2021-05-05T10:29:59-05:00 2020-06-30 420714325 RSM US LLP 30 S WACKER DRIVE STE 3300 CHICAGO IL 60606 990 2019-07-01 391824445 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC UNIV 6082657131 7974 UW HEALTH COURT MIDDLETON WI 53562 JODILYNN VITELLO VP OF FINANCE 6082657131 2021-04-29 1 REBEKUH ELEY P01247672 3126343400 2021-04-29 2019 2022-09-23 18:48:47Z ALAN KAPLAN MD 7974 UW HEALTH COURT MIDDLETON WI 53562 1015387261 0 X WWW.UWHEALTH.ORG X 1996 WI UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION (UWMF) SUPPORTS THE TEACHING, RESEARCH AND SERVICE MISSIONS OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH BY PROMOTING THE DELIVERY OF EXCELLENT AND INNOVATIVE PATIENT CARE BY FACULTY AND STAFF WHO SERVE LOCAL, REGIONAL, NATIONAL AND INTERNATIONAL POPULATIONS. 15 4 5092 4 1687455 632582 138204587 158164850 832179791 784991654 4052468 10526670 2974437 3002537 977411283 956685711 98412019 58058271 0 0 609565590 630624806 0 0 0 283140373 270272625 991117982 958955702 -13706699 -2269991 553569914 1086870157 207330548 733546308 346239366 353323849 X UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION (UWMF) SUPPORTS THE TEACHING, RESEARCH AND SERVICE MISSIONS OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH BY PROMOTING THE DELIVERY OF EXCELLENT AND INNOVATIVE PATIENT CARE BY FACULTY AND STAFF WHO SERVE LOCAL, REGIONAL, NATIONAL AND INTERNATIONAL POPULATIONS. 0 0 754117205 387244 784991654 FUNDING ALLOCATED TO PROVIDE HEALTHCARE FOR THE BENEFIT OF, AND IN SUPPORT OF, THE PURPOSE OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH. DELIVERY OF PATIENT CARE SERVING LOCAL, REGIONAL, NATIONAL, AND INTERNATIONAL POPULATIONS. 160782569 41740537 0 FUNDING PROVIDED TO SUPPORT THE TEACHING/ACADEMIC MISSION AND SUPPORT THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH. 15083101 15083101 0 FUNDING ALLOCATED TO PROVIDE MEDICAL RESEARCH FOR THE BENEFIT OF, AND IN SUPPORT OF, THE PURPOSE OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH. 847389 847389 0 OTHER PROGRAM REVENUE AND EXPENSES ALLOCATED TO PROVIDE MEDICAL EDUCATION FOR THE BENEFIT OF AND IN SUPPORT OF THE PURPOSE OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH. 847389 847389 0 930830264 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 155 0 1 5092 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 IL X ROBERT W FLANNERY SVPCFO 6082657131 7974 UW HEALTH COURT MIDDLETON WI 53562 ALAN KAPLAN MD CHAIRMAN OF THE BOARD 1.00 39.00 X X 0 2092242 349262 THOMAS ZDEBLICK MD DIRECTOR 1.00 39.00 X 1460146 0 56063 MUSTAFA BASKAYA PHYSICIAN 39.00 1.00 X 1352232 0 56063 SAMUEL POORE PHYSICIAN 39.00 1.00 X 1298129 0 56063 GEOFFREY BAER PHYSICIAN 39.00 1.00 X 1237098 0 56063 DAVID NIEMANN PHYSICIAN 39.00 1.00 X 1182516 0 56063 KATHERINE GAST PHYSICIAN 