UW PHYSICIANS NETWORK: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- UW PHYSICIANS NETWORK (EIN 91-1715882)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201321349349307162
- Schema version
- 2011v1.5
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T16:37:44-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911194016 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBER PS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4TH STREET SUITE 1700 | AddressLine1 |
| City | BELLEVUE | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911715882 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UW PHYSICIANS NETWORK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UWPH | NameControl |
| Phone | 2065205503 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MS 359410 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 981952700 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARGARET KERRIGAN | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 2065205503 | Phone |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SARA ELIZABETH J HYRE | Name |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | Phone |
| Date Prepared | 2013-05-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UW NEIGHBORHOOD CLINICS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARGARET KERRIGAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MS 359410 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 981952700 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 35219600 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.UWMEDICINE.ORG/UWPN | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | UW PHYSICIANS NETWORK ("THE NETWORK") PROVIDES INCREASED ACCESS TO DIVERSE PATIENT POPULATIONS TO SUPPORT TEACHING, RESEARCHING AND TRAINING. THE NETWORK ALSO SUPPORTS THE CHARITABLE AND PUBLIC MISSION OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, HARBORVIEW MEDICAL CENTER AND THE UNIVERSITY OF WASHINGTON MEDICAL CENTER. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 231 | TotalNbrEmployees |
| Total Nbr Volunteers | 5 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 34414 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6719 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 20800427 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 35201226 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -6263 | InvestmentIncomePriorYear |
| Investment Income Current Year | -5751 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 14554 | OtherRevenuePriorYear |
| Other Revenue Current Year | 11237 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 20843132 | TotalRevenuePriorYear |
| Total Revenue Current Year | 35213431 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 9084012 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 11426750 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 12001862 | OtherExpensePriorYear |
| Other Expenses Current Year | 17964476 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 21085874 | TotalExpensesPriorYear |
| Total Expenses Current Year | 29391226 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -242742 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5822205 | RevenuesLessExpensesCY |
| Total Assets BOY | 9892896 | TotalAssetsBOY |
| Total Assets EOY | 18905090 | TotalAssetsEOY |
