2020-05-15T18:12:27-05:00 2019-06-30 420714325 RSM US LLP 1 S Wacker Drive Ste 800 Chicago IL 60606 990 2018-07-01 391446049 Regional Division Inc REGI 6082612198 7974 UW Health Ct No MC1020 Middleton WI 53562 Michael Dallman President & CEO 6082612198 2020-05-15 1 Rebekuh Eley P01247672 3126343400 104.181.213.116 2020-05-15 11:02:50 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2A28FA2E2A09A40AF4F0A751499BE74D16D20E85 2018 2020-11-19 02:30:22Z X Michael Dallman 7974 UW Health Ct No MC1020 Middleton WI 53562 602621 0 X N/A X 1983 WI Furthering the service, instruction, and research mission of the University of Wisconsin School of Medicine and Public Health, University of Wisconsin Hospitals and Clinics Authority, and the University of Wisconsin Medical Foundation. 9 3 0 4 0 0 0 0 842743 602567 2601 54 0 0 845344 602621 0 0 0 0 0 0 0 0 0 704015 678893 704015 678893 141329 -76272 448531951 448907702 755634 1207657 447776317 447700045 Furthering the service, instruction, and research mission of the University of Wisconsin School of Medicine and Public Health, University of Wisconsin Hospitals and Clinics Authority, and the University of Wisconsin Medical Foundation. 0 0 209928 602567 Furthering the service, instruction, and research mission of the UW School of Medical and Public Health, UW Hospitals and Clinics Authority, and UW Medical Foundation (collectively, UW Health) by developing and enhancing relationships with regional physicians, hospitals, and other health care providers, bringing programs and clinical centers for the specialty health care services of UW Health to regional communities, and facilitating communication between the regional health care resources and UW Health. 209928 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 3 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 1 0 X Max Brunner 6082612198 7974 UW Health Ct No MC1020 Middleton WI 53562 Alan Kaplan Chair 2.00 38.00 X X 0 1659294 179370 Kenneth Mount Secretary 2.00 38.00 X X 0 243148 70815 Robert Flannery Treasurer 2.00 38.00 X X 0 803511 115911 Robert N Golden MD Director 2.00 38.00 X 0 792159 106540 William Roop Director 4.00 4.00 X 0 0 0 Daniel Ross Director 4.00 4.00 X 0 0 0 Thomas Walsh Director (Until 10/4/18) 4.00 4.00 X 0 0 0 Kenneth Board Director (Until 6/24/19) 4.00 4.00 X 0 0 0 Jeffrey Kaney Director (As of 3/19) 4.00 4.00 X 0 0 0 Elizabeth Bolt Director (As of 3/19) 2.00 38.00 X 0 839747 48846 Patti Hutter Director (As of 3/19) 2.00 38.00 X 0 341148 45194 Michael Dallman President/CEO 2.00 38.00 X 0 555369 94806 0 5234376 661482 0 0 1 0 0 SA Cancer Center Co-Ma 621500 447280 447280 Johnson Creek Cancer C 621500 95287 95287 JC Affiliation Fees 621500 60000 60000 602567 54 54 602621 602567 0 54 447280 447280 21685 21685 Beloit Cancer Center Lo 209928 209928 678893 209928 468965 0 782369 1226109 490338 527063 447259244 447154530 448531951 448907702 755634 1207657 755634 1207657 X 437744317 437668045 3810000 3810000 6222000 6222000 447776317 447700045 448531951 448907702 -76272 0 X 0 1 X 1 0 X X 3 University of Wisconsin School of Medicine and Public Health 391805963 6 1 0 0 University of Wisconsin Hospital & Clinics Authority 391835630 3 1 0 0 University of Wisconsin Medical Foundation 391824445 10 1 0 0 3 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Form 990, Schedule A, Part IV, Section A, Line 2 Per IRC Section 509(a)(1), under section 170(b)(1)(A)(v) as defined in section 170(c)(1), governmental entities like the University of Wisconsin School of Medicine and Public Health are deemed to be public charities. Form 990, Schedule A, Part IV, Section B, Line 1 The business and affairs of the Corporation shall be managed by the Board of Directors. The number of the Directors shall be nine. The Directors, all of who serve ex-officio (based on their role with the following organizations), include from the supported organizations: UWMF (2), UWHCA (2), University of Wisconsin School of Medicine and Public Health (2), and SwedishAmerican Health System Corporation (3). If a vacancy exists in any such position, the person acting in such a position shall serve as a Director until such time as the position is filled. 