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REGIONAL DIVISION INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
REGIONAL DIVISION INC (EIN 39-1446049)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-15
IRS object ID
201711359349306581
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-15T13:08:16-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S WACKER DRIVE STE 800AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391446049EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REGIONAL DIVISION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlREGIBusinessNameControlTxt
Phone6082637923PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 S WESTFIELD ROADAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53717ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL DALLMANPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6082637923PhoneNum
Signature2017-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWAYNE HARDERPreparerPersonNm
PTINP00294296PTIN
Phone3126343400PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL E DALLMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 S WESTFIELD ROADAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53717ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,942,607GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionFURTHERING THE SERVICE, INSTRUCTION, AND RESEARCH MISSION OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS, AND THE UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$446,000,000PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$882,381PYProgramServiceRevenueAmt
CY Program Service Revenue$1,942,392CYProgramServiceRevenueAmt
PY Investment Income-$508,766PYInvestmentIncomeAmt
CY Investment Income$215CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$446,373,615PYTotalRevenueAmt
CY Total Revenue$1,942,607CYTotalRevenueAmt
PY Grants And Similar Paid$74,781,457PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$635,768PYOtherExpensesAmt
CY Other Expenses$1,690,556CYOtherExpensesAmt
PY Total Expenses$75,417,225PYTotalExpensesAmt
CY Total Expenses$1,690,556CYTotalExpensesAmt
PY Revenues Less Expenses$370,956,390PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$252,051CYRevenuesLessExpensesAmt
Total Assets BOY$447,389,883TotalAssetsBOYAmt
Total Assets EOY$448,278,451TotalAssetsEOYAmt
Total Liabilities BOY$6,887TotalLiabilitiesBOYAmt
Total Liabilities EOY$643,404TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$447,382,996NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$447,635,047NetAssetsOrFundBalancesEOYAmt
MissionFURTHERING THE SERVICE, INSTRUCTION, AND RESEARCH MISSION OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS, AND THE UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,690,556ExpenseAmt
Revenue$1,942,392RevenueAmt
DescFURTHERING THE SERVICE, INSTRUCTION, AND RESEARCH MISSION OF THE UW SCHOOL OF MEDICAL AND PUBLIC HEALTH, UW HOSPITALS AND CLINICS, 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.Desc
Total Program Service Expenses$1,690,556TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL DALLMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6082650149PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 S WESTFIELD ROAD SUITE 320AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53717ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ROBERT N GOLDEN MD
DIRECTOR2.0055.00Yes (X)$0$609,355$54,463
KENNETH MOUNT
SECRETARY2.0055.00Yes (X)$0$221,248$42,318Yes (X)
RONALD SLIWINSKI
CHAIR2.0055.00Yes (X)$0$1,070,999$41,701Yes (X)
ALAN KAPLAN
DIRECTOR (AS OF APRIL 2016)2.0055.00Yes (X)$0$0$0
ROBERT FLANNERY
DIRECTOR (AS OF NOVEMBER 2015)2.0055.00Yes (X)$0$472,819$63,383
THOMAS WALSH
DIRECTOR2.004.00Yes (X)$0$100$0
WILLIAM ROOP
DIRECTOR2.004.00Yes (X)$0$100$0
DANIEL ROSS
DIRECTOR2.004.00Yes (X)$0$100$0
PETER CHRISTMAN
DIRECTOR (LEFT OCTOBER 2015)2.0038.00Yes (X)$0$748,979$63,178
JEFFERY GROSSMAN
DIRECTOR (LEFT APRIL 2016)2.0038.00Yes (X)$0$2,705,180$91,466
ROBERT O'KEEFE
DIRECTOR2.0038.00Yes (X)$0$585,258$35,487
MICHAEL DALLMAN
PRESIDENT/CEO2.0055.00$0$438,524$39,193Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,852,662TotReportableCompRltdOrgAmt
Total Other Compensation$431,189TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ABOUTHEALTH DUES621500$954,770$954,770
SA CANCER CENTER CO-MG621500$456,016$456,016
JOHNSON CREEK CANCER C621500$313,990$313,990
BHS CANCER CENTER CO-M621500$122,616$122,616
JC AFFILIATION FEES621500$95,000$95,000
FieldValueIRS element (for citing)
Total Program Service Revenue$1,942,392TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$215TotalRevenueColumnAmt
Exclusion$215ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,942,607TotalRevenueColumnAmt
Related Or Exempt Func Income$1,942,392RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$215ExclusionAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$600,286TotalAmt
Program Services$600,286ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$135,500TotalAmt
Program Services$135,500ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescDUES TO ABOUT HEALTH NEDesc
Total$954,770TotalAmt
Program Services$954,770ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,690,556TotalAmt
Program Services$1,690,556ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$392,180EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$426,155BOYAmt
EOY$744,053EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$446,623,728BOYAmt
EOY$446,937,718EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$340,000BOYAmt
