION FOR SIMILARLY SITUATED INDIVIDUALS IN OTHER COMPONENTS OF THE UW MEDICINE SYSTEM. THE REVIEW IS PERFORMED REGULARLY, AND DOCUMENTATION IS MAINTAINED BY THE UWSOM. COMPENSATION OF UWP BOARD MEMBERS, INCLUDING THE UWP PRESIDENT, IN THEIR CAPACITY AS UWP MEMBERS EMPLOYED BY UWP 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 UWSOM FACULTY. FOR UWP MEMBERS, REVIEW OF COMPENSATION ALSO INCLUDES APPLICATION OF THE "UNIVERSITY OF WASHINGTON PHYSICIANS METHOD OR STANDARD REGARDING BASIC INDIVIDUAL CAPS UNDER AMENDED INCOME DISTRIBUTION PLAN, AS OF JULY 1, 1999" (UWP CAP POLICY). THE UWP CAP POLICY LIMITS COMPENSATION OF UWP MEMBERS BY COMPARISON TO OBJECTIVE DATA FOR SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS, SUCH AS THAT ESTABLISHED BY THE AAMC. THE REVIEW IS PERFORMED REGULARLY AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE.
PART IIISCHEDULE J, PART I, LINE 7: UWP IS THE PRACTICE PLAN FOR UNIVERSITY OF WASHINGTON FACULTY PHYSICIANS AND HEALTH CARE PRACTITIONERS WHO PROVIDE CLINICAL CARE PRIMARILY TO ADULT PATIENTS. UWP BILLS AND COLLECTS REVENUE GENERATED BY THE CLINICAL SERVICES OF THESE FACULTY PHYSICIANS. ALL REVENUES COLLECTED BY UWP ARE ALLOCATED IN ACCORDANCE WITH THE ASSOCIATION OF UNIVERSITY PHYSICIANS D/B/A UNIVERSITY OF WASHINGTON PHYSICIANS AMENDED AND RESTATED INCOME DISTRIBUTION PLAN (IDP). UWP MAINTAINS A "MASTER" IDP AND EACH UWP 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 UWP DEPARTMENT/DIVISION. THE UW MEDICINE CEO ALSO MUST APPROVE EACH DEPARTMENT/DIVISION IDP. 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 UWP OPERATING EXPENSES. OF THE REMAINING REVENUES, A PORTION IS ALLOCATED TO THE UWSOM CLINICAL MEDICINE FUND. 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, AND 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 DEPARTMENTAL TRUSTEE/DEPARTMENTAL CHAIR FOR THE DEPARTMENT 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 OR HIS DESIGNEE 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 MAY BE ADJUSTED RETROACTIVELY BY THE CHAIR OF THE DEPARTMENT UPON APPROVAL OF THE UW MEDICINE 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. ADDITIONAL COMPENSATION PAYMENTS ARE SUBJECT TO THE COMPENSATION CAP POLICY ADOPTED BY UWP: THE "UWP 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 MEDICAL 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 PRIOR TO THE PERIOD OF RECORD. BEFORE PAYMENT OF ADDITIONAL COMPENSATION FOLLOWING A PERIOD OF RECORD, UWP 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, IS SUBJECT TO LIMITS ESTABLISHED BY RELEVANT COMPARATORS.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
SUZANNE DINTZIS
SPOUSE OF RUSSELL VAN GELDER, TRUSTEE33254EMPLOYMENT0
ANNE-MARIE AIMES OELSCHLAGER
SPOUSE OF BRANT OELSCHLAGER, TRUSTEE75939EMPLOYMENT0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART I, LINE 6VOLUNTEERS HAVE BOTH UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE FACULTY APPOINTMENTS AS WELL AS A WRITTEN PRACTICE AGREEMENT WITH THE ASSOCIATION OF UNIVERSITY PHYSICIANS ("UWP"). THEY PERFORM CLINICAL SERVICES TO PATIENTS AT UW MEDICINE FACILITIES. VOLUNTEERS ARE TRACKED IN THE PAYROLL SYSTEM EVEN THOUGH NOT PAID BY UWP.