0 Investment in UW Cancer Center Johnson Creek, LLC 1154530 F Investment in SwedishAmerican Health System Corporation 446000000 F 447154530 X Part X, Line 2: Regional Division, Inc. (RDI) has received a determination letter from the Internal Revenue Service (IRS) stating they are tax-exempt under Section 501(c)(3) of the Internal Revenue Code (the Code). RDI files a Form 990 (Return of Organization Exempt from Income Tax) annually. When this return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the following: tax-exempt status of each entity, the continued tax-exempt status of bonds issued by the obligated group, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business taxable income (UBTI). UBTI is reported on Internal Revenue Service Form 990-T, as appropriate. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the tax position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50% likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with the tax positions taken that exceeds the amount measured as described above is reflected as a liability for unrecognized tax benefits in the accompanying consolidated balance sheet along with any associated interest and penalties that would be payable to the taxing authorities upon examination. At June 30, 2019 and 2018, there were no unrecognized tax benefits identified or recorded as liabilities. The Form 990 filed by the Corporation is subject to examination for up to three years from the extended due date of each return. RDI is no longer subject to examination for tax years ended before June 30, 2016. 0 1 0 0 0 0 0 0 0 Alan Kaplan Chair 0 1233433 0 419370 0 6491 0 141545 0 37825 0 1838664 0 0 Kenneth Mount Secretary 0 243148 0 0 0 0 0 24500 0 46315 0 313963 0 0 Robert Flannery Treasurer 0 644971 0 152431 0 6109 0 82182 0 33729 0 919422 0 0 Robert N Golden MD Director 0 792159 0 0 0 0 0 55000 0 51540 0 898699 0 0 Elizabeth Bolt Director (As of 3/19) 0 688967 0 146507 0 4273 0 21725 0 27121 0 888593 0 0 Patti Hutter Director (As of 3/19) 0 283062 0 55506 0 2580 0 21725 0 23469 0 386342 0 0 Michael Dallman President/CEO 0 445903 0 107456 0 2010 0 65771 0 29035 0 650175 0 0 Part I, Line 3 The President/CEO's compensation is discussed and reviewed with the Board in an executive session by the Director of compensation and benefits for UW Hospitals and Clinics (the employer of record). Executive compensation is based on comparative data with like positions within the market. Part I, Line 4b Several members of the Board participate in supplemental, non-qualified retirement plans through their employers, which are related organizations to the filing entity. Those individuals participate in a 457(f) plan. In 2018, the following employer contributions were made: - Alan Kaplan $119,820 - Michael Dallman $44,440 - Bob Flannery $46,325 - Kenneth Mount $24,500 In 2018, there were no distributions from the 457(f) plan made and reported in Part II, (B)(iii). Form 990, Part VI, Section A, line 4 The Corporation's Bylaws were amended during the year to: - change which individuals from related organizations shall make up the Board of Directors; - and the Chair of the Board shall now be the CEO of UWHCA. Form 990, Part VI, Section A, line 6 The Members of the Corporation shall be The University of Wisconsin Medical Foundation and the University of Wisconsin Hospitals and Clinics Authority. Form 990, Part VI, Section A, line 7a The Members of the Corporation shall have the power to approve and remove Directors of the Corporation. The full Board shall include nine Directors, as follows: - CEO of UW Health (UWHCA) - Dean of the University of Wisconsin School of Medicine and Public Health ("UWSMPH") - Associate Dean for Finance of UWSMPH - Chair of the SwedishAmerican Health System Corporation ("SAHS") - Two (2) SAHS representatives designated by the SAHS Board of Directors - Three (3) representatives of UW Health designated by the CEO of UW Health Form 990, Part VI, Section A, line 7b The Members of the Corporation shall have the power to: - approve and remove officers and directors of the Corporation; - approve the Corporation's strategic plan, budget and quality and safety measures; - approve changes to the Corporation's organizational documents and changes that would affect its