39.00 1.00 X 1106663 0 14063 PETROS ANAGNOSTOPOULOS MD DIRECTOR (AS OF 1/1/20) 1.00 39.00 X 1040398 0 57436 ROBERT FLANNERY FORMER CAO 0.00 0.00 X 916757 0 152609 PETER NEWCOMER MEDICAL DIRECTOR 1.00 39.00 X 889482 0 164988 STEPHEN NAKADA MD DIRECTOR 1.00 39.00 X 930911 0 57436 KELLY WILSON SECRETARY (AS OF 12/18/19) 1.00 39.00 X 0 697559 112168 LAUREL RICE MD DIRECTOR 1.00 39.00 X 738395 0 57436 NIZAR JARJOUR MD PRESIDENT 39.00 1.00 X X 643712 0 83783 TERRY YOUNG MD MBA DIRECTOR 1.00 39.00 X 657435 0 57436 DEBORAH RUSY MD MBA DIRECTOR (UNTIL 12/31/19) 1.00 39.00 X 453922 0 56063 ELIZABETH TROWBRIDGE MD DIRECTOR 1.00 39.00 X 421581 0 57113 JODI VITELLO TREASURER 1.00 39.00 X 0 384044 80883 J CARTER RALPHE MD DIRECTOR 1.00 39.00 X 366887 0 49285 SANDRA KAMNETZ MD DIRECTOR 1.00 39.00 X 309726 0 48589 KELSIE DOTY CAO 40.00 0.00 X X 251674 0 60092 JENNIFER ALEXANDER DIRECTOR 1.00 0.00 X 0 0 0 RONALD ANDERSON DIRECTOR 1.00 0.00 X 0 0 0 DEB ARCHER DIRECTOR 1.00 0.00 X 0 0 0 GEORGE KAMPERSCHROER DIRECTOR (AS OF 1/1/20) 1.00 0.00 X 0 0 0 PATRICIA BRADY DIRECTOR (UNTIL 12/31/19) 1.00 0.00 X 0 0 0 15257664 3173845 1738957 1470 1 1 1 ENVIRONMENTAL CONTROL OF WISCONSIN INC 2902 AGRICULTURE DR MADISON WI 53718 CUSTODIAL SERVICES 1285246 STATE COLLECTION SERVICE PO BOX 6250 MADISON WI 53716 COLLECTION SERVICES 1222106 COMPHEALTH PO BOX 972651 DALLAS TX 75397 PHYSICIAN LOCUMS 991706 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 75397 PHYSICIAN LOCUMS 976539 ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 84127 LAB SERVICES 915139 120 141688220 16476630 158164850 PATIENT SERVICES 621111 544769775 544769775 PREMIUM REVENUE 900099 234843239 234843239 5378640 4345468 1033172 784991654 6735810 410190 6325620 2204440 845 2203595 2203595 244093 1959502 60631865 1859700 57838083 862622 2793782 997078 3790860 3790860 798942 798942 798942 956685711 783958482 1687455 12874924 58058271 58058271 6923821 4978427 1945394 543573094 522312665 21260429 15205934 15205934 39960678 39960678 24961279 24961279 15364638 11007961 4356677 136443 136443 97361 97361 10695299 10695299 230568 230568 1147953 1147953 1476556 1476556 46780903 46780903 2278140 2278140 2063553 2063553 329134 329134 6584063 6584063 1549098 1549098 REIMB. OF MED SCHOOL EX 121136716 121136716 DRUGS AND PATIENT CARE 48496795 48496795 DUE AND SUBSCRIPTIONS 2526764 2526764 INCOME TAX EXPENSE 557906 557906 8820735 8820735 958955702 930830264 28125438 0 132183677 298498538 97661176 97682106 4070495 3913771 21106755 1112099 155338501 96256533 64955677 59081968 167792483 172076922 65799651 72315782 0 382188971 553569914 1086870157 150240548 77137746 0 19022488 28090000 25305000 29000000 612081074 207330548 733546308 X 346239366 353323849 346239366 353323849 553569914 1086870157 X -2269991 -2993439 