FORM 990, SECTION J, WEBSITEWWW.UWMEDICINE.ORG/PATIENT-CARE/OUR-SERVICES/UWP/PAGES/DEFAULT.ASPX
FORM 990, PART VI, SECTION A, LINE 1NONE OF THE VOTING MEMBERS ARE INDEPENDENT. THE UWP BOARD OF TRUSTEES IS COMPRISED OF THE 18 CLINICAL CHAIRS OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, SIX AT-LARGE MEMBERS ELECTED BY THE VOTING UWP MEMBERSHIP, THE MEDICAL DIRECTOR FOR THE UW PHYSICIANS NETWORK (A NON-PROFIT, TAX-EXEMPT CORPORATION CLOSELY AFFILIATED WITH THE UNIVERSITY OF WASHINGTON), A PHYSICIAN-PRESIDENT, AND THREE COMMUNITY TRUSTEES. EACH OF THE PHYSICIAN BOARD MEMBERS IS A FACULTY MEMBER OF THE UNIVERSITY OF WASHINGTON AND EMPLOYED BY UWP, THE UNIVERSITY OF WASHINGTON, OR BOTH. THE COMMUNITY TRUSTEES ARE NOT EMPLOYED BY THE UNIVERSITY OR BY UWP, HOWEVER, THESE INDIVIDUALS DO NOT VOTE.
FORM 990, PART VI, SECTION A, LINE 2JOHNESE SPISSO, PAUL RAMSEY, LORI MITCHELL, RUTH MAHAN, BRUCE SANGEORZAN, ANNELIESE SCHLEYER, NORMAN BEAUCHAMP, WILLIAM BREMNER, JENS CHAPMAN, RICHARD ELLENBOGEN, DAVID ESCHENBACH, PETER ESSELMAN, JAMES FINE, NEAL FUTRAN, GEORGE LARAMORE, BURKHARD MACKENSEN, THOMAS MONTINE, TOM NORRIS, CARLOS PELLEGRINI, BRUCE RANSOM, DEB SCHWINN, BRUDER STAPLETON, RUSSELL VAN GELDER, RICHARD VEITH, HUNTER WESSELLS, MIKA SINANAN, HUGH FOY, JOHN BRAMHALL, BRANT OELSCHLAGER, APRIL STEMPIEN-OTERO, JUDITH PAUWELS, BRUCE MONTGOMERY, RICHARD BRANSFORD, NICHOLAS VEDDER, CARLO BELLABARBA, JORGE DIONISIO REYES, MARK GREEN, AND LALIGAM SEKHAR HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 4THE ASSOCIATION ADDED TWO NEW VOTING MEMBERS TO ITS BOARD OF TRUSTEES. THE FIRST NEW MEMBER POSITION IS APPOINTED BY THE EXECUTIVE DIRECTOR OF UW MEDICINE/NORTHWEST AND APPROVED BY THE UW MEDICINE CEO, EXECUTIVE VICE PRESIDENT FOR MEDICAL AFFAIRS AND DEAN OF THE SCHOOL OF MEDICINE, UNIVERSITY OF WASHINGTON (UW MEDICINE CEO). IN 2010, THE UNIVERSITY OF WASHINGTON BECAME THE SOLE CORPORATE MEMBER OF UW MEDICINE/NORTHWEST. THE SECOND NEW MEMBER IS THE MEDICAL DIRECTOR FOR THE SEATTLE CANCER CARE ALLIANCE. THIS POSITION IS AN EX OFFICIO POSITION. THE UNIVERSITY OF WASHINGTON IS ONE OF THE THREE CORPORATE MEMBERS OF THE SEATTLE CANCER CARE ALLIANCE. VARIOUS PROVISIONS IN THE BYLAWS WERE AMENDED TO REFLECT THE INCREASED NUMBER OF BOARD MEMBERS. IN ADDITION, THE BYLAWS RECOGNIZE THE CREATION OF A NEW UWP DEPARTMENT COMPRISED OF PHYSICIANS WHO PROVIDE CLINICAL CARE TO PATIENTS PRIMARILY AT NORTHWEST HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7ATHE UW MEDICINE CEO APPOINTS THREE NON-VOTING COMMUNITY TRUSTEES TO THE BOARD OF TRUSTEES AND ALSO APPOINTS THE PRESIDENT OF UWP. THE CHAIRS OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE CLINICAL DEPARTMENTS AND THE MEDICAL DIRECTOR FOR UW PHYSICIANS NETWORK SERVE AS EX OFFICO MEMBERS OF THE BOARD. THE UW MEDICINE CEO PARTICIPATES IN THE PROCESS OF APPOINTMENT TO THE CLINICAL DEPARTMENT CHAIR POSITIONS AS WELL AS THE UW PHYSICIANS NETWORK MEDICAL DIRECTOR POSITION.
