2018-05-15T10:19:48-05:00 2017-06-30 420714325 RSM US LLP 1 S WACKER DRIVE CHICAGO IL 60606 990 2016-07-01 391824445 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC UNIV 6082657131 7974 UW HEALTH COURT MIDDLETON WI 53562 ROBERT W FLANNERY SVP/CFO 6082657131 2018-05-14 1 WAYNE HARDER P00294296 3126343400 2016 2022-09-23 18:48:47Z ALAN KAPLAN MD 7974 UW HEALTH COURT MIDDLETON WI 53562 862166301 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 5037 4 5819423 0 78422871 96330345 736537759 756188951 1090241 6709217 2920609 2927152 818971480 862155665 162984767 64756105 0 0 499078221 540735903 0 0 0 219769633 243417867 881832621 848909875 -62861141 13245790 529863634 566190196 255537577 262903667 274326057 303286529 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 114994731 34887925 FUNDING ALLOCATED TO PROVIDE MEDICAL EDUCATION FOR THE BENEFIT OF, AND IN SUPPORT OF, THE PURPOSE OF THE UW MEDICAL SCHOOL AND PUBLIC HEALTH. 18842093 18042093 FUNDING ALLOCATED TO PROVIDE MEDICAL RESEARCH FOR THE BENEFIT OF, AND IN SUPPORT OF, THE PURPOSE OF THE UW MEDICAL SCHOOL AND PUBLIC HEALTH. 693733711 11009644 756188951 FUNDING ALLOCATED TO PROVIDE HEALTHCARE FOR THE BENEFIT OF, AND IN SUPPORT OF, THE PURPOSE OF THE UW MEDICAL SCHOOL AND PUBLIC HEALTH. 816433 816443 OTHER PROGRAM REVENUE AND EXPENSES ALLOCATED TO PROVIDE MEDICAL EDUCATION FOR THE BENEFIT OF AND IN SUPPORT OF THE PURPOSE OF THE UW MEDICAL SCHOOL AND PUBLIC HEALTH. 816433 816443 828386968 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 1 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 0 0 0 1 312 0 1 5037 1 1 1 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 CAO 6082657131 7974 UW HEALTH COURT MIDDLETON WI 53562 JENNIFER ALEXANDER DIRECTOR 1.00 X 0 0 0 RONALD ANDERSON DIRECTOR 1.00 X 0 0 0 PATRICIA BRADY DIRECTOR 1.00 X 0 0 0 FREDERICK WENZEL DIRECTOR 1.00 X 0 0 0 JON MATSUMURA MD DIRECTOR 1.00 39.00 X 578008 98301 56462 STEPHEN NAKADA MD DIRECTOR 1.00 39.00 X 491526 198191 54462 RICHARD PAGE MD DIRECTOR 1.00 39.00 X 464567 220527 55262 J CARTER RALPHE MD DIRECTOR(AS OF 01/2017) 1.00 39.00 X 214598 120496 42878 LAUREL RICE MD DIRECTOR 1.00 39.00 X 494538 172185 54463 DEBORAH RUSY MD MBA DIRECTOR(AS OF 01/2017) 1.00 39.00 X 343526 69869 53090 ELIZABETH TROWBRIDGE MD DIRECTOR(AS OF 01/2017) 1.00 39.00 X 206692 108709 52595 TERRY YOUNG MD MBA DIRECTOR 1.00 39.00 X 388085 182694 54462 ALAN KAPLAN MD UWH CEO 40.00 0.00 X X 0 860742 39691 NIZAR JARJOUR MD PRESIDENT OF FOUNDATION 39.00 1.00 X X 277199 211282 106514 ROBERT FLANNERY SVP & CFO 40.00 X X 647067 0 88578 BEN GRAF MD DIRECTOR(UNTIL 12/2016) 1.00 39.00 X 317661 70275 39825 WILLIAM SCHWAB DIRECTOR(UNTIL 12/2016) 1.00 39.00 X 152170 96037 41257 THERESA HOTTENROTH CORPORATE COUNSEL 40.00 X 187765 0 42942 KELSIE DOTY VP/PRACTICE PLAN 40.00 X 172300 0 37987 PETER NEWCOMER MEDICAL DIRECTOR 1.00 39.00 X 394891 85985 106326 JONATHAN JAFFERY MD MEDICAL DIRECTOR 1.00 39.00 X 226281 119528 53090 GEOFFREY S BAER MD PHD PHYSICIAN 39.00 1.00 X 1177093 58248 53090 PATRICIA SAAB MD PHYSICIAN 39.00 1.00 X 1016958 