12347913 X 0 1 X 1 0 X 78422871 96330345 110594924 138204587 158164850 581717577 713369590 750377423 817469698 828351162 783958482 3893526355 791792461 846707768 928064622 966555749 942123332 4475243932 0 0 0 4475243932 6358434 6320733 7826122 7912005 8285122 36702416 6358434 6320733 7826122 7912005 8285122 36702416 750810 632582 1383392 266645 283859 299869 236359 798942 1885674 798417540 853312360 936190613 975454923 951839978 4515215414 0.99110 0.99140 0.00810 0.00810 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER NON-PROGRAM REVENUE - 2015 AMOUNT: $ 266,645. 2016 AMOUNT: $ 283,859. 2017 AMOUNT: $ 299,869. 2018 AMOUNT: $ 236,359. 2019 AMOUNT: $ 798,942. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7959113 7959113 72946074 32660085 40285989 14103418 9405363 4698055 59770774 54191085 5579689 559122 559122 59081968 UNIVERSITY HEALTH CARE, INC. 40495022 C MADISON MEDICAL CENTER 13122523 C CHARTWELL WISCONSIN ENTERPRISES, LLC 7356165 C MADISON SURGERY CENTER 4650146 C WISCONSIN DIALYSIS, INC. 3296754 C TRANSFORMATION SURGERY CENTER, INC. 1486477 C GENERATIONS FERTILITY CARE, INC. 340666 C WISCONSIN SLEEP, INC. 1568029 C 72315782 EXECUTIVE DEFERRED COMPENSATION 161801 DUE FROM RELATED ORGANIZATIONS 370195001 OTHER ACCOUNTS RECEIVABLE 11832169 382188971 EXECUTIVE DEFERRED COMPENSATION 161801 DUE TO RELATED ORGANIZATIONS 611919273 612081074 823795794 -2993439 11790896 8797457 814998337 141687374 141687374 956685711 816710422 846 846 816709576 142246126 142246126 958955702 PART XI, LINE 2D - OTHER ADJUSTMENTS: EQUITY IN EARNINGS OF JOINT VENTURES 12,348,802. INCOME TAX EXPENSE -557,906. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTED REVENUE PRESENTED NET OF EXPENSE 141,688,220. RENTAL EXPENSES -846. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 846. PART XII, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTED REVENUE PRESENTED NET OF EXPENSE 141,688,220. INCOME TAX EXPENSE 557,906. 1 UW SCHOOL OF MEDICINE AND PUBLIC HEALTH 750 HIGHLAND AVENUE MADISON WI 53705 396006492 STATE OF WISCONSIN 41740537 SUPPORT FUNCTIONS OF THE MEDICAL SCHOOL UNIVERSITY OF WISCONSIN FOUNDATION 1848 UNIVERSITY AVENUE MADISON WI 53708 390743975 501(C)(3) 15123951 RESEARCH SUPPORT ACCESS COMMUNITY HEALTH CENTER 2202 PARK STREET MADISON WI 53713 391391134 501(C)(3) 766712 SUPPORT FUNCTIONS OF THE ORGANIZATION UNIVERSITY HEALTH CARE INC 301 S WESTFIELD ROAD STE 250 MADISON WI 53717 391446049 501(C)(3) 261947 SUPPORT FOR CONTRACT MANAGEMENT ORTHOPAEDIC RESEARCH AND EDUCATION FOUNDATION 6300 N RIVER ROAD STE 700 ROSEMONT IL 60019 366009467 501(C)(3) 33000 SUPPORT FUNCTIONS OF THE ORGANIZATION UNIVERSITY OF WISCONSIN HOSPITALS & CLINICS AUTHORITY 7974 UW HEALTH COURT MS 1020 MIDDLETON WI 53562 391835630 501(C)(3) 24667 GALA TABLE SPONSORSHIP