2013-05-14T16:37:44-05:00 2012-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2011-07-01 911715882 UW PHYSICIANS NETWORK UWPH 2065205503 MS 359410 SEATTLE WA 981952700 MARGARET KERRIGAN 2065205503 2013-05-14 1 SARA ELIZABETH J HYRE P00235495 4254544919 2013-05-13 2011 2016-02-24 21:20:13Z UW NEIGHBORHOOD CLINICS MARGARET KERRIGAN MS 359410 SEATTLE WA 981952700 35219600 0 X WWW.UWMEDICINE.ORG/UWPN X 1996 WA 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. 13 5 231 5 0 0 34414 6719 20800427 35201226 -6263 -5751 14554 11237 20843132 35213431 0 0 0 0 9084012 11426750 0 0 0 12001862 17964476 21085874 29391226 -242742 5822205 9892896 18905090 4256538 7446527 5636358 11458563 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. 0 0 18777304 35201226 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. 18777304 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 22 0 1 231 1 0 0 0 0 0 0 0 0 0 0 X 13 5 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 X KAREN SCHILLER 2065205503 MS 359410 SEATTLE WA 981952700 X BRADLEY ANAWALT MD 0.50 X 0 262224 36433 THOMAS COLLINS 0.50 X 0 0 0 WILLIAM FALLON MD 0.50 X 0 0 0 VICTORIA FANG MD 40.00 X X 0 204725 60979 DAVID HADLEY PHD 0.50 X 0 0 0 KRISTIN HOUSER 0.50 X 0 0 0 EVA DOREEN KISS MD 32.00 X 0 141896 53430 THOMAS E NORRIS MD 0.50 X 0 319446 47970 ANNE PLATZNER MD 32.00 X 0 151381 49736 LYNNE ROBINS PHD 0.50 X 0 0 0 MIKA N SINANAN MD PHD 0.50 X 0 363168 54162 JOHNESE SPISSO 0.50 X X 0 674774 59213 JAMES TAYLOR MD 0.50 X 0 162731 29126 MARGARET KERRIGAN 40.00 X 0 281767 37199 PETER MCGOUGH MD 40.00 X 0 231710 59779 KAREN SCHILLER 40.00 X 0 124903 25535 PAUL ISHIZUKA 0.50 X 0 360136 38492 THOMAS PHILLIPS MD 30.00 X 0 183051 57634 PATRICIA READ-WILLIAMS MD 36.00 X 0 182260 71106 JOHN CHAFFEE MD 36.00 X 0 285526 86018 THOMAS HEI MD 16.00 X 0 199374 36661 MATTHEW JAFFY MD 34.00 X 0 186246 38294 SARAH KRAMER MD 40.00 X 0 215761 58958 RANDY MANDELL MD 36.00 X 0 184001 41649 CYNTHIA FERRUCCI MD 28.00 X 0 109492 36879 TERESA GAMBLE 0.00 X 0 258963 33849 0 5083535 1013102 0 1 1 0 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 4 6719 6719 NETWORK FUNDING 621110 22097803 22097803 PATIENT VISITS 621111 13025364 13025364 RESIDENCY REVENUE 611600 72699 72699 TEACHING REVENUE 611600 5360 5360 35201226 418 6169 -5751 -5751 -5751 MEDICAL RECORDS 900099 11237 11237 11237 35213431 35201226 0 5486 8280660 7704351 576309 446641 428865 17776 1947366 1724678 222688 752083 696688 55395 1848031 1848031 19803 19803 86550 86550 2451473 2451473 212664 212664 741325 616619 124706 4514747 4514747 3143878 3023011 120867 112335 69096 43239 176009 53452 122557 1070546 1063892 6654 35955 35955 PHARMACEUTICALS 1584139 1584139 LAB & MED SUPPLIES 1168197 1168197 REPAIRS AND MAINTENANCE 415394 414874 520 B&O TAXES 263357 263357 120073 16778 103295 29391226 18777304 10613922 0 2467145 3025654 3379066 3414590 261241 420211 39820 36663 21249473 9330352 3666773 11919121 78851 88851 9892896 18905090 3720819 4993723 535719 2452804 4256538 7446527 X 5636358 11458563 5636358 11458563 9892896 18905090 5822205 0 X 0 1 1 X 0 X X 0 0 0 UNIVERSITY OF WASHINGTON 916001537 GOVERNMENT 1 1 1 0 1 0 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. 16135312 6847894 9287418 5114161 2482458 2631703 11919121 DEFERRED OCCUPANCY EXPENSES 2452804 2452804 35213431 29391226 5822205 5822205 35213431 0 35213431 0 35213431 29391226 0 29391226 0 29391226 0 0 0 0 0 0 0 0 0 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 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. 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. 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 UNIVERSITY OF WASHINGTON 0 UW MEDICINE NORTHWEST 1550 NORTH 115TH STREET MS D-180 SEATTLE WA 981339733 910637400 HOSPITAL WA 501(C)(3) LINE 3 UNIVERSITY OF WASHINGTON 0 NORTHWEST HOSPITAL FOUNDATION 1550 NORTH 115TH STREET MS D-180 SEATTLE WA 981339733 911011603 SUPPORT UW MEDICINE NORTHWEST WA 501(C)(3) LINE 7 UW MEDICINE NORTHWEST 0 HEALTH RESOURCES NORTHWEST 1550 NORTH 115TH STREET MS D-180 SEATTLE WA 98133 911157294 MANAGEMENT SERVICES WA 501(C)(3) LINE 11B, II UW MEDICINE NORTHWEST 0 VALLEY MEDICAL CENTER 400 SOUTH 43RD STREET RENTON WA 980555010 916000986 HOSPITAL WA GOVERNMENT N/A UNIVERSITY OF WASHINGTON 0 NORTHWEST ASSURANCE COMPANY PO BOX 1109GT MAEY STREET GRAND CAYMAN CJ INSURANCE PROVIDER CJ N/A C SEATTLE ARTHRITIS CLINIC 1550 NORTH 115TH STREET MS D-180 SEATTLE WA 98133 203890258 OFFICES OF PHYSICIANS WA N/A C RICHMOND INTERNAL MEDICINE 1550 NORTH 115TH STREET MS D-180 SEATTLE WA 98133 204512942 OFFICES OF PHYSICIANS WA N/A C SPORTS MEDICINE GROUP 10330 MERIDIAN AVENUE NORTH SUITE 3 SEATTLE WA 98133 911698413 OFFICES OF PHYSICIANS WA N/A C NEUROSURGICAL CONSULTANTS OF WA 801 BROADWAY SUITE 617 SEATTLE WA 98122 911856460 OFFICES OF PHYSICIANS WA N/A C BONE & JOINT CENTER OF SEATTLE 1550 NORTH 115TH STREET MS D-180 SEATTLE WA 98133 270208005 OFFICES OF PHYSICIANS WA N/A C PRIMARY CARE PARTNERS NW PS 1550 NORTH 115TH STREET MS D-180 SEATTLE WA 98133 270568642 OFFICES OF PHYSICIANS WA N/A C SUMMIT CARDIOLOGY 1550 NORTH 115TH STREET MS D-180 SEATTLE WA 98133 273492322 OFFICES OF PHYSICIANS WA N/A C 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1