70244 53090 MUSTAFA BASKAYA MD PHYSICIAN 39.00 1.00 X 952735 64808 53090 KENNETH J NOONAN MD PHYSICIAN 39.00 1.00 X 906652 57081 90 MICHAEL ALTAWEEL MD PHYSICIAN 39.00 1.00 X 893566 86327 54462 PETER CHRISTMAN COO (UNTIL 10/2015) 0.00 X 591370 0 21447 11095248 2951529 1215153 1265 1 1 0 JP CULLEN & SONS INC PO BOX 5957 JANESVILLE WI 53547 CONSTRUCTION MANAGEMENT 8133424 BUILDERS SUPPLY CORPORATION PO BOX 5957 JANESVILLE WI 53547 CONSTRUCTION MANAGEMENT 4140128 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 HEALTH RECORD CONSULTING 1904171 ENVIRONMENT CONTROL OF WISCONSIN INC 2902 AGRICULTURE DR MADISON WI 53718 CUSTODIAL SERVICES 922000 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 LOCUM PHYSICIANS 901748 144 96330345 96330345 PATIENT SERVICES 621111 511047370 511047370 PREMIUM REVENUE 900099 208082790 208082790 37058791 31247263 5811528 756188951 3666804 3666804 2653929 10636 2643293 2643293 7895 2635398 3042413 0 3042413 3042413 3042413 283859 283859 283859 862155665 750377423 5819423 9628474 64756105 64756105 5087042 3458739 1628303 469702767 452529873 17172894 12780944 12780944 32003427 32003427 21161723 21161723 30835860 30236243 599617 278028 278028 149775 149775 181856 181856 1227931 1227931 4911932 4911932 4465119 4465119 21364317 21364317 494788 494788 6175522 6175522 512434 512434 7900678 7900678 1240838 1240838 REIMB. OF MED SCHOOL EX 99706438 99706438 DRUGS AND PATIENT CARE 39443891 39443891 BAD DEBT EXPENSE 7591670 7591670 16936790 16936790 848909875 828386968 20522907 0 149442752 145270621 67292866 73020990 5287274 4629490 24460108 33993491 179099412 92129806 66149098 86969606 164134844 176387218 52994212 45821508 102480 97272 0 0 529863634 566190196 204119215 204694933 36960000 34175000 14458362 24033734 255537577 262903667 X 274326057 303286529 274326057 303286529 529863634 566190196 X 13245790 12795862 2918820 X 0 1 X 1 0 X 48104050 54241924 57193313 78422871 96330345 334292503 622980230 658892013 700536394 713369590 750377423 3446155650 671084280 713133937 757729707 791792461 846707768 3780448153 0 0 0 3780448153 7894444 10221619 6735997 6358434 6320733 37531227 7894444 10221619 6735997 6358434 6320733 37531227 98351 337265 435616 224253 181069 138579 266645 283859 1094405 679301328 723873890 764604283 798417540 853312360 3819509401 0.98980 0.98830 0.00980 0.01110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 99706 1 82151 0 0 181857 0 PART II-B, LINE 1: AMOUNTS IN SUPPORT OF LOBBYING ARE FOR VENN STRATEGIES, LLC OF $82,151. DUES WERE PAID TO STATE AND NATIONAL MEDICAL SOCIETIES TOTALING $99,706. 9636801 9636801 94988827 37137253 57851574 11571379 7226741 4344638 61919856 47765812 14154044 982549 982549 86969606 WISCONSIN SLEEP, INC. 1513635 C GENERATIONS FERTILITY CARE, INC. 217057 C MADISON SURGERY CENTER 4310145 C MERITER PHYSICIAN CONTRACTING 24844 C WISCONSIN DIALYSIS, INC. 1425423 C TRANSFORMATION SURGERY CENTER, INC. 1161062 C UNIVERSITY HEALTH CARE, INC. 32397046 C CHARTWELL WISCONSIN ENTERPRISES, LLC 4639311 C UW HEALTH ACCOUNTABLE CARE ORG. 132985 C 45821508 DUE TO MED. SCHOOL DEV. FUND 