FRIENDS OF UW HEALTH 301 S WESTFIELD ROAD STE 250 MADISON WI 53717 510137187 501(C)(3) 8500 SUPPORT FUNCTIONS OF THE ORGANIZATION JUVENILE DIABETES RESEARCH FOUNDATION 434 S YELLOWSTONE DRIVE STE 201 MADISON WI 53719 231907729 501(C)(3) 8500 SUPPORT FUNCTIONS OF THE ORGANIZATION WISCONSIN ALLIANCE FOR WOMEN'S HEALTH 147 S BUTLER STREET MADISON WI 53703 800287566 501(C)(3) 6000 SUPPORT FUNCTIONS OF THE ORGANIZATION 9 0 PART I, LINE 2: THE GRANT SCHEDULE FOR UW SCHOOL OF MEDICINE IS BASED ON AN AGREEMENT AT A FIXED AMOUNT. UWMF MAKES A CONTRIBUTION TO UW FOUNDATION FOR R&D BASED ON AGREED UPON LEVELS OF FUNDING. UNIVERSITY HEALTHCARE INC. SUPPORT IS BASED ON THEIR ANNUAL SUPPORT. X 1 1 X X X 0 1 0 0 0 0 0 0 0 ALAN KAPLAN MD CHAIRMAN OF THE BOARD 0 1550684 0 532875 0 8683 0 311420 0 37842 0 2441504 0 0 THOMAS ZDEBLICK MD DIRECTOR 1460146 0 0 0 0 0 56000 0 63 0 1516209 0 0 0 MUSTAFA BASKAYA PHYSICIAN 1352232 0 0 0 0 0 56000 0 63 0 1408295 0 0 0 SAMUEL POORE PHYSICIAN 1298129 0 0 0 0 0 56000 0 63 0 1354192 0 0 0 GEOFFREY BAER PHYSICIAN 1237098 0 0 0 0 0 56000 0 63 0 1293161 0 0 0 DAVID NIEMANN PHYSICIAN 1182516 0 0 0 0 0 56000 0 63 0 1238579 0 0 0 KATHERINE GAST PHYSICIAN 1106663 0 0 0 0 0 14000 0 63 0 1120726 0 0 0 PETROS ANAGNOSTOPOULOS MD DIRECTOR (AS OF 1/1/20) 1040398 0 0 0 0 0 56000 0 1436 0 1097834 0 0 0 ROBERT FLANNERY FORMER CAO 722417 0 188213 0 6127 0 119249 0 33360 0 1069366 0 0 0 PETER NEWCOMER MEDICAL DIRECTOR 692791 0 196691 0 0 0 160902 0 4086 0 1054470 0 0 0 STEPHEN NAKADA MD DIRECTOR 930911 0 0 0 0 0 56000 0 1436 0 988347 0 0 0 KELLY WILSON SECRETARY (AS OF 12/18/19) 0 557568 0 139991 0 0 0 85416 0 26752 0 809727 0 0 LAUREL RICE MD DIRECTOR 738335 0 0 0 60 0 56000 0 1436 0 795831 0 0 0 NIZAR JARJOUR MD PRESIDENT 570947 0 72765 0 0 0 83720 0 63 0 727495 0 0 0 TERRY YOUNG MD MBA DIRECTOR 657435 0 0 0 0 0 56000 0 1436 0 714871 0 0 0 DEBORAH RUSY MD MBA DIRECTOR (UNTIL 12/31/19) 453922 0 0 0 0 0 56000 0 63 0 509985 0 0 0 ELIZABETH TROWBRIDGE MD DIRECTOR 419259 0 0 0 2322 0 56000 0 1113 0 478694 0 0 0 JODI VITELLO TREASURER 0 318284 0 63840 0 1920 0 48289 0 32594 0 464927 0 0 J CARTER RALPHE MD DIRECTOR 366887 0 0 0 0 0 49222 0 63 0 416172 0 0 0 SANDRA KAMNETZ MD DIRECTOR 309726 0 0 0 0 0 48526 0 63 0 358315 0 0 0 KELSIE DOTY CAO 205847 0 43386 0 2441 0 38179 0 21913 0 311766 0 0 0 PART I, LINE 1A UWMF REIMBURSES CHAIRS AND THE DEAN OF THE MEDICAL SCHOOL FOR THE BUSINESS USE OF THEIR SOCIAL CLUB DUES. AS A BUSINESS EXPENSE, AMOUNTS ARE NOT TAXABLE. PART I, LINE 4B SEVERAL MEMBERS OF THE BOARD PARTICIPATE IN SUPPLEMENTAL, NON-QUALIFIED RETIREMENT PLANS THROUGH UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, OR RELATED ORGANIZATIONS. THOSE INDIVIDUALS PARTICIPATE IN A 457(F) PLAN. IN 2019, THE FOLLOWING EMPLOYER CONTRIBUTIONS