2020-06-15T11:07:05-05:00 2019-06-30 420714325 RSM US LLP 1 S WACKER DRIVE STE 800 CHICAGO IL 60606 990 2018-07-01 391824445 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC UNIV 6082657131 7974 UW HEALTH COURT MIDDLETON WI 53562 ROBERT W FLANNERY SVP/CFO 6082657131 2020-06-09 1 REBEKUH ELEY P01247672 3126343400 104.181.213.116 2020-06-09 09:57:50 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2A28FA2E2A09A40AF4F0A751499BE74D16D20E85 2018 2021-01-29 14:40:06Z ALAN KAPLAN MD 7974 UW HEALTH COURT MIDDLETON WI 53562 993954234 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 5066 4 4308898 749810 110594924 138204587 823831517 832179791 38476219 4052468 3562596 2974437 976465256 977411283 68154517 98412019 0 0 581220486 609565590 0 0 0 258759151 283140373 908134154 991117982 68331102 -13706699 561949168 553569914 217958406 207330548 343990762 346239366 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 131827678 36122480 0 FUNDING PROVIDED TO SUPPORT THE TEACHING/ACADEMIC MISSION AND SUPPORT THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH. 56079602 56079602 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. 778996049 5361336 832179791 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. 848601 848601 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. 848601 848601 0 967751930 1 1 0 1 0 0 0 0 0 0 1 0 1 0 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 1 215 0 1 5066 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 4 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 IL WI X ROBERT W FLANNERY SVPCFO 6082657131 7974 UW HEALTH COURT MIDDLETON WI 53562 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 (AS OF 1/1/19) 1.00 0.00 X 0 0 0 PATRICIA BRADY DIRECTOR 1.00 0.00 X 0 0 0 SANDRA KAMNETZ MD DIRECTOR 1.00 39.00 X 202108 110930 50611 STEPHEN NAKADA MD DIRECTOR 1.00 39.00 X 659311 223458 56457 RICHARD PAGE MD DIRECTOR (UNTIL 9/30/18) 1.00 39.00 X 448063 128400 56093 J CARTER RALPHE MD DIRECTOR 1.00 39.00 X 220016 114590 43955 LAUREL RICE MD DIRECTOR 1.00 39.00 X 544634 173349 56457 DEBORAH RUSY MD MBA DIRECTOR 1.00 39.00 X 371603 76031 55084 ELIZABETH TROWBRIDGE MD DIRECTOR 1.00 39.00 X 209885 130913 53334 TERRY YOUNG MD MBA DIRECTOR 1.00 39.00 X 445228 188580 56457 THOMAS ZDEBLICK MD DIRECTOR (AS OF 10/1/18) 1.00 39.00 X 788909 186895 55567 ALAN KAPLAN MD CHAIRMAN OF THE BOARD 1.00 39.00 X X 0 1659294 55703 NIZAR JARJOUR MD PRESIDENT 39.00 1.00 X X 375581 294178 55084 ROBERT FLANNERY CAO 40.00 X X 803511 0 69218 KELSIE DOTY CAO 40.00 X X 237230 0 52030 THERESA HOTTENROTH SECRETARY 40.00 X 197475 0 45386 JODI VITELLO TREASURER 1.00 39.00 X 0 317013 48150 PETER NEWCOMER MEDICAL DIRECTOR 1.00 39.00 X 664760 109130 58857 GEOFFREY S BAER MD PHD PHYSICIAN 39.00 1.00 X 1388725 61666 55084 MUSTAFA BASKAYA MD PHYSICIAN 39.00 1.00 X 1106070 83556 55084 SAMUEL POORE PHYSICIAN 39.00 1.00 X 1091527 51937 55084 DAVID NIEMANN MD PHYSICIAN 39.00 1.00 X 1046222 57194 55084 NILTO C DE OLIVEIRA MD PHYSICIAN 39.00 1.00 X 1209953 36545 55084 