| Total Liabilities BOY | 4256538 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7446527 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5636358 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11458563 | NetAssetsOrFundBalancesEOY |
| Mission Description | UW PHYSICIANS NETWORK ("THE NETWORK") IS ORGANIZED TO COORDINATE AND DEVELOP PATIENT CARE IN A COMMUNITY CLINICAL SETTING TO ENHANCE THE ACADEMIC ENVIRONMENT OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE BY PROVIDING ADDITIONAL SITES OF PRIMARY CARE PRACTICE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 18777304 | Expense |
| Revenue | 35201226 | Revenue |
| Description | THE NETWORK PROVIDES INCREASED ACCESS TO DIVERSE PATIENT POPULATIONS TO UW MEDICINE IN SUPPORT OF TEACHING, RESEARCHING, AND TRAINING. THE NETWORK ALSO SUPPORTS THE PUBLIC MISSION OF UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, HARBORVIEW MEDICAL CENTER, AND UNIVERSITY OF WASHINGTON MEDICAL CENTER THROUGH INCREASED ACCESSIBILITY AND OUTREACH BY CLINICS TO LOCAL COMMUNITIES. IN THE FISCAL YEAR 2012, THE NETWORK PROVIDED 204,094 PATIENT VISITS INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, GERIATRIC, OBSTETRIC AND PEDIATRIC CARE. THE NETWORK ALSO OPENED A FAMILY PRACTICE RESIDENCY PROGRAM AND OPENED TWO NEW CLINICS. | Description |
| Total Program Service Expense | 18777304 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 22 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 231 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAREN SCHILLER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2065205503 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MS 359410 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 981952700 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| BRADLEY ANAWALT MD | |||||||||
| TRUSTEE | 0.50 | X | 0 | 262224 | 36433 | ||||
| THOMAS COLLINS | |||||||||
| TRUSTEE | 0.50 | X | 0 | 0 | 0 | ||||
| WILLIAM FALLON MD | |||||||||
| TRUSTEE | 0.50 | X | 0 | 0 | 0 | ||||
| VICTORIA FANG MD | |||||||||
| VICE PRESIDENT | 40.00 | X | 0 | 204725 | 60979 | X | |||
| DAVID HADLEY PHD | |||||||||
| TRUSTEE | 0.50 | X | 0 | 0 | 0 | ||||
| KRISTIN HOUSER | |||||||||
| TRUSTEE | 0.50 | X | 0 | 0 | 0 | ||||
| EVA DOREEN KISS MD | |||||||||
| TRUSTEE | 32.00 | X | 0 | 141896 | 53430 | ||||
| THOMAS E NORRIS MD | |||||||||
| TRUSTEE | 0.50 | X | 0 | 319446 | 47970 | ||||
| ANNE PLATZNER MD | |||||||||
| TRUSTEE | 32.00 | X | 0 | 151381 | 49736 | ||||
| LYNNE ROBINS PHD | |||||||||
| TRUSTEE | 0.50 | X | 0 | 0 | 0 | ||||
| MIKA N SINANAN MD PHD | |||||||||
| TRUSTEE | 0.50 | X | 0 | 363168 | 54162 | ||||
| JOHNESE SPISSO | |||||||||
| PRESIDENT | 0.50 | X | 0 | 674774 | 59213 | X | |||
| JAMES TAYLOR MD | |||||||||
| TRUSTEE | 0.50 | X | 0 | 162731 | 29126 | ||||
| MARGARET KERRIGAN | |||||||||
| SECRETARY/EXECUTIVE DIRECTOR | 40.00 | 0 | 281767 | 37199 | X | ||||
| PETER MCGOUGH MD | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0 | 231710 | 59779 | X | ||||
| KAREN SCHILLER | |||||||||
| DIRECTOR OF FINANCE | 40.00 | 0 | 124903 | 25535 | X | ||||
| PAUL ISHIZUKA | |||||||||
| BOARD TREASURER | 0.50 | 0 | 360136 | 38492 | X | ||||
| THOMAS PHILLIPS MD | |||||||||
| CLINIC CHIEF | 30.00 | 0 | 183051 | 57634 | X | ||||
| PATRICIA READ-WILLIAMS MD | |||||||||
| CLINIC CHIEF | 36.00 | 0 | 182260 | 71106 | X | ||||
| JOHN CHAFFEE MD | |||||||||
| PHYSICIAN | 36.00 | 0 | 285526 | 86018 | X | ||||
| THOMAS HEI MD | |||||||||