4885660 DUE TO RESEARCH & DEV. FUND 148074 DUE TO CARBONE CANCER CENTER 4000000 DUE TO UW SCHOOL OF MEDICINE AND PUBLIC HEALTH 15000000 24033734 X 744379829 12795862 -4824670 7971192 736408637 125747028 125747028 862155665 715419357 0 715419357 133490518 133490518 848909875 PART X, LINE 2: THE MAJORITY OF THE ENTITIES WITHIN UW HEALTH ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -7,591,670. EQUITY IN EARNINGS OF JOINT VENTURES 2,767,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTED REVENUE PRESENTED NET OF EXPENSE 96,330,345. PROGRAM SERVICE REVENUE PRESENTED NET OF EXPENSE 29,416,683. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF BAD DEBT EXPENSES 7,591,670. FASB TO GASB CONVERSION 151,819. CONTRIBUTED REVENUE PRESENTED NET OF EXPENSE 96,330,346. PROGRAM SERVICE REVENUE PRESENTED NET OF EXPENSE 29,416,683. 1 ACCESS COMMUNITY HEALTH CENTER 2202 PARK STREET MADISON WI 53713 391391134 501(C)(3) 721016 SUPPORT FUNCTIONS OF THE ORGANIZATION AMERICAN FAMILY CHILDREN'S HOSPITAL 600 HIGHLAND AVENUE MADISON WI 53792 391835630 501(C)(3) 17375 SUPPORT FUNCTIONS OF THE ORGANIZATION AMERICAN HEART ASSOCIATION INC 2850 DAIRY DRIVE STE 300 MADISON WI 53718 135613797 501(C)(3) 10000 SUPPORT FUNCTIONS OF THE ORGANIZATION AMERICAN LIVER FOUNDATION 39 BROADWAY STE 2700 NEW YORK NY 10006 362883000 501(C)(3) 5600 SUPPORT FUNCTIONS OF THE ORGANIZATION FRIENDS OF THE UW HOSPITALS AND CLINICS 301 S WESTFIELD ROAD STE 250 MADISON WI 53717 510137187 501(C)(3) 11500 SUPPORT FUNCTIONS OF THE ORGANIZATION JUVENILE DIABETES RESEARCH FOUNDATION 434 S YELLOWSTONE DRIVE STE 201 MADISON WI 53719 231907729 501(C)(3) 7450 SUPPORT FUNCTIONS OF THE ORGANIZATION NATIONAL ALLIANCE ON MENTAL ILLNESS 3803 N FAIRFAX DRIVE STE 100 ARLINGTON VA 22203 431201653 501(C)(3) 10000 SUPPORT FUNCTIONS OF THE ORGANIZATION ORTHOPAEDIC RESEARCH AND EDUCATION FOUNDATION 6300 N RIVER ROAD STE 700 ROSEMONT IL 60019 366009467 501(C)(3) 29000 SUPPORT FUNCTIONS OF THE ORGANIZATION PERINATAL RESEARCH SOCIETY 13243 E 23RD AVENUE AURORA CO 80045 237122446 501(C)(3) 10000 SUPPORT FUNCTIONS OF THE ORGANIZATION RAPE CRISIS CENTER 2801 COHO ST NO 301 MADISON WI 53713 237329215 501(C)(3) 5000 SUPPORT FUNCTIONS OF THE ORGANIZATION UNIVERSITY OF UTAH 332 SOUTH 1400 EAST STE 150 SALT LAKE CITY UT 84112 876000525 501(C)(3) 5000 SUPPORT FUNCTIONS OF THE ORGANIZATION THE UNIVERSITY OF WISCONSIN CARBONE CANCER CENTER 600 HIGHLAND AVENUE MADISON WI 53792 391805963 501(C)(3) 8000 SUPPORT FUNCTIONS OF THE CANCER CENTER UNIVERSITY OF WISCONSIN FOUNDATION 1848 UNIVERSITY AVENUE MADISON WI 53708 390743975 501(C)(3) 18883593 RESEARCH SUPPORT UW HOUSE STAFF ASSOCIATION PO BOX 45373 MADISON WI 53744 540162532 501(C)(3) 9500 SUPPORT FUNCTIONS OF THE ORGANIZATION UW SCHOOL OF MEDICINE AND PUBLIC HEALTH 750 HIGHLAND AVENUE MADISON WI 53705 396006492 STATE OF WISCONSIN 34887925 SUPPORT FUNCTIONS OF THE MEDICAL SCHOOL WISCONSIN WOMEN'S HEALTH FOUNDATION 2503 TODD DRIVE MADISON WI 53713 391900678 501(C)(3) 8500 SUPPORT FUNCTIONS OF THE ORGANIZATION WISCONSIN ALLIANCE FOR WOMEN'S HEALTH PO BOX 