WERE MADE:: - KELSIE DOTY $6,282 - NIZAR JARJOUR $27,720 - PETER NEWCOMER $104,902 - KELLY WILSON $63,996 - JODI VITELLO $30,400 - ALAN KAPLAN $290,000 NO DISTRIBUTIONS WERE MADE IN 2019. PART II, COLUMN B: CERTAIN INDIVIDUALS RECEIVED COMPENSATION FROM THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH, AN UNRELATED ORGANIZATION, FOR THEIR SERVICES AS PHYSICIANS OR PROFESSORS. THE FOLLOWING INDIVIDUALS HAVE THIS COMPENSATION REPORTED ON SCHEDULE J, PART II, COLUMN B(I): - PETROS ANAGNOSTOPOULOS $72,860 - GEOFFREY BAER $62,928 - MUSTAFA BASKAYA $85,029 - NIZAR JARJOUR $305,188 - SANDRA KAMNETZ $115,623 - STEPHEN NAKADA $230,739 - PETER NEWCOMER $112,519 - DAVID NIEMANN $59,480 - SAMUEL POORE $60,019 - JOHN RALPHE $120,115 - LAUREL RICE $179,194 - ELIZABETH TROWBRIDGE $176,893 - TERRI YOUNG $197,209 - THOMAS ZDEBLICK $192,942 - KATHERINE GAST $49,838 - DEBORAH RUSY $80,623 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS THE UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO APPROVE FACULTY AND CHAIR DIRECTORS NOMINATED FOR THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE ORGANIZATION HAS THE OVERALL RIGHTS TO GOVERN, DIRECT, AND OVERSEE THE PROPERTY, FUNDS, BUSINESS, AND AFFAIRS OF THE ORGANIZATION EXCEPT WHEN RESERVED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS COMPLETED BY THE ORGANIZATION'S EXTERNAL ACCOUNTING FIRM. KEY FINANCE EMPLOYEES REVIEW THE FORM 990 TO DETERMINE COMPLETE AND ACCURATE. THE RETURN IS PROVIDED TO THE MEMBERS OF THE BOARD OF DIRECTORS BEFORE FILING. THE RETURN IS SUBMITTED FOR FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE COMPLIANCE AND LEGAL DEPARTMENT REVIEWS CONFLICT OF INTEREST FORMS. IF POTENTIAL CONFLICTS ARE FOUND, THERE IS A DISCUSSION BETWEEN LEGAL SERVICES, THE CAO, AND THE INDIVIDUAL. THE COMPLIANCE DEPARTMENT ISSUES QUESTIONNAIRES ANNUALLY AND THERE IS 100% COMPLIANCE IN RESPONDING. IF THERE IS A CONFLICT, THE FIX IS TO RECUSE ONESELF FROM ANY VOTE. IF IT IS A SENSITIVE MATTER, THE FIX IS TO RECUSE ONESELF FROM THE DISCUSSION AND THE VOTE. THE CONFLICT OF INTEREST POLICY PROVIDES A PROCESS FOR BOTH VOLUNTARY AND INVOLUNTARY RECUSAL. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION REVIEW COMMITTEE (CRC) HAS BEEN ESTABLISHED. THE COMMITTEE SHALL CONSIST EXCLUSIVELY OF THE PUBLIC DIRECTORS. THE CRC SHALL ACT IN ACCORDANCE WITH THE FOUNDATION'S COMPENSATION PRINCIPLES AND POLICY. THE COMMITTEE SHALL MAKE FINAL DECISIONS ON SUCH MATTERS AFTER SATISFYING ITSELF THAT THE STANDARDS SET IN THE FOUNDATION'S COMPENSATION PRINCIPLES AND POLICY HAVE BEEN MET. THE COMMITTEE MAY REQUEST ADDITIONAL DATA OR INFORMATION PRIOR TO APPROVING MATTERS WITHIN ITS JURISDICTION. THE CRC SHALL TAKE FINAL ACTION TO APPROVE OR DISAPPROVE ALL FOUNDATION AND DEPARTMENTAL COMPENSATION