| PHYSICIAN | 16.00 | 0 | 199374 | 36661 | X | ||||
| MATTHEW JAFFY MD | |||||||||
| CLINIC CHIEF | 34.00 | 0 | 186246 | 38294 | X | ||||
| SARAH KRAMER MD | |||||||||
| PHYSICIAN | 40.00 | 0 | 215761 | 58958 | X | ||||
| RANDY MANDELL MD | |||||||||
| PHYSICIAN | 36.00 | 0 | 184001 | 41649 | X | ||||
| CYNTHIA FERRUCCI MD | |||||||||
| FORMER KEY EMPLOYEE | 28.00 | 0 | 109492 | 36879 | X | ||||
| TERESA GAMBLE | |||||||||
| FORMER OFFICER | 0.00 | 0 | 258963 | 33849 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5083535 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1013102 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| GLY CONSTRUCTION INC | |||||
| PO BOX 6728 | BELLEVUE | WA | 98008 | CONSTRUCTION | 3310697 |
| SELLEN CONSTRUCTION | |||||
| 227 WESTLAKE AVE N | SEATTLE | WA | 98109 | CONSTRUCTION | 660300 |
| CALLISON LLC | |||||
| PO BOX 749870 | LOS ANGELES | CA | 90074 | ARCHITECTURE | 211469 |
| AXIS PLANNING & DEVELOPMENT LLC | |||||
| 2929 76TH AVE SE STE 407 | MERCER ISLAND | WA | 98040 | CONSTRUCTION PROJECT MANAGEMENT | 144330 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| All Other Contributions | 6719 | AllOtherContributions |
| Total Contributions | 6719 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NETWORK FUNDING | 621110 | 22097803 | 22097803 |
| PATIENT VISITS | 621111 | 13025364 | 13025364 |
| RESIDENCY REVENUE | 611600 | 72699 | 72699 |
| TEACHING REVENUE | 611600 | 5360 | 5360 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 35201226 | TotalProgramServiceRevenue |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 418 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 6169 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -5751 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -5751 | TotalRevenueColumn |
| Exclusion | -$5,751 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAL RECORDS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 11237 | TotalRevenueColumn |
| Exclusion | $11,237 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 11237 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35213431 | TotalRevenueColumn |
| Related Or Exempt Function Income | 35201226 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $5,486 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8280660 | Total |
| Program Services | 7704351 | ProgramServices |
| Management And General | 576309 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 446641 | Total |
| Program Services | 428865 | ProgramServices |
| Management And General | 17776 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1947366 | Total |
| Program Services | 1724678 | ProgramServices |
| Management And General | 222688 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 752083 | Total |
| Program Services | 696688 | ProgramServices |
| Management And General | 55395 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1848031 | Total |
| Management And General | 1848031 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19803 | Total |
| Management And General | 19803 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86550 | Total |
| Management And General | 86550 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2451473 | Total |
| Management And General | 2451473 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 212664 | Total |
| Program Services | 212664 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 741325 | Total |