FORM 990, PART VI, SECTION A, LINE 7BMOST DECISIONS OF THE UWP BOARD OF TRUSTEES ARE SUBJECT TO THE APPROVAL OF THE UW MEDICINE CEO.
FORM 990, PART VI, SECTION B, LINE 11THE BOARD HAS BEEN PRESENTED WITH INFORMATION RELATED TO THE PURPOSE AND RELEVANCE OF THE FORM 990 TO TAX EXEMPT ENTITIES SUCH AS UWP, AND BOARD MEMBERS MAY REQUEST A COPY OF THE FORM 990 FROM THE UWP CHIEF FINANCIAL OFFICER. THE COMPLETED FORM 990 IS REVIEWED BY THE UWP EXECUTIVE DIRECTOR, GENERAL COUNSEL, AND THE CHIEF FINANCIAL OFFICER, AS WELL AS THE ASSOCIATE DEAN FOR BUSINESS FOR THE UW SCHOOL OF MEDICINE, THE ENTERPRISE FINANCE OFFICER OF UW MEDICINE AND ASSOCIATE VICE PRESIDENT OF MEDICAL AFFAIRS OF UW.
FORM 990, PART VI, SECTION B, LINE 12CTHE UWP BYLAWS CONTAIN A CONFLICT OF INTEREST PROVISION IN ARTICLE III J AND A WRITTEN BOARD POLICY. IN ADDITION, UWP BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES WHO ARE EMPLOYED BY THE UNIVERSITY OF WASHINGTON AND SERVING ON UWP COMMITTEES ARE SUBJECT TO THE STATE OF WASHINGTON ETHICS IN PUBLIC SERVICE ACT, CHAPTER 45.52 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. UWP ADMINISTRATIVE STAFF ARE SUBJECT TO AN ADMINISTRATIVE CONFLICT OF INTEREST POLICY CONTAINED IN THE UWP EMPLOYEE HANDBOOK. UWP CONDUCTS AN ANNUAL SURVEY AS REQUIRED BY THE UWP BOARD OF TRUSTEES CONFLICT OF INTEREST POLICY AND SURVEYS AS PART OF THE FORM 990 PROCESS. UWP ALSO ADDRESSES CONFLICTS AS THEY ARISE AND/OR ARE REPORTED TO UWP MANAGEMENT OR TO THE BOARD OF TRUSTEES. WHEN A CONFLICT IS IDENTIFIED, DISINTERESTED PERSONS ON THE BOARD, COMMITTEE, OR ADMINISTRATION EVALUATE THE POTENTIAL CONFLICT, CONTEMPORANEOUSLY DOCUMENT THE EVALUATION AND DETERMINATION, AND TAKE APPROPRIATE ACTION.
THE UWP GOVERNING BOARD DOES NOT REVIEW COMPENSATION OF ITS EXECUTIVES. INSTEAD, COMPENSATION OF THE UWP EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER, AND GENERAL COUNSEL IS REVIEWED AND SET BY REPRESENTATIVES OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE. 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 THE UWSOM, AS PART OF AN OVERALL REVIEW OF COMPENSATION FOR SIMILARLY SITUATED INDIVIDUALS IN OTHER COMPONENTS OF THE UW MEDICINE SYSTEM. THE REVIEW IS PERFORMED REGULARLY, AND DOCUMENTATION IS MAINTAINED BY THE UWSOM. COMPENSATION OF UWP BOARD MEMBERS, INCLUDING THE UWP PRESIDENT, IN THEIR CAPACITY AS UWP MEMBERS EMPLOYED BY UWP 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 UWSOM FACULTY. FOR UWP MEMBERS, REVIEW OF COMPENSATION ALSO INCLUDES APPLICATION OF THE "UNIVERSITY OF WASHINGTON PHYSICIANS METHOD OR STANDARD REGARDING BASIC INDIVIDUAL CAPS UNDER AMENDED INCOME DISTRIBUTION PLAN, AS OF JULY 1, 1999" (UWP CAP POLICY). THE UWP CAP POLICY LIMITS COMPENSATION OF UWP MEMBERS BY COMPARISON TO OBJECTIVE DATA FOR SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS, SUCH AS THAT ESTABLISHED BY THE AAMC. THE REVIEW IS PERFORMED REGULARLY AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CORPORATE BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE UWP BUSINESS OFFICE. IN ADDITION, THESE DOCUMENTS MAY BE REQUESTED FROM THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE.
