2018-08-08T10:58:04-05:00 2017-12-31 420714325 RSM US LLP PO BOX 5946 MADISON WI 537050946 990 2017-01-01 396045649 WISCONSIN MEDICAL SOCIETY FOUNDATION INC WISC 6084423800 PO BOX 1109 MADISON WI 53701 EILEEN WILSON EXECUTIVE DIRECTOR 6084423800 2018-08-02 1 JAMES G GRAHAM P00006111 6088332612 2017 2022-09-23 18:48:47Z EILEEN WILSON PO BOX 1109 MADISON WI 53701 2501070 0 X WWW.WISCONSINMEDICALSOCIETY.ORG X 1955 WI TO ADVANCE THE HEALTH OF THE PEOPLE OF WISCONSIN BY SUPPORTING MEDICAL AND HEALTH EDUCATION. 18 18 0 75 0 0 511557 584046 111618 74594 211328 334783 -38662 -34321 795841 959102 372468 290040 0 0 179162 184194 0 0 72850 217160 137949 768790 612183 27051 346919 12453602 13648653 1649703 1762202 10803899 11886451 X TO ADVANCE THE HEALTH OF THE PEOPLE OF WISCONSIN BY SUPPORTING MEDICAL AND HEALTH EDUCATION. 0 0 208509 135500 74594 MEDICAL EDUCATION:- STUDENT LOAN & SCHOLARSHIP PROGRAMALL STUDENT LOANS ARE AWARDED TO STUDENTS ATTENDING THE MEDICAL COLLEGE OF WISCONSIN OR THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH. STUDENT LOANS TOTALING $400,000 WERE AWARDED IN 2017 TO 80 STUDENTS. THESE LOANS ARE INTEREST-FREE WHILE THE STUDENT IS IN SCHOOL AND OFFER GENEROUS DEFERRAL AND REPAYMENT TERMS. SCHOLARSHIP APPLICATIONS ARE REVIEWED BY A SCHOLARSHIP COMMITTEE THAT DETERMINES RECIPIENTS AND THE AMOUNT OF EACH AWARD. TOTAL SCHOLARSHIP AWARDS OF $135,500 ASSISTED 55 RECIPIENTS IN 2017.- MENTORINGTHE FOUNDATION OFFERS TWO MENTORING PROGRAMS. THROUGH THE WHITE COAT CAMPAIGN, THE FOUNDATION PROVIDES A WHITE COAT FOR EACH FIRST-YEAR MEDICAL STUDENT ATTENDING SCHOOL IN WISCONSIN ALONG WITH A LETTER OF WELCOME AND ENCOURAGEMENT FROM A DONOR PHYSICIAN. THE FOUNDATION ALSO OFFERS OPERATION: EDUCATION, A FUN AND EDUCATIONAL PROGRAM HELD AT BOTH MEDICAL SCHOOLS. THIS BRINGS TOGETHER MEDICAL STUDENTS AND PHYSICIANS TO ENGAGE IN CONVERSATIONS ABOUT SPECIALTY AND PRIMARY CARE OPTIONS AVAILABLE TO THEM. THE EVENT ALSO INCLUDES A FEW MINUTES OF PLAYING THE BOARD GAME OPERATION FOR FUN AND PRIZES. 190005 154540 PUBLIC HEALTH:- GRANTS PROGRAMTHE FOUNDATION'S GRANTS PROGRAM IS ADMINISTERED THROUGH THE GRANT COMMITTEE. APPLICATIONS ARE ACCEPTED AND GRANTS ARE AWARDED FOR COMMUNITY HEALTH EDUCATION AND RESEARCH INITIATIVES. GRANT RECIPIENTS ARE REQUIRED TO REPORT BACK TO THE FOUNDATION ON RESULTS AND USE OF THE GRANT FUNDS. IN 2017, THE FOUNDATION AWARDED 13 COMMUNITY GRANTS INCLUDING 4 GRANTS FOR SCHOOL GARDEN PROGRAMS FOR A TOTAL OF $55,602.- SUMMER FELLOWSHIP PROGRAMTHE FOUNDATION'S GRANT COMMITTEE ALSO ADMINISTERS THE FOUNDATION'S SUMMER FELLOWSHIP PROGRAM THAT OFFERS MEDICAL STUDENTS OPPORTUNITIES TO GAIN VALUABLE, HANDS-ON EXPERIENCE IN COMMUNITY HEALTH EDUCATION OR RESEARCH DURING MEDICAL SCHOOL. FIVE FELLOWSHIPS WERE AWARDED TOTALING $17,500 IN 2017.