| Program Services | 616619 | ProgramServices |
| Management And General | 124706 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4514747 | Total |
| Management And General | 4514747 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3143878 | Total |
| Program Services | 3023011 | ProgramServices |
| Management And General | 120867 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112335 | Total |
| Program Services | 69096 | ProgramServices |
| Management And General | 43239 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176009 | Total |
| Program Services | 53452 | ProgramServices |
| Management And General | 122557 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1070546 | Total |
| Program Services | 1063892 | ProgramServices |
| Management And General | 6654 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35955 | Total |
| Management And General | 35955 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PHARMACEUTICALS | 1584139 | 1584139 | |
| LAB & MED SUPPLIES | 1168197 | 1168197 | |
| REPAIRS AND MAINTENANCE | 415394 | 414874 | 520 |
| B&O TAXES | 263357 | 263357 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120073 | Total |
| Program Services | 16778 | ProgramServices |
| Management And General | 103295 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29391226 | Total |
| Program Services | 18777304 | ProgramServices |
| Management And General | 10613922 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2467145 | BOY |
| EOY | 3025654 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3379066 | BOY |
| EOY | 3414590 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 261241 | BOY |
| EOY | 420211 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39820 | BOY |
| EOY | 36663 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 21249473 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9330352 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3666773 | BOY |
| EOY | 11919121 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78851 | BOY |
| EOY | 88851 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9892896 | BOY |
| EOY | 18905090 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3720819 | BOY |
| EOY | 4993723 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 535719 | BOY |
| EOY | 2452804 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4256538 | BOY |
| EOY | 7446527 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5636358 | BOY |
| EOY | 11458563 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5636358 | BOY |
| EOY | 11458563 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9892896 | BOY |
| EOY | 18905090 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 5822205 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF WASHINGTON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 916001537 | EIN |
| Type Of Organization | GOVERNMENT | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
| General Explanation | SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART I, LINE 11H(VII): THE NETWORK WAS ESTABLISHED BY THE UNIVERSITY OF WASHINGTON, UNDER THE UW MEDICINE UMBRELLA, TO PROVIDE PRIMARY CARE SERVICES THROUGHOUT KING COUNTY AND TO PROVIDE PRACTICE CLINICS FOR UW MEDICINE RESIDENTS. THEREFORE, NO DIRECT SUPPORT IS PROVIDED TO THE UNIVERSITY. | GeneralExplanation |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16135312 | OtherCostOrOtherBasis |