12010811 4003659 1143863 1467 0 1 0 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHYSICIAN LOCUMS 1379074 EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 53288 HEALTH RECORD CONSULTING 1314341 ENVIRONMENTAL CONTROL OF WISCONSIN INC 2902 AGRICULTURE DR MADISON WI 53718 CUSTODIAL SERVICES 1311579 COMPHEALTH INC PO BOX 972651 DALLAS TX 75397 PHYSICIAN LOCUMS 1192387 APEX PRINT TECHNOLOGIES PO BOX 9201 MINNEAPOLIS MN 55480 PRINTING 865820 133 138204587 138204587 PATIENT SERVICES 621111 570344592 570344592 PREMIUM REVENUE 900099 228890000 228890000 32945199 29116570 3828629 832179791 5572864 249266 5323598 2816524 22555 2793969 2793969 231003 2562966 15000000 16483826 36570 -1483826 -36570 -1520396 -1520396 180468 180468 180468 977411283 828351162 4308898 6546636 98412019 98412019 6043713 3817340 2226373 528391823 510327111 18064712 14375829 14375829 37611254 37611254 23142971 23142971 14859744 12824896 2034848 105299 105299 129180 129180 99085 99085 28881954 28881954 1216672 1216672 2982006 2982006 2357160 2357160 22947516 22947516 389413 389413 5246675 5246675 706555 706555 7350350 7350350 2559443 2559443 REIMB. OF MED SCHOOL EX 123574248 123574248 DRUGS AND PATIENT CARE 44712718 44712718 BAD DEBT EXPENSE 9095904 9095904 15926451 15926451 991117982 967751930 23366052 0 124669928 132183677 90400711 97661176 3955241 4070495 41926651 21106755 156698012 91742335 79929033 64955677 173310040 167792483 47665390 65799651 92174 0 561949168 553569914 184568406 150240548 31390000 28090000 2000000 29000000 217958406 207330548 X 343990762 346239366 343990762 346239366 561949168 553569914 X -13706699 6702571 -45 9252777 X 0 1 X 1 0 X 57193313 78422871 96330345 110594924 138204587 480746040 700536394 713369590 750377423 817469698 828351162 3810104267 757729707 791792461 846707768 928064622 966555749 4290850307 0 0 0 4290850307 6735997 6358434 6320733 7826122 7912005 35153291 6735997 6358434 6320733 7826122 7912005 35153291 750810 750810 138579 266645 283859 299869 236359 1225311 764604283 798417540 853312360 936190613 975454923 4327979719 0.99140 0.99040 0.00810 0.00920 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER NON-PROGRAM REVENUE - 2014 AMOUNT: $ 138,579. 2015 AMOUNT: $ 266,645. 2016 AMOUNT: $ 283,859. 2017 AMOUNT: $ 299,869. 2018 AMOUNT: $ 236,359. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 99085 0 0 0 99085 0 PART II-B, LINE 1: REPRESENTS THE PORTION OF THE DUES PAID TO STATE AND NATIONAL MEDICAL SOCIETIES FOR LOBBYING TOTALING $99,085. 7959113 7959113 75327504 32560970 42766534 14117137 8414337 5702800 59294258 50767028 8527230 64955677 WISCONSIN SLEEP, INC. 1443017 C GENERATIONS FERTILITY CARE, INC. 595978 C MADISON SURGERY CENTER 5052894 C MERITER PHYSICIAN CONTRACTING 24844 C WISCONSIN DIALYSIS, INC. 1522224 C TRANSFORMATION SURGERY CENTER, INC. 1616742 C UNIVERSITY HEALTH CARE, INC. 36260736 C CHARTWELL WISCONSIN ENTERPRISES, LLC 6160693 C MADISON MEDICAL CENTER 13122523 C 65799651 DUE TO UW FOUNDATION 29000000 29000000 818024000 6702574 9252777 15955351 802068649 175342634 175342634 977411283 815775000 0 815775000 175342982 175342982 991117982 PART XI, LINE 2D - OTHER ADJUSTMENTS: EQUITY IN EARNINGS OF JOINT VENTURES 9,252,777. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTED REVENUE PRESENTED NET OF EXPENSE 138,204,587. PROGRAM SERVICE REVENUE PRESENTED NET OF EXPENSE 27,623,924. BAD DEBT EXPENSE 9,095,904. FASB TO GASB CONVERSION 418,219. PART XII, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTED REVENUE PRESENTED NET OF EXPENSE 138,204,587. PROGRAM SERVICE REVENUE PRESENTED NET OF EXPENSE 27,624,272. BAD DEBT EXPENSE 9,095,904. FASB TO GASB CONVERSION 418,219. 1 ACCESS COMMUNITY HEALTH CENTER 2202 PARK STREET MADISON WI 53713 391391134 501(C)(3) 755217 0 SUPPORT FUNCTIONS OF THE ORGANIZATION AMERICAN HEART ASSOCIATION INC 2850 DAIRY DRIVE STE 300 MADISON WI 53718 135613797 501(C)(3) 6000 0 SUPPORT FUNCTIONS OF THE ORGANIZATION JUVENILE DIABETES RESEARCH FOUNDATION 434 S YELLOWSTONE DRIVE STE 201 MADISON WI 53719 231907729 501(C)(3) 9500 0 SUPPORT FUNCTIONS OF THE ORGANIZATION ORTHOPAEDIC RESEARCH AND EDUCATION FOUNDATION 6300 N RIVER ROAD STE 700 ROSEMONT IL 60019 366009467 501(C)(3) 33000 0 SUPPORT FUNCTIONS OF THE ORGANIZATION UNIVERSITY HEALTH CARE INC 301 S WESTFIELD ROAD STE 250 MADISON WI 53717 391446049 501(C)(3) 1726938 0 SUPPORT FOR CONTRACT MANAGEMENT UNIVERSITY OF WISCONSIN FOUNDATION 1848 UNIVERSITY AVENUE MADISON WI 53708 390743975 501(C)(3) 56094852 0 RESEARCH SUPPORT UW HOUSE STAFF ASSOCIATION PO BOX 45373 MADISON WI 53744 540162532 501(C)(3) 11500 0 SUPPORT FUNCTIONS OF THE ORGANIZATION UW SCHOOL OF MEDICINE AND PUBLIC HEALTH 750 HIGHLAND AVENUE MADISON WI 53705 396006492 STATE OF WISCONSIN 36122480 0 SUPPORT FUNCTIONS OF THE MEDICAL SCHOOL WISCONSIN WOMEN'S HEALTH FOUNDATION 2503 TODD DRIVE MADISON WI 53713 391900678 501(C)(3) 7500 0 SUPPORT FUNCTIONS OF THE ORGANIZATION AMERICAN LIVER FOUNDATION 1845 N FARWELL AVENUE STE 312 MILWAUKEE WI 53202 362883000 501(C)(3) 7250 0 SUPPORT FUNCTIONS OF THE ORGANIZATION ARNOLD P GOLD FOUNDATION 619 E PALISADE AVENUE ENGLEWOOD CLIFFS NJ 07632 223052098 501(C)(3) 7000 0 SUPPORT FUNCTIONS OF THE ORGANIZATION CHILDRENS THEATER OF MADISON 228 STATE STREET MADISON WI 53703 391579813 501(C)(3) 5134 0 SUPPORT FUNCTIONS OF THE ORGANIZATION RAINBOW PROJECT 831 E WASHINGTON AVENUE MADISON WI 53703 391422626 501(C)(3) 6500 0 SUPPORT FUNCTIONS OF THE ORGANIZATION 13 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 SANDRA KAMNETZ MD DIRECTOR 202108 110930 0 0 0 0 50527 0 84 0 252719 110930 0 0 STEPHEN NAKADA MD DIRECTOR 659311 223458 0 0 0 0 55000 0 1457 0 715768 223458 0 0 RICHARD PAGE MD DIRECTOR (UNTIL 9/30/18) 448063 128400 0 0 0 0 55000 0 1093 0 504156 128400 0 0 J CARTER RALPHE MD DIRECTOR 220016 114590 0 0 0 0 43871 0 84 0 263971 114590 0 0 LAUREL RICE MD DIRECTOR 544634 173349 0 0 0 0 55000 0 1457 0 601091 173349 0 0 DEBORAH RUSY MD MBA DIRECTOR 371603 76031 0 0 0 0 55000 0 84 0 426687 76031 0 0 ELIZABETH TROWBRIDGE MD