- COMMUNITY HEALTH OUTREACHTHE FOUNDATION'S "PRESCRIPTION FOR A HEALTHY YOU" PROGRAM FOR YOUTH OFFERS CHILDREN A DAY OF FUN AND EDUCATIONAL ACTIVITIES THAT ENCOURAGE HEALTHY LIVING. THE PROGRAM IS NOW AVAILABLE AS A TOOLKIT AND FOUNDATION STAFF ASSIST MEDICAL, NURSING, PHARMACY AND OTHER HEALTH PROGRAM STUDENTS IN PLANNING AND LEADING ACTIVITIES IN CONJUNCTION WITH THE BOYS AND GIRLS CLUBS IN MADISON, WAUSAU AND GREEN BAY. 398514 1 1 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 10 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 18 18 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X DEBORAH MURESAN 6084423800 330 E LAKESIDE ST MADISON WI 53701 THOMAS N SHORTER JD VICE PRESIDENT-PUBLIC 1.00 X X 0 0 0 CATHERINE T COYLE RN PHD DIRECTOR 1.00 X 0 0 0 DAVID GALBIS-REIG MD VICE PRESIDENT 1.00 X X 0 0 0 THOMAS LEITNER MD JD DIRECTOR 1.00 X 0 0 0 CLAUDIA L REARDON MD PRESIDENT 1.00 X X 0 0 0 ANTHONY A RIEDER MD DIRECTOR 1.00 X 0 0 0 ASHLEY G ANDERSON MD MS DIRECTOR 1.00 X 0 0 0 CURTIS BURGESS TREASURER 1.00 X X 0 0 0 NOEL DEEP MD EX-OFFICIO MEMBER 1.00 X 0 0 0 SARAH KROLICKI DIRECTOR 1.00 X 0 0 0 SANDRA OSBORN MD DIRECTOR 1.00 X 0 0 0 RICHARD A DART MD DIRECTOR 1.00 X 0 0 0 SCOTT SANDY DIRECTOR-MEDICAL STUDENT 1.00 X 0 0 0 SUE YI DIRECTOR-MEDICAL STUDENT 1.00 X 0 0 0 MOLLI ROLLI MD EX-OFFICIO MEMBER 1.00 X 0 0 0 DIANNE APPLEBY RN BSM MBA DIRECTOR 1.00 X 0 0 0 DAVID K FALK MD DIRECTOR 1.00 X 0 0 0 JOSE A ORTIZ JR MD DIRECTOR 1.00 X 0 0 0 EILEEN WILSON EXECUTIVE DIRECTOR 40.00 X 67843 0 3088 ROBERT FOULKS CPA SECRETARY 1.00 X 0 172181 8973 CLYDE M CHUMBLEY SECRETARY 1.00 X 0 175000 17781 67843 347181 29842 0 0 1 0 0 88799 495247 584046 STUDENT LOAN INTEREST 611710 74594 74594 74594 152620 152620 1676102 1493939 182163 182163 182163 13708 88799 48029 -34321 -34321 959102 74594 0 300462 137040 137040 153000 153000 67843 11710 35726 20407 116351 50941 39259 26151 19300 19300 12654 11851 803 4245 1425 361 2459 6624 1584 3456 1584 2098 257 1086 755 25571 3707 343 21521 2549 2549 SHARED SERVICES 94639 24891 41548 28200 PRINTING AND SUPPLIES 13444 1454 1946 10044 OUTSIDE SERVICES 1839 584 -7441 8696 SOFTWARE SERVICE AGREEM 1435 1435 -46449 70 1251 -47770 612183 398514 140819 72850 2793613 2307925 5500 13770 9327 9492 2275059 2389257 5259 2565 30484 30484 0 0 7142141 8679012 10000 10000 212703 236632 12453602 13648653 23404 21254 1621992 1737079 4307 3869 1649703 1762202 X 1932218 2206372 8123811 8930084 747870 749995 10803899 11886451 12453602 13648653 X 346919 712712 22921 X X 0 1 X 1 0 X 392056 404605 502114 511558 594819 2405152 392056 404605 502114 511558 594819 2405152 818516 1586636 126630 144964 143049 181492 152620 748755 3153907 530875 0.50310 0.48390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 61850 0 0 815357 2710 81073 18633 880507 882198 2000 66034 34010 815357 917225 3000 -7624 30403 882198 886609 7255 49181 25820 917225 811129 790 92138 17448 886609 0.85170 0.14830 0 0 30484 30484 0 0 DUE TO RELATED PARTIES 3869 3869 X 1742765 712712 70951 783663 959102 0 959102 660213 48030 48030 612183 0 612183 PART V, LINE 4: THE FOUNDATION'S ENDOWMENT CONSISTS OF SIX INDIVIDUAL FUNDS, THREE OF WHICH WERE ESTABLISHED TO FUND SCHOLARSHIPS, TWO TO FUND MEDICAL RESEARCH, AND ONE TO SPONSOR MENTAL HEALTH PROGRAMS AND LECTURES, WHICH ARE ALL DONOR-RESTRICTED ENDOWMENT FUNDS. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. PART X, LINE 2: THE FOUNDATION FOLLOWS THE PROVISIONS OF THE UNCERTAINTY IN INCOME TAXES SECTION OF THE INCOME TAXES TOPIC OF THE FASB ACCOUNTING STANDARDS CODIFICATION. THESE PROVISIONS ADDRESS THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. THE FOUNDATION 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 INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF THE ENTITY AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). UBIT IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 48,030. CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 22,921. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 48,030. PART III, LINE 4: THE ARTWORK WAS DONATED TO THE ORGANIZATION. THEY HAVE HOPES OF SELLING THE ARTWORK AT SOME POINT, BUT ARE HOLDING IT FOR THE TIME BEING. ANNUAL FUNDRAISER (ROAST) 102507 88799 13708 10773 21521 15735 102507 88799 13708 10773 21521 15735 48029 -34321 1 WISCONSIN MEDICAL SOCIETY INC 330 E LAKESIDE ST MADISON WI 53715 390634758 501(C)(6) 87132 PHYSICIAN EDUCATION PUBLIC SAFETY PUBLIC HEALTH CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION PO BOX 1997 MS 3050 MILWAUKEE WI 53201 391500075 501(C)(3) 10000 PUBLIC HEALTH ASPIRUS INC 425 PINE RIDGE BLVD STE 300B WAUSAU WI 54455 391328331 501(C)(3) 6000 PUBLIC HEALTH 2 1 AMY HUNTER-WILSON, MD SCHOLARSHIP 2 3500 VICTOR BAYLON, MD SCHOLARSHIP 2 3500 EDMUND J. & ESTELLE D. WALKER SCHOLARSHIP 43 105500 ROBERT "JASON" GORE SCHOLARSHIP 1 5000 RUKMINI & JOYCE VASUDEVAN SCHOLARSHIP 1 5000 PRESIDENTIAL SCHOLAR AWARD 1 3000 CATHERINE SLOTA-VARMA, MD SCHOLARSHIP 1 2500 JOHN & VIRGINIA RIESCH SCHOLARSHIP 2 3500 JOHN H. AND WILLIAM J. HOUGHTON AWARD 2 2000 SUMMER FELLOWSHIP 5 17500 MARATHON COUNTY MEDICAL SOCIETY SCHOLARSHIP 1 2000 PART I, LINE 2: TO OBTAIN A GRANT FROM THE FOUNDATION, A DETAILED APPLICATION IS REQUIRED AND REVIEWED BY THE GRANTS COMMITTEE. IF A GRANT IS APPROVED, A FINAL DETAILED REPORT IS REQUIRED TO BE GIVEN AND PRESENTED TO THE COMMITTEE AT THE END OF THE COMPLETED PROJECT. THIS REPORT DETAILS THE PROJECT RESULTS AND SUMMARY OF EXPENSES. IF A GRANT EXTENDS OVER A FISCAL YEAR END, A PROJECT STATUS REPORT IS REQUIRED AT THE YEAR END TO THE FOUNDATION AND THEN A FINAL REPORT IS DUE AT THE PROJECT'S COMPLETION. 