| Depreciation | 6847894 | Depreciation |
| Book Value | 9287418 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5114161 | OtherCostOrOtherBasis |
| Depreciation | 2482458 | Depreciation |
| Book Value | 2631703 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11919121 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEFERRED OCCUPANCY EXPENSES | Description |
| Amount | $2,452,804 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2452804 | TotalOfAmounts |
| Total Revenue | 35213431 | TotalRevenue |
| Total Expenses | 29391226 | TotalExpenses |
| Excess Or Deficit For Year | 5822205 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 5822205 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 35213431 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 35213431 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 35213431 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 29391226 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 29391226 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 29391226 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRADLEY ANAWALT MD | |||||||||||||
| 0 | 242273 | 0 | 0 | 0 | 19951 | 0 | 19951 | 0 | 16482 | 0 | 298657 | 0 | 0 |
| VICTORIA FANG MD | |||||||||||||
| 0 | 133056 | 0 | 71594 | 0 | 75 | 0 | 44286 | 0 | 16693 | 0 | 265704 | 0 | 12472 |
| EVA DOREEN KISS MD | |||||||||||||
| 0 | 112344 | 0 | 29477 | 0 | 75 | 0 | 27923 | 0 | 25507 | 0 | 195326 | 0 | 1266 |
| THOMAS E NORRIS MD | |||||||||||||
| 0 | 304656 | 0 | 0 | 0 | 14790 | 0 | 32200 | 0 | 15770 | 0 | 367416 | 0 | 0 |
| ANNE PLATZNER MD | |||||||||||||
| 0 | 115525 | 0 | 35781 | 0 | 75 | 0 | 23744 | 0 | 25992 | 0 | 201117 | 0 | 3917 |
| MIKA N SINANAN MD PHD | |||||||||||||
| 0 | 347892 | 0 | 0 | 0 | 15276 | 0 | 36696 | 0 | 17466 | 0 | 417330 | 0 | 0 |
| JOHNESE SPISSO | |||||||||||||
| 0 | 650274 | 0 | 0 | 0 | 24500 | 0 | 40283 | 0 | 18930 | 0 | 733987 | 0 | 0 |
| JAMES TAYLOR MD | |||||||||||||
| 0 | 146217 | 0 | 0 | 0 | 16514 | 0 | 16514 | 0 | 12612 | 0 | 191857 | 0 | 0 |
| MARGARET KERRIGAN | |||||||||||||
| 0 | 257180 | 0 | 0 | 0 | 24587 | 0 | 24587 | 0 | 12612 | 0 | 318966 | 0 | 0 |
| PETER MCGOUGH MD | |||||||||||||
| 0 | 209974 | 0 | 21361 | 0 | 375 | 0 | 25218 | 0 | 34561 | 0 | 291489 | 0 | 0 |
| KAREN SCHILLER | |||||||||||||
| 0 | 112400 | 0 | 0 | 0 | 12503 | 0 | 12503 | 0 | 13032 | 0 | 150438 | 0 | 0 |
| PAUL ISHIZUKA | |||||||||||||
| 0 | 335636 | 0 | 0 | 0 | 24500 | 0 | 24500 | 0 | 13992 | 0 | 398628 | 0 | 0 |
| THOMAS PHILLIPS MD | |||||||||||||
| 0 | 113265 | 0 | 69711 | 0 | 75 | 0 | 37786 | 0 | 19848 | 0 | 240685 | 0 | 17004 |
| PATRICIA READ-WILLIAMS MD | |||||||||||||
| 0 | 116575 | 0 | 65610 | 0 | 75 | 0 | 45275 | 0 | 25831 | 0 | 253366 | 0 | 13191 |
| JOHN CHAFFEE MD | |||||||||||||
| 0 | 136171 | 0 | 149280 | 0 | 75 | 0 | 60043 | 0 | 25975 | 0 | 371544 | 0 | 50031 |
| THOMAS HEI MD | |||||||||||||
| 0 | 171054 | 0 | 28320 | 0 | 0 | 0 | 19758 | 0 | 16903 | 0 | 236035 | 0 | 0 |
| MATTHEW JAFFY MD | |||||||||||||
| 0 | 136538 | 0 | 49633 | 0 | 75 | 0 | 29367 | 0 | 8927 | 0 | 224540 | 0 | 1637 |
| SARAH KRAMER MD | |||||||||||||
| 0 | 140868 | 0 | 74818 | 0 | 75 | 0 | 32200 | 0 | 26758 | 0 | 274719 | 0 | 10462 |
| RANDY MANDELL MD | |||||||||||||
| 0 | 98580 | 0 | 85421 | 0 | 0 | 0 | 21461 | 0 | 20188 | 0 | 225650 | 0 | 4341 |
| CYNTHIA FERRUCCI MD | |||||||||||||
| 0 | 88423 | 0 | 21069 | 0 | 0 | 0 | 26677 | 0 | 10202 | 0 | 146371 | 0 | 2161 |