DIRECTOR 207563 130913 0 0 2322 0 52011 0 1323 0 263219 130913 0 0 TERRY YOUNG MD MBA DIRECTOR 445228 188580 0 0 0 0 55000 0 1457 0 501685 188580 0 0 THOMAS ZDEBLICK MD DIRECTOR (AS OF 10/1/18) 788909 186895 0 0 0 0 55000 0 567 0 844476 186895 0 0 ALAN KAPLAN MD CHAIRMAN OF THE BOARD 0 1233433 0 419370 0 6491 0 21725 0 33978 0 1714997 0 0 NIZAR JARJOUR MD PRESIDENT 375581 294178 0 0 0 0 55000 0 84 0 430665 294178 0 0 ROBERT FLANNERY CAO 644971 0 152431 0 6109 0 35856 0 33362 0 872729 0 0 0 KELSIE DOTY CAO 196728 0 38061 0 2441 0 29909 0 22121 0 289260 0 0 0 THERESA HOTTENROTH SECRETARY 193795 0 0 0 3680 0 23952 0 21434 0 242861 0 0 0 JODI VITELLO TREASURER 0 265010 0 50632 0 1371 0 21310 0 26840 0 365163 0 0 PETER NEWCOMER MEDICAL DIRECTOR 664760 109130 0 0 0 0 55000 0 3857 0 723617 109130 0 0 GEOFFREY S BAER MD PHD PHYSICIAN 1388725 61666 0 0 0 0 55000 0 84 0 1443809 61666 0 0 MUSTAFA BASKAYA MD PHYSICIAN 1106070 83556 0 0 0 0 55000 0 84 0 1161154 83556 0 0 SAMUEL POORE PHYSICIAN 1091527 51937 0 0 0 0 55000 0 84 0 1146611 51937 0 0 DAVID NIEMANN MD PHYSICIAN 1046222 57194 0 0 0 0 55000 0 84 0 1101306 57194 0 0 NILTO C DE OLIVEIRA MD PHYSICIAN 1209953 36545 0 0 0 0 55000 0 84 0 1265037 36545 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 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION PROVIDES CERTAIN EXECUTIVES DISCLOSED ON FORM 990, PART VII AND SCHEDULE J, PART III A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. AMOUNTS ARE CREDITED TO EACH PARTICIPANTS' ACCOUNTS EACH YEAR. PLAN AMOUNTS ARE SUBJECT TO FORFEITURE OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE PLAN AGREEMENT. NO AMOUNTS BECAME VESTED OR WERE PAID IN CALENDAR YEAR 2018. 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 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. UPON COMPLETION, THE PROGRAM DIRECTOR OF FINANCIAL REPORTING REVIEWS THE RETURN AND WORKPAPERS. ONCE THAT IS COMPLETE, THE RETURN IS THEN FORWARDED TO THE SR. VP/CFO AND VP OF FINANCE FOR REVIEW. WHEN ALL REVIEWERS HAVE DETERMINED THAT FORM 990 IS COMPLETE AND ACCURATE, THE RETURN IS PROVIDED TO THE MEMBERS OF THE BOARD OF DIRECTORS. AFTER THEY HAVE HAD TIME TO REVIEW, 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: REVENUE FROM UNCONSOLIDATED ENTITIES 9,252,777. 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 301 SOUTH WESTFIELD ROAD SUITE 320 MADISON WI 53717 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 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 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 600 HIGHLAND AVENUE MADISON WI 53792 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 UNITY HEALTH PLANS INSURANCE 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 PHYSICIANS PLUS 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 1769864 FMV MADISON SURGERY CENTER P 417266 FMV MADISON SURGERY CENTER O 6924775 FMV MADISON SURGERY CENTER L 892849 FMV MADISON SURGERY CENTER L 918316 FMV MADISON SURGERY CENTER C 3900000 FMV MADISON SURGERY CENTER A 1657038 FMV