0 0 0 0 0 0 0 0 0 ROBERT FOULKS CPA SECRETARY 0 172181 0 0 0 0 0 5165 0 3808 0 181154 0 0 CLYDE M CHUMBLEY SECRETARY 0 175000 0 0 0 0 0 5250 0 12531 0 192781 0 0 PART I, LINE 3 THE ORGANIZATION RELIES ON WI MEDICAL SOCIETY, INC., A RELATED 501(C)(6) ORGANIZATION, TO ESTABLISH THE COMPENSATION FOR ITS EXECUTIVE DIRECTOR. WI MEDICAL SOCIETY, INC. USES A COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR EXECUTIVE COMMITTEE, AS ITS METHODS FOR ESTABLISHING THE COMPENSATION FOR ITS EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION A, LINE 2 TRUSTEE JOHN D. REISCH, MD AND TRUSTEE CATHERINE T. COYLE, RN, PHD HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES REVIEWS THE FORM 990 PRIOR TO THE FILING OF THE FORM. THIS IS TYPICALLY DONE AT A MEETING OF THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THE TRUSTEES, OFFICERS, AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST STATEMENT AT THE BEGINNING OF THEIR TENURE. THE CONFLICT OF INTEREST STATEMENT IMPOSES AN ONGOING OBLIGATION ON THE REPORTING INDIVIDUAL TO UPDATE THE CONFLICT OF INTEREST STATEMENT WHEN CIRCUMSTANCES CHANGE. THE ORGANIZATION REQUIRES ALL TRUSTEES, OFFICERS, AND KEY EMPLOYEES TO REVIEW AND UPDATE THE CONFLICT OF INTEREST STATEMENT ANNUALLY. THE CONFLICT OF INTEREST STATEMENT IDENTIFIES PARTNERSHIPS, AFFILIATIONS AND OTHER RELATIONSHIPS WITH HOSPITALS AND OTHER ORGANIZATIONS AND THE POSITION THAT THE REPORTING INDIVIDUAL HOLDS IN EACH ORGANIZATION OR VENTURE. THE CONFLICT OF INTEREST STATEMENT ALSO REQUIRES A LISTING OF PROFESSIONAL MEMBERSHIPS. THE OFFICE OF THE ORGANIZATION'S EXECUTIVE DIRECTOR RECEIVES, REVIEWS AND MAINTAINS THE CONFLICT OF INTEREST STATEMENT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES REPORTING INDIVIDUALS TO PROMPTLY DISCLOSE ANY CONFLICT OF INTEREST THAT MIGHT ARISE AND TAKE STEPS TO PREVENT THE CONFLICT OF INTEREST FROM AFFECTING ORGANIZATION'S DECISIONS OR ACTIVITIES BY REFRAINING FROM VOTING ON THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION'S HUMAN RESOURCES (HR) DIRECTOR CONSULTS VARIOUS SALARY SURVEYS TO DETERMINE THE CURRENT MARKET PAY RATE FOR THE EXECUTIVE DIRECTOR. THE HR DIRECTOR CONSULTS WITH THE CEO REGARDING ANNUAL COMPENSATION FOR THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL HONOR ANY REQUESTS BY MEMBERS OF THE PUBLIC FOR INSPECTION OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS. THE INSPECTION WOULD OCCUR AT THE ORGANIZATION'S PRIMARY PLACE OF BUSINESS. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 22,921. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR WISCONSIN MEDICAL SOCIETY INC PO BOX 1109 MADISON WI 53701 390634758 TO SUPPORT & STRENGTHEN PHYSICIANS' ABILITY TO PRACTICE HIGH QUALITY CARE WI 501(C)(6) 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 WISCONSIN MEDICAL SOCIETY INC P 94639 SEE PART VII WISCONSIN MEDICAL SOCIETY INC O 147673 SEE PART VII WISCONSIN MEDICAL SOCIETY INC B 80438 SEE PART VII SCHEDULE R; PART V; LINE 2(D) THESE WERE THE EXPENSES CHARGED FROM WISCONSIN MEDICAL SOCIETY, INC TO THE FOUNDATION.