| TERESA GAMBLE | |||||||||||||
| 0 | 239106 | 0 | 0 | 0 | 19857 | 0 | 19857 | 0 | 13992 | 0 | 292812 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL INFORMATION | PART III | SCHEDULE J, PART I, LINE 3: COMPENSATION OF THE NETWORK EXECUTIVE DIRECTOR IS REVIEWED BY REPRESENTATIVES OF UW MEDICINE. THE REVIEW RELIES ON COMPARISON OF COMPENSATION TO SIMILARLY SITUATED INDIVIDUALS, IN LIKE-SIZED ORGANIZATIONS ENGAGED IN SIMILAR ACTIVITIES. THE COMPENSATION COMPARISON DATA IS REVIEWED BY DISINTERESTED EMPLOYEES OF UW MEDICINE. THE REVIEW IS PERFORMED REGULARLY AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE. |
| SUPPLEMENTAL INFORMATION | PART III | SCHEDULE J, PART II: THE NETWORK IS THE PRACTICE PLAN FOR UNIVERSITY OF WASHINGTON (UW) FACULTY PHYSICIANS AND HEALTH CARE PRACTITIONERS WHO PROVIDE CLINICAL CARE PRIMARILY TO ADULT PATIENTS. UNIVERSITY OF WASHINGTON PHYSICIANS BILLS AND COLLECTS REVENUE GENERATED BY THE CLINICAL SERVICES OF THESE FACULTY PHYSICIANS. ALL REVENUES COLLECTED BY THE NETWORK ARE ALLOCATED IN ACCORDANCE WITH THE UW PHYSICIANS NETWORK AMENDED AND RESTATED INCOME DISTRIBUTION PLAN (IDP). THE NETWORK MAINTAINS A "MASTER" IDP AND EACH 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 UW SCHOOL OF MEDICINE. EACH CLINICAL DEPARTMENT OF THE UW SCHOOL OF MEDICINE HAS A DEPARTMENT CHAIR WHO APPROVES THE IDP FOR THE DEPARTMENT/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 THE NETWORK'S OPERATING EXPENSES. OF THE REMAINING REVENUES, A PORTION IS ALLOCATED TO THE UW SCHOOL OF MEDICINE 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 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 DEAN OF THE UW SCHOOL OF MEDICINE (DEAN) 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 DEAN. 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 THE NETWORK: THE "NETWORK 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 UW SCHOOL OF MEDICINE PRIOR TO THE PERIOD OF RECORD. BEFORE PAYMENT OF ADDITIONAL COMPENSATION FOLLOWING A PERIOD OF RECORD, THE NETWORK 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. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART I, LINE 6, VOLUNTEERS: | THERE ARE FIVE VOLUNTEER MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE NETWORK'S BOARD OF DIRECTORS IS GENERALLY COMPRISED OF THIRTEEN VOTING MEMBERS WHICH INCLUDES 1) THREE ELECTED COMMUNITY MEMBERS, 2) THREE ELECTED PRIMARY CARE PHYSICIANS FROM THE NETWORK CLINICS AND 3) SEVEN EX-OFFICIO MEMBERS INCLUDING THE CHIEF OPERATING OFFICER OF UW MEDICINE (CHAIR), PRESIDENT OF THE HARBORVIEW MEDICAL BOARD, CHAIRPERSON OF THE UNIVERSITY OF WASHINGTON ACADEMIC MEDICAL CENTER BOARD, PRESIDENT OF UNIVERSITY OF WASHINGTON PHYSICIANS, AND CHAIRS OF THE UNIVERSITY OF WASHINGTON DEPARTMENTS OF PEDIATRICS, MEDICINE AND FAMILY PRACTICE. ONLY FIVE OF THESE MEMBERS ARE INDEPENDENT BECAUSE THE REMAINDER ARE COMPENSATED BY A RELATED ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE DEAN OF THE UNIVERISTY OF WASHINGTON SCHOOL OF MEDICINE APPOINTS THE PRESIDENT OF UW PHYSICIANS, CHIEF OPERATING OFFICER OF UW MEDICINE AND THE CHAIRS OF THE DEPARTMENTS OF PEDIATRICS, MEDICINE, AND FAMILY MEDICINE. |