FORMULAE AND POLICY. THE COMMITTEE ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW PHYSICIAN COMPENSATION. OUTLIERS IDENTIFIED ARE SUBSTANTIATED. A PRESENTATION IS MADE TO THE CRC FOR APPROVAL. EXECUTIVE COMPENSATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS WITHIN THE MARKET. THE COMPENSATION FOR PRESIDENT, CAO, AND ALL VICE PRESIDENTS IS PRESENTED TO THE COMPENSATION COMMITTEE ANNUALLY. THIS COMMITTEE IS COMPRISED OF THE UWMF'S PUBLIC BOARD MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS, BYLAWS, ARTICLES, CONFLICT OF INTEREST POLICIES, TAX RETURNS, AND FORM 1023 ARE AVAILABLE UPON REQUEST FROM THE CORPORATE OFFICE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D). FORM 990, PART XI, LINE 9: EQUITY INTEREST IN INCOME OF JOINT VENTURES 12,347,913. UNIVERSITY OF WI HOSPITAL AND CLINICS AUTHORITY 7974 UW HEALTH COURT MIDDLETON WI 53562 391835630 HOSPITAL AND CLINICS WI 501(C)(3) LINE 3 N/A 0 REGIONAL DIVISION INC 7974 UW HEALTH COURT NO MC1020 MIDDLETON WI 53562 391446049 REGIONAL PARENT CORP. TO MANAGE AND DIRECT ACTIVITIES OF ENTITIES WI 501(C)(3) LINE 12A UNIVERSITY OF WI HOSPITAL AND CLINICS AUTHORITY 1 UNIVERSITY HEALTH CARE INC 7974 UW HEALTH COURT MIDDLETON WI 53562 472553196 SUPPORT ORGANIZATION WI 501(C)(3) LINE 12A UNIVERSITY OF WI HOSPITAL AND CLINICS AUTHORITY 1 SWEDISHAMERICAN HEALTH SYSTEM CORPORATION 1401 EAST STATE STREET ROCKFORD IL 61104 363241458 PARENT CORPORATION TO MANAGE AND DIRECT ACTIVITES OF ENTITIES IL 501(C)(3) LINE 12A REGIONAL DIVISION INC 1 SWEDISHAMERICAN FOUNDATION 1415 EAST STATE STREET ROCKFORD IL 61104 363097493 SUPPORTS FUNDRAISING FOR SWEDISHAMERICAN HOSPITAL IL 501(C)(3) LINE 7 SWEDISHAMERICAN HOSPITAL 1 SWEDISHAMERICAN REALTY CORPORATION 1313 EAST STATE STREET ROCKFORD IL 61104 363248013 TITLE HOLDING COMPANY IL 501(C)(2) SWEDISHAMERICAN HEALTH SYSTEM CORPORATION 1 SWEDISHAMERICAN HOSPITAL SELF INSURANCE TRUST 1401 EAST STATE STREET ROCKFORD IL 61104 366652702 HOSPITAL MALPRACTICE TRUST VT 501(C)(3) LINE 12A SWEDISHAMERICAN HOSPITAL 1 WISCONSIN THERAPIES INC 7974 UW HEALTH COURT MIDDLETON WI 53562 391807425 INFUSION THERAPY WI 501(C)(3) LINE 12A UNIVERSITY OF WI HOSPITAL AND CLINICS AUTHORITY 1 GENERATIONS FERTILITY CARE 2365 DEMING WAY MIDDLETON WI 53562 273496527 REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY SERVICES WI 501(C)(3) LINE 10 N/A 1 WISCONSIN DIALYSIS 3034 FISH HATCHERY ROAD FITCHBURG WI 53713 300072647 DIALYSIS SERVICES WI 501(C)(3) LINE 12C N/A 1 MADISON SURGERY CENTER 7974 UW HEALTH COURT MIDDLETON WI 53562 391940656 HEALTH CARE SERVICES AND TRAINING WI 501(C)(3) LINE 10 N/A 1 UW HEALTH ACO INC 7974 UW HEALTH COURT MIDDLETON WI 53562 455490584 ACCOUNTABLE CARE ORGANIZATION WI 501(C)(3) LINE 10 UNIVERSITY OF WI HOSPITAL AND CLINICS AUTHORITY 1 