FORM 990, PART VII, COLUMN BALL OF THE KEY EMPLOYEES AND BOARD MEMBERS, EXCEPT THE THREE COMMUNITY TRUSTEES AND THE UWP EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER, AND GENERAL COUNSEL, ARE EMPLOYED FULL TIME BY THE UNIVERSITY OF WASHINGTON AND PARTICIPATE IN UWP'S BUSINESS MATTERS AS A FUNCTION OF THEIR RESPECTIVE POSITIONS WITHIN THE UNIVERSITY OF WASHINGTON. FOR EXAMPLE, BOARD MEMBERS WHO ARE THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE CLINICAL DEPARTMENT CHAIRS ARE REQUIRED AS PART OF THEIR ROLE AS CHAIR TO SERVE ON THE UWP BOARD. OTHER KEY EMPLOYEES EMPLOYED BY THE UNIVERSITY OF WASHINGTON SERVE IN ROLES THAT PROVIDE THE UNIVERSITY OF WASHINGTON OVERSIGHT REQUIRED BY THE UWP ARTICLES OF INCORPORATION AND BYLAWS. FOR THESE INDIVIDUALS, ALTHOUGH EACH MAY ENGAGE IN ACTIVITIES RELATED SOLELY TO THE UNIVERSITY AND UNRELATED TO UWP, WE ARE NOT ABLE TO SEGREGATE THE HOURS DEVOTED TO UWP FROM THE HOURS EACH INDIVIDUAL DEVOTES TO THE UNIVERSITY OF WASHINGTON. THUS, WE ARE REPORTING 40 HOURS FOR EACH INDIVIDUAL, TO REPRESENT THAT INDIVIDUAL'S WORK FOR THE UNIVERSITY OF WASHINGTON.HOURS FOR RELATED ORGANIZATIONS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
UNIVERSITY OF WASHINGTON
1959 NE PACIFIC STREETSEATTLEWA98195916001537EDUCATION AND MEDICAL CAREWAGOVERNMENTN/AN/A0
UW PHYSICIANS NETWORK
MS 359410SEATTLEWA981952700911715882MEDICAL PRACTICEWA501(C)(3)LINE 11A, I0UNIVERSITY OF WASHINGTON
UW MEDICINE NORTHWEST
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133910637400HOSPITALWA501(C)(3)LINE 30UNIVERSITY OF WASHINGTON
NORTHWEST HOSPITAL FOUNDATION
1550 NORTH 115TH STREET MS D-180SEATTLEWA98133911011603FUNDRAISINGWA501(C)(3)LINE 70UW MEDICINE NORTHWEST
VALLEY MEDICAL CENTER
400 SOUTH 43RD STREETRENTONWA980555010916000986HOSPITALWAGOVERNMENTN/A0UNIVERSITY OF WASHINGTON

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
NORTH SEATTLE SURGERY CENTER LLC
10330 MERIDIAN AVE NORTH SUITE 150SEATTLEWA98133202033654OFFICE OF PHYSICIANSWAN/A
RICHMOND BUILDING PARTNERSHIP
355 RICHMOND BEACH ROADSEATTLEWA98177911518742OFFICE OF PHYSICIANSWAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
NORTHWEST ASSURANCE COMPANY
PO BOX 1109GT MAEY STREETGRAND CAYMANCJINSURANCE PROVIDERCJN/AC0
SEATTLE ARTHRITIS CLINIC
OFFICES OF PHYSICIANSN/AC01550 NORTH 115TH STREET MS D-180SEATTLEWA98133203890258WA
SPORTS MEDICINE GROUP
OFFICES OF PHYSICIANSN/AC010330 MERIDIAN AVENUE NORTH SUITE 3SEATTLEWA98133911698413WA
NEUROSURGICAL CONSULTANTS OF WA
OFFICES OF PHYSICIANSN/AC0801 BROADWAY SUITE 617SEATTLEWA98122911856460WA
BONE & JOINT CENTER OF SEATTLE
OFFICES OF PHYSICIANSN/AC01550 NORTH 115TH STREET MS D-180SEATTLEWA98133270208005WA
SUMMIT CARDIOLOGY
OFFICES OF PHYSICIANSN/AC01550 NORTH 115TH STREET MS D-180SEATTLEWA98133273492322WA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

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