1726 MADISON WI 53701 800287566 501(C)(3) 5000 SUPPORT FUNCTIONS OF THE ORGANIZATION UNIVERSITY HEALTH CARE INC 301 S WESTFIELD ROAD STE 250 MADISON WI 53717 391446049 501(C)(3) 6811302 SUPPORT FOR CONTRACT MANAGEMENT 17 1 PART I, LINE 2: THE GRANT SCHEDULE FOR UW SCHOOL OF MEDICINE IS BASED ON A 3 YEAR AGREEMENT AT A FIXED AMOUNT. UWMF MAKES A CONTRIBUTION TO UW FOUNDATION FOR R&D OF 2.5% OF PROFESSIONAL REVENUES WHICH IS PART OF ITS BYLAWS. UNIVERSITY HEALTHCARE INC. SUPPORT IS BASED ON THEIR ANNUAL BUDGET. A MONTHLY RECONCILIATION IS PERFORMED BY REVIEWING THE PROFESSIONAL REVENUES AND PERFORMING THE CALCULATION FOR R&D. THE DISCREPANCIES ARE GIVEN TO THE DEPARTMENTS FOR REVIEW AND FUNDS ARE ADJUSTED ON THE FOLLOWING MONTH'S TRANSFER. THE FIXED AMOUNTS ARE REVIEWED MONTHLY TO CONFIRM TRANSFERS TO CONTRACTS AND BUDGET. ANY DISCREPANCIES ARE ADJUSTED IN THE FOLLOWING MONTH. X 1 1 X X X 1 1 0 0 0 0 0 0 0 JON MATSUMURA MD DIRECTOR 578008 98301 0 0 0 0 53000 0 3462 0 634470 98301 0 0 STEPHEN NAKADA MD DIRECTOR 491526 198191 0 0 0 0 53000 0 1462 0 545988 198191 0 0 RICHARD PAGE MD DIRECTOR 464567 220527 0 0 0 0 53000 0 2262 0 519829 220527 0 0 J CARTER RALPHE MD DIRECTOR(AS OF 01/2017) 214598 120496 0 0 0 0 42788 0 90 0 257476 120496 0 0 LAUREL RICE MD DIRECTOR 494538 172185 0 0 0 0 53000 0 1463 0 549001 172185 0 0 DEBORAH RUSY MD MBA DIRECTOR(AS OF 01/2017) 343526 69869 0 0 0 0 53000 0 90 0 396616 69869 0 0 ELIZABETH TROWBRIDGE MD DIRECTOR(AS OF 01/2017) 204370 108709 0 0 2322 0 51213 0 1382 0 259287 108709 0 0 TERRY YOUNG MD MBA DIRECTOR 388085 182694 0 0 0 0 53000 0 1462 0 442547 182694 0 0 ALAN KAPLAN MD UWH CEO 0 779012 0 65625 0 16105 0 20670 0 19021 0 900433 0 0 NIZAR JARJOUR MD PRESIDENT OF FOUNDATION 277199 211282 0 0 0 0 106424 0 90 0 383713 211282 0 0 ROBERT FLANNERY SVP & CFO 590225 0 50625 0 6217 0 63247 0 25331 0 735645 0 0 0 BEN GRAF MD DIRECTOR(UNTIL 12/2016) 317661 70275 0 0 0 0 39750 0 75 0 357486 70275 0 0 WILLIAM SCHWAB DIRECTOR(UNTIL 12/2016) 152170 96037 0 0 0 0 38667 0 2590 0 193427 96037 0 0 THERESA HOTTENROTH CORPORATE COUNSEL 176502 0 5420 0 5843 0 22558 0 20384 0 230707 0 0 0 KELSIE DOTY VP/PRACTICE PLAN 164788 0 7157 0 355 0 20591 0 17396 0 210287 0 0 0 PETER NEWCOMER MEDICAL DIRECTOR 394891 85985 0 0 0 0 102314 0 4012 0 501217 85985 0 0 JONATHAN JAFFERY MD MEDICAL DIRECTOR 226281 119528 0 0 0 0 53000 0 90 0 279371 119528 0 0 GEOFFREY S BAER MD PHD PHYSICIAN 1177093 58248 0 0 0 0 53000 0 90 0 1230183 58248 0 0 PATRICIA SAAB MD PHYSICIAN 1016958 70244 0 0 0 0 53000 0 90 0 1070048 70244 0 0 MUSTAFA BASKAYA MD PHYSICIAN 952735 64808 0 0 0 0 53000 0 90 0 1005825 64808 0 0 KENNETH J NOONAN MD PHYSICIAN 906652 57081 0 0 0 0 0 0 90 0 906742 57081 0 0 MICHAEL ALTAWEEL MD PHYSICIAN 893566 86327 0 0 0 0 53000 0 1462 0 948028 86327 0 0 PETER CHRISTMAN COO (UNTIL 10/2015) 591370 0 0 0 0 0 0 0 21447 0 612817 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, LINES 4A-B PER THE TERMS OF SEVERANCE AGREEMENT BETWEEN THE ORGANIZATION AND PETER CHRISTMAN HE RECIEVED A SEVERANCE PAYMENT THAT WAS TREATED AS TAXABLE AND INCLUDED ON SCHEDULE J, PART II, COLUMN (B)(III). 