| FORM 990, PART VI, SECTION A, LINE 7B | MOST DECISIONS OF THE NETWORK'S BOARD OF DIRECTORS ARE SUBJECT TO THE APPROVAL OF THE DEAN OF THE UNIVERISTY OF WASHINGTON SCHOOL OF MEDICINE. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD HAS BEEN PRESENTED WITH INFORMATION RELATED TO THE PURPOSE AND RELEVANCE OF THE FORM 990 TO TAX EXEMPT ENTITIES SUCH AS THE NETWORK, AND BOARD MEMBERS MAY REQUEST A COPY OF THE FORM 990 FROM THE NETWORK'S DIRECTOR OF FINANCE. THE COMPLETED FORM 990 IS REVIEWED BY THE NETWORK'S EXECUTIVE DIRECTOR AND DIRECTOR OF FINANCE, AS WELL AS THE ENTERPRISE FINANCE OFFICER OF UW MEDICINE. THE MAJORITY OF THE NETWORK'S BOARD OF DIRECTORS ARE EMPLOYED PHYSICIANS OF UW PHYSICIANS, AND AS SUCH, IN THEIR GOVERNANCE ROLE DO NOT OVERSEE OR REVIEW PHYSICIAN COMPENSATION OR THE COMPENSATION FOR OTHER EXECUTIVES WITHIN UW MEDICINE (THE INTEGRATED ACADEMIC HEALTH SYSTEM OPERATED BY THE UNIVERSITY OF WASHINGTON). ALL COMPENSATION FOR PHYSICIANS AND THE KEY PERSONNEL EMPLOYED BY UW MEDICINE IS REVIEWED AND APPROVED REGULARLY BY DISINTERESTED PERSONS THROUGH A PROCESS WITHIN UW MEDICINE. (SEE RESPONSE TO QUESTION 15 FOR FURTHER DETAIL REGARDING THIS PROCESS.) |
| FORM 990, PART VI, SECTION B, LINE 12C | THE NETWORK'S BOARD MEMBERS AND OTHER INDIVIDUALS WHO ARE EMPLOYED BY THE UNIVERSITY OF WASHINGTON AND SERVING ON THE NETWORK'S COMMITTEES ARE SUBJECT TO THE STATE OF WASHINGTON ETHICS IN PUBLIC SERVICE ACT, CHAPTER 42.52 RCW. THE ACT RESTRICTS ACTIVITIES INCOMPATIBLE WITH THE INDIVIDUAL'S ROLE AS A STATE EMPLOYEE AND ALSO LIMITS THE INDIVIDUAL'S INVOLVEMENT IN TRANSACTIONS WHERE A POTENTIAL CONFLICT MAY EXIST. THE NETWORK'S EMPLOYEE CODE OF CONDUCT (REQUIRED TO BE SIGNED ANNUALLY) ALSO ADDRESSES CONFLICTS OF INTEREST. IN ADDITION, THE NETWORK HAS POLICIES REGARDING THE ACCEPTANCE OF GIFTS AND NON-EMPLOYMENT OF FAMILY MEMBERS. ANNUALLY, THE NETWORK BOARD MEMBERS AND OTHERS ARE REQUIRED TO DISCLOSE CERTAIN RELATIONSHIPS AS PART OF THE PROCESS TO COMPLETE THE FORM 990. THE NETWORK ADDRESSES CONFLICTS AS THEY ARISE AND/OR ARE REPORTED TO THE NETWORK'S MANAGEMENT OR THE NETWORK'S BOARD OF DIRECTORS. |
| COMPENSATION OF THE NETWORK'S EXECUTIVE DIRECTOR, CHIEF MEDICAL OFFICER, CLINIC CHIEFS AND KEY EMPLOYEES ARE REVIEWED BY REPRESENTATIVES OF UW MEDICINE. THE REVIEW RELIES ON COMPARISON OF COMPENSATION TO SIMILARLY SITUATED INDIVIDUALS, IN LIKE-SIZED ORGANIZATIONS ENGAGED IN SIMILAR ACTIVITIES. THE COMPENSATION COMPARISON DATA IS REVIEWED BY DISINTERESTED EMPLOYEES OF UW MEDICINE. THE REVIEW IS PERFORMED REGULARLY AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE. THE NETWORK'S BOARD MEMBERS, IN THEIR CAPACITY AS UNIVERSITY OF WASHINGTON FACULTY, INCLUDING THE CHIEF MEDICAL OFFICER AND CLINIC CHIEFS, ARE EMPLOYED BY UW PHYSICIANS AND/OR THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE. THEIR COMPENSATION IS REVIEWED REGULARLY THROUGH A UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE PROCESS THAT INVOLVES DISINTERESTED SCHOOL OF MEDICINE EMPLOYEES WHO REVIEW COMPENSATION OF ALL SCHOOL OF MEDICINE FACULTY. FOR UW EMPLOYED PHYSICIANS, REVIEW OF COMPENSATION ALSO INCLUDES APPLICATION OF THE "UW PHYSICIANS NETWORK METHOD OR STANDARD REGARDING BASIC INDIVIDUAL CAPS UNDER THE INCOME DISTRIBUTION PLAN" (UWPN CAP POLICY). THE UWPN CAP POLICY LIMITS COMPENSATION OF THE NETWORK'S MEMBERS BY COMPARISON TO OBJECTIVE DATA SUCH AS THAT PUBLISHED BY THE MEDICAL GROUP MANAGEMENT ASSOCIATION. THE REVIEW IS PERFORMED REGULARLY AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE NETWORK MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST TO THE EXECUTIVE DIRECTOR AND/OR DIRECTOR OF FINANCE. |