not-for-profit and/or tax-exempt status; - approve material transactions of the Corporation, including without limitation mergers, consolidations, and the sale of substantially all of the assets of the Corporation; - approve of the Corporation's incurrence of debt, all accounting policies and financial auditors, compliance policies and material contracts; and - create or dissolve Corporation's operating units or subsidiaries, and approve significant assets or clinical service acquisitions, additions, or eliminations. Form 990, Part VI, Section B, line 11b Key officers within the organization review the content of the Form 990 prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Members of the Board of Directors must review and sign the conflict of interest policy on a yearly basis. Should a conflict arise, the interested party shall not participate in any discussion or vote related to this determination, except to the extent necessary to fully explain the financial interest and the manner in which the proposed transaction or arrangement to be discussed or acted upon by the Board may or will bear upon or relate to the financial interest. A member of the Board may direct that the interested person leave the meeting for all or part of the discussion of whether the financial interest creates a conflict of interest. Form 990, Part VI, Section B, line 15 Compensation is paid via a leasing agreement with members of the organization. Executive compensation is based on comparative data with like positions within the market. Form 990, Part VI, Section C, line 19 Governing documents, conflicts of interest policy, and financial statements are made available to the public upon request for the same period of disclosure as provided in IRC Section 6104(d). University of WI Medical Foundation 7974 UW Health Court Middleton WI 53562 391824445 Physician Services WI 501(c)(3) Line 10 University of WI Hospital and Clinics Authority 0 University Health Care Inc 301 South Westfield Road Suite 320 Madison WI 53717 472553196 Support Organization 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 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 Hospital 1401 East State Street Rockford IL 61104 362222696 Hospital IL 501(c)(3) Line 3 SwedishAmerican Health System Corporation 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 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 Wisconsin Therapies Inc 600 Highland Avenue Madison WI 53792 391807425 Infusion Therapy WI 501(c)(3) Line 12a University of WI Hospital and Clinics Authority 1 University of WI Hospital and Clinics Authority 7974 UW Health Court MS 1020 Middleton WI 53562 391835630 Hospital and Clinics WI 501(c)(3) Line 6 N/A 0 Quartz Health Plan Corporation 840 Carolina Street Sauk City WI 53583 391807071 Health Maintenance Organization WI 501(c)(4) University Health Care Inc 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 Related 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 Sixth Street Medical LLC 7974 UW Health Court Middleton WI 53562 472705724 Real Estate 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 SARI Insurance Company 76 St Paul Street Suite 500 Burlington VT 054014477 030308753 Captive Insurance Company VT N/A C 1 State & Charles Inc 1313 East State Street Rockford IL 61104 363321193 Holding Company IL N/A C 1 SwedishAmerican Health Management Corp 1401 East State Street Rockford IL 61104 363246511 Management Services IL N/A C 1 Unity Health Plans Insurance Corporation 840 Carolina Street Sauk City WI 53583 391450766 Health Maintenance Organization WI N/A C 1 Health Professionals of Wisconsin 301 South Westfield Road Madison WI 53717 391806711 Real Estate WI N/A C 1 Physician's Care Network 1313 East State Street Rockford IL 61104 363455791 Health Services IL N/A C 1 Quartz Health Solutions 840 Carolina Street Sauk City WI 53583 465710709 Insurance WI N/A C 1 Physicians Plus Insurance Corporation 840 Carolina Street Sauk City WI 53583 391565691 Health Maintenance Organization WI N/A C 1 Quartz Holding Company 840 Carolina Street Sauk City WI 53583 821728929 Holding Company WI N/A C 1 Charitable Remainder Unitrusts (7) Trust IL N/A T 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0