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 2016. 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 CHIEF ADMINISTRATIVE OFFICER 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 2,767,011. FASB TO GASB CONVERSION 151,809. UNIVERSITY OF WI HOSPITAL AND CLINICS AUTHORITY 600 HIGHLAND AVENUE MADISON WI 53792 391835630 HOSPITAL AND CLINICS WI 501(C)(3) LINE 6 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 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 0 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 0 SWEDISHAMERICAN FOUNDATION 1415 EAST STATE STREET ROCKFORD IL 61104 363097493 SUPPORTS FUNDRAISING FOR SWEDISHAMERICAN HOSPITAL IL 501(C)(3) LINE 7 SWEDISHAMERICAN HOSPITAL 0 SWEDISHAMERICAN REALTY CORPORATION 1313 EAST STATE STREET ROCKFORD IL 61104 363248013 TITLE HOLDING COMPANY IL 501(C)(2) SWEDISHAMERICAN HEALTH SYSTEM CORPORATION 0 SWEDISHAMERICAN HOSPITAL SELF INSURANCE TRUST 1401 EAST STATE STREET ROCKFORD IL 61104 366652702 HOSPITAL MALPRACTICE TRUST VT 501(C)(3) LINE 12A SWEDISHAMERICAN HOSPITAL 0 WISCONSIN THERAPIES INC 600 HIGHLAND AVENUE MADISON WI 53792 391807425 INFUSION THERAPY WI 501(C)(3) LINE 12D UNIVERSITY OF WI HOSPITAL AND CLINICS AUTHORITY 0 GENERATIONS FERTILITY CARE 2365 DEMING WAY MIDDLETON WI 53562 273496527 REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY SERVICES WI 501(C)(3) LINE 10 N/A 0 WISCONSIN DIALYSIS 3034 FISH HATCHERY ROAD FITCHBURG WI 53713 300072647 DIALYSIS SERVICES WI 501(C)(3) LINE 12C N/A 0 MADISON SURGERY CENTER 7974 UW HEALTH COURT MIDDLETON WI 53562 391940656 HEALTH CARE SERVICES AND TRAINING WI 501(C)(3) LINE 10 N/A 0 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 0 SWEDISHAMERICAN HOSPITAL 1401 EAST STATE STREET ROCKFORD IL 61104 362222696 HOSPITAL IL 501(C)(3) LINE 3 SWEDISHAMERICAN HEALTH SYSTEM CORPORATION 0 GUNDERSEN HEALTH PLAN INC 3190 GUNDERSEN DRIVE ONALASKA WI 54650 391807071 HEALTH MAINTENANCE ORGANIZATION WI 501(C)(4) UNIVERSITY HEALTH CARE 0 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 0 LSG BUILDING CORPORATION 1313 EAST STATE STREET ROCKFORD IL 61104 363033985 REAL ESTATE IL SAHS CORPORATION S 0 STATE & CHARLES INC 1313 EAST STATE STREET ROCKFORD IL 61104 363321193 HOLDING COMPANY IL SAHS CORPORATION C 0 SWEDISHAMERICAN HEALTH MANAGEMENT CORP 1401 EAST STATE STREET ROCKFORD IL 61104 363246511 MANAGEMENT SERVICES IL STATE & CHARLES INC C 0 UNITY HEALTH INSURANCE 840 CAROLINA STREET SAUK CITY WI 53583 391450766 HEALTH MAINTENANCE ORGANIZATION WI UNIVERSITY HEALTH CARE INC C 0 HEALTH PROFESSIONALS OF WISCONSIN 301 SOUTH WESTFIELD ROAD MADISON WI 53717 391806711 REAL ESTATE WI UNIVERSITY HEALTH CARE INC C 0 PHYSICIAN'S CARE NETWORK 1313 EAST STATE STREET ROCKFORD IL 61104 363455791 HEALTH SERVICES IL STATE & CHARLES INC C 0 QUARTZ HEALTH SOLUTIONS 840 CAROLINA STREET SAUK CITY WI 53583 465710709 INSURANCE WI UNIVERSITY HEALTH CARE INC C 0 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 0 MADISON MEDICAL CENTER LLP K 774511 FMV MADISON MEDICAL CENTER LLP L 47665 FMV