| FORM 990, PART VII, COLUMN B: HOURS FOR RELATED ORGANIZATIONS | THE ESTIMATED AVERAGE HOURS PER WEEK DEVOTED BY THE FOLLOWING INDIVIDUALS TO RELATED ORGANIZATIONS ARE AS LISTED: TERESA GAMBLE FORMER OFFICER 40.0 HOURS PAUL ISHIKUZA TREASURER 39.5 HOURS BRADLEY ANAWALT, MD TRUSTEE 39.5 HOURS THOMAS NORRIS, MD TRUSTEE 40.0 HOURS MIKA SINANAN, MD TRUSTEE 40.0 HOURS JOHNESE SPISSO PRESIDENT 40.0 HOURS JAMES TAYLOR, MD TRUSTEE 40.0 HOURS THOMAS HEI, MD PHYSICIAN 24.0 HOURS THOMAS PHILLIPS, MD CLINIC CHIEF 4.0 HOURS PETER MCGOUGH, MD CMO 40.0 HOURS |
| FORM 990, PART VII, COLUMN B | THE HOURS REPORTED REPRESENT THE AVERAGE WEEKLY TOTAL AMOUNT OF TIME EACH INDIVIDUAL SPENT WORKING ON ALL OF THE NETWORK'S RELATED MATTERS INCLUDING PHYSICIAN TIME SPENT IN THE CLINICS, ADMINISTRATION TIME AND TIME SPENT SERVING AS A BOARD MEMBER OF THE ORGANIZATION IF APPLICABLE. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY OF WASHINGTON | |||||||||||
| 1959 NE PACIFIC STREET | SEATTLE | WA | 98195 | 916001537 | EDUCATION AND MEDICAL CARE | WA | GOVERNMENT | N/A | N/A | 0 | |
| ASSOCIATION OF UNIVERSITY PHYSICIANS | |||||||||||
| 501 EASTLAKE AVENUE EAST SUITE 400 | SEATTLE | WA | 98109 | 911220843 | MEDICAL PRACTICE | WA | 501(C)(3) | LINE 11A - TYPE I | 0 | UNIVERSITY OF WASHINGTON | |
| UW MEDICINE NORTHWEST | |||||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 981339733 | 910637400 | HOSPITAL | WA | 501(C)(3) | LINE 3 | 0 | UNIVERSITY OF WASHINGTON | |
| NORTHWEST HOSPITAL FOUNDATION | |||||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 981339733 | 911011603 | SUPPORT UW MEDICINE NORTHWEST | WA | 501(C)(3) | LINE 7 | 0 | UW MEDICINE NORTHWEST | |
| HEALTH RESOURCES NORTHWEST | |||||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 911157294 | MANAGEMENT SERVICES | WA | 501(C)(3) | LINE 11B, II | 0 | UW MEDICINE NORTHWEST | |
| VALLEY MEDICAL CENTER | |||||||||||
| 400 SOUTH 43RD STREET | RENTON | WA | 980555010 | 916000986 | HOSPITAL | WA | GOVERNMENT | N/A | 0 | UNIVERSITY OF WASHINGTON | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST ASSURANCE COMPANY | ||||||||||||
| PO BOX 1109GT MAEY STREET | GRAND CAYMAN | CJ | INSURANCE PROVIDER | CJ | N/A | C | ||||||
| SEATTLE ARTHRITIS CLINIC | ||||||||||||
| OFFICES OF PHYSICIANS | N/A | C | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 203890258 | WA | ||||
| RICHMOND INTERNAL MEDICINE | ||||||||||||
| OFFICES OF PHYSICIANS | N/A | C | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 204512942 | WA | ||||
| SPORTS MEDICINE GROUP | ||||||||||||
| OFFICES OF PHYSICIANS | N/A | C | 10330 MERIDIAN AVENUE NORTH SUITE 3 | SEATTLE | WA | 98133 | 911698413 | WA | ||||
| NEUROSURGICAL CONSULTANTS OF WA | ||||||||||||
| OFFICES OF PHYSICIANS | N/A | C | 801 BROADWAY SUITE 617 | SEATTLE | WA | 98122 | 911856460 | WA | ||||
| BONE & JOINT CENTER OF SEATTLE | ||||||||||||
| OFFICES OF PHYSICIANS | N/A | C | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 270208005 | WA | ||||
| PRIMARY CARE PARTNERS NW PS | ||||||||||||
| OFFICES OF PHYSICIANS | N/A | C | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 270568642 | WA | ||||
| SUMMIT CARDIOLOGY | ||||||||||||
| OFFICES OF PHYSICIANS | N/A | C | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 273492322 | WA | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
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