SWEDISHAMERICAN HOSPITAL 1401 EAST STATE STREET ROCKFORD IL 61104 362222696 HOSPITAL IL 501(C)(3) LINE 3 SWEDISHAMERICAN HEALTH SYSTEM CORPORATION 1 QUARTZ HEALTH PLAN CORPORATION 840 CAROLINA STREET SAUK CITY WI 53583 391807071 HEALTH MAINTENANCE ORGANIZATION WI 501(C)(4) UNIVERSITY HEALTH CARE 1 QUARTZ HEALTH PLAN MN CORPORATION 840 CAROLINA STREET SAUK CITY WI 53583 452633920 HEALTH INSURANCE WI 501(C)(4) QUARTZ HEALTH PLAN CORPORATION 1 ISTHMUS PROJECT INC 600 HIGHLAND AVENUE MADISON WI 53792 832278676 RESEARCH AND INNOVATION WI 501(C)(3) LINE 12A UNIVERSITY OF WI HOSPITAL AND CLINICS AUTHORITY 1 THREE RIVERS PARTNERS LLC 1313 EAST STATE STREET ROCKFORD IL 61104 262231757 INFORMATION TECHNOLOGY SERVICES IL N/A N/A 0 0 NORTHERN ILLINOIS VEIN CLINIC 2550 CHARLES STREET ROCKFORD IL 61108 201642329 OUTPATIENT HEALTH SERVICES IL N/A N/A 0 0 CHARTWELL WISCONSIN ENTERPRISES LLC 2241 PINEHURST DRIVE MIDDLETON WI 53562 391796267 PARENT ENTITY OF CMW AND CMW-HR WI N/A N/A 0 0 MADISON MEDICAL CENTER LLP 7974 UW HEALTH COURT MIDDLETON WI 53562 391329429 REAL ESTATE WI N/A N/A 0 0 SIXTH STREET MEDICAL LLC 7974 UW HEALTH COURT MIDDLETON WI 53562 472705724 REAL ESTATE WI N/A N/A 0 0 SARI INSURANCE COMPANY 76 ST PAUL STREET SUITE 500 BURLINGTON VT 054014477 030308753 CAPTIVE INSURANCE COMPANY VT SAHS CORPORATION C 1 STATE & CHARLES INC 1313 EAST STATE STREET ROCKFORD IL 61104 363321193 HOLDING COMPANY IL SAHS CORPORATION C 1 SWEDISHAMERICAN HEALTH MANAGEMENT CORP 1401 EAST STATE STREET ROCKFORD IL 61104 363246511 MANAGEMENT SERVICES IL STATE & CHARLES INC C 1 QUARTZ HEALTH BENEFIT PLANS CORPORATION 840 CAROLINA STREET SAUK CITY WI 53583 391450766 HEALTH MAINTENANCE ORGANIZATION WI UNIVERSITY HEALTH CARE INC C 1 HEALTH PROFESSIONALS OF WISCONSIN 301 SOUTH WESTFIELD ROAD MADISON WI 53717 391806711 REAL ESTATE WI UNIVERSITY HEALTH CARE INC C 1 PHYSICIAN'S CARE NETWORK 1313 EAST STATE STREET ROCKFORD IL 61104 363455791 HEALTH SERVICES IL STATE & CHARLES INC C 1 QUARTZ HEALTH SOLUTIONS 840 CAROLINA STREET SAUK CITY WI 53583 465710709 INSURANCE WI UNIVERSITY HEALTH CARE INC C 1 QUARTZ HOLDING COMPANY 840 CAROLINA STREET SAUK CITY WI 53583 821728929 HOLDING COMPANY WI UNIVERSITY HEALTH CARE INC C 1 QUARTZ HEALTH INSURANCE CORPORATION 840 CAROLINA STREET SAUK CITY WI 53583 391565691 HEALTH MAINTENANCE ORGANIZATION WI QUARTZ HOLDING COMPANY C 1 1 1 1 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 0 MADISON MEDICAL CENTER LLP L 115831 FMV MADISON MEDICAL CENTER LLP K 1787048 FMV MADISON SURGERY CENTER O 6673537 FMV MADISON SURGERY CENTER L 933290 FMV MADISON SURGERY CENTER L 830993 FMV MADISON SURGERY CENTER C 2000000 FMV MADISON SURGERY CENTER A 1678518 FMV UW HEALTH ACO INC M 89553 FMV UW HEALTH ACO INC O 161055 FMV UNIVERSITY HEALTH CARE INC Q 261947 FMV