EOY$204,500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$447,389,883BOYAmt
EOY$448,278,451EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,887BOYAmt
EOY$643,404EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,887BOYAmt
EOY$643,404EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$437,350,996BOYAmt
EOY$437,603,047EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,810,000BOYAmt
EOY$3,810,000EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,222,000BOYAmt
EOY$6,222,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$447,382,996BOYAmt
EOY$447,635,047EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$447,389,883BOYAmt
EOY$448,278,451EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$252,051ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations3SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (3 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH
3918059636Yes (1)$0$0
UNIVERSITY OF WISCONSIN HOSPITAL & CLINICS
3918356303Yes (1)$0$0
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
3918244459Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total3SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationYes (1)SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir Trst0PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 2PER 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 1THE 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), UNIVERISTY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH (2), 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.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN UW CANCER CENTER JOHNSON CREEK, LLC$837,718C
INVESTMENT IN ABOUTHEALTH$100,000C
INVESTMENT IN SWEDISH AMERICAN HEALTH SYSTEM CORPORATION$446,000,000F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$446,937,718TotalBookValueProgramRltdAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFOR THE FOR-PROFIT SUBSIDIARIES, DEFERRED TAXES ARE PROVIDED ON A LIABILITY METHOD WHEREBY DEFERRED TAX ASSETS ARE RECOGNIZED FOR DEDUCTIBLE TEMPORARY DIFFERENCES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS AND DEFERRED TAX LIABILITIES ARE RECOGNIZED FOR TAXABLE TEMPORARY DIFFERENCES. TEMPORARY DIFFERENCES ARE THE DIFFERENCES BETWEEN THE REPORTED AMOUNTS OF ASSETS AND LIABILITIES AND THEIR TAX BASES. DEFERRED TAX ASSETS ARE REDUCED BY A VALUATION ALLOWANCE WHEN, IN THE OPINION OF MANAGEMENT, IT IS MORE LIKELY THAN NOT THAT SOME PORTION OR ALL OF THE DEFERRED TAX ASSETS WILL NOT BE REALIZED. DEFERRED TAX ASSETS AND LIABILITIES ARE ADJUSTED FOR THE EFFECTS OF CHANGES IN TAX LAWS AND RATES ON THE DATE OF ENACTMENT. RDI, SAHS, HOSPITAL AND FOUNDATION HAVE RECEIVED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE (IRS) STATING THEY ARE TAX-EXEMPT UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE (THE CODE). REALTY HAS RECEIVED A DETERMINATION LETTER FROM THE IRS STATING THAT IT IS TAX-EXEMPT UNDER SECTION 501 (C)(2) OF THE CODE. RDI, SAHS, HOSPITAL, FOUNDATION AND REALTY EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX), AND STATE AND CHARLES, INC., LSG BUILDING CORPORATION, AND SAHM EACH FILE FORM 1120 (U.S. CORPORATION INCOME TAX RETURN) ANNUALLY. WHEN THESE RETURNS ARE 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, 2016 AND 2015, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES. THE FORMS 990, FORMS 990-T AND FORMS 1120 FILED BY THE CORPORATION ARE SUBJECT TO EXAMINATION FOR UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. THESE RETURNS FOR RDI AND SAHS ARE NO LONGER SUBJECT TO EXAMINATION FOR TAX YEARS ENDED BEFORE DECEMBER 31, 2012 AND MAY 31, 2013, RESPECTIVELY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT N GOLDEN MD
DIRECTOR$0$609,355$0$0$0$0$0$53,000$0$1,463$0$663,818$0$0
KENNETH MOUNT
SECRETARY$0$217,924$0$0$0$3,324$0$17,872$0$24,446$0$263,566$0$0
RONALD SLIWINSKI
CHAIR$0$857,994$0$114,750$0$98,255$0$20,670$0$21,031$0$1,112,700$0$0
ROBERT FLANNERY
DIRECTOR (AS OF NOVEMBER 2015)$0$433,228$0$33,374$0$6,217$0$34,850$0$28,533$0$536,202$0$0
PETER CHRISTMAN
DIRECTOR (LEFT OCTOBER 2015)$0$554,930$0$48,445$0$145,604$0$34,850$0$28,328$0$812,157$0$0
JEFFERY GROSSMAN
DIRECTOR (LEFT APRIL 2016)$0$985,953$0$0$0$1,719,227$0$75,882$0$15,584$0$2,796,646$0$0
ROBERT O'KEEFE
DIRECTOR$0$329,746$0$51,638$0$203,874$0$20,670$0$14,817$0$620,745$0$0
MICHAEL DALLMAN
PRESIDENT/CEO$0$361,100$0$39,174$0$38,250$0$20,670$0$18,523$0$477,717$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACOMPENSATION IS PAID VIA A LEASING AGREEMENT WITH MEMBERS OF THE ORGANIZATION. EXECUTIVE COMPENSATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS WITHIN THE MARKET.
PART I, LINE 3COMPENSATION IS PAID VIA A LEASING AGREEMENT WITH MEMBERS OF THE ORGANIZATION. EXECUTIVE COMPENSATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS WITHIN THE MARKET.
PART I, LINE 4APETER CHRISTMAN, JEFFERY GROSSMAN, AND ROBERT O'KEEFE RECEIVED SEVERANCE PAYMENTS DURING THE 2015 CALENDAR YEAR, INCLUDED AS OTHER TAXABLE COMPENSATION PER SCHEDULE J, PART II, COLUMN B(III). CHRISTMAN RECEIVED $137,594, GROSSMAN RECEIVED $1,713,420, AND O'KEEFE RECEIVED $105,160 IN SEVERANCE, PAID THROUGH UWMF.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERS OF THE ORGANIZATION SHALL BE THE UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION AND THE UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS OF THE ORGANIZATION SHALL HAVE THE POWER TO APPROVE AND REMOVE DIRECTORS OF THE ORGANIZATION. THE FULL BOARD SHALL INCLUDE NINE MEMBERS, AS FOLLOWS: - UWMF PRESIDENT - UWMF EXECUTIVE VICE PRESIDENT - UWHCA CHIEF EXECUTIVE OFFICER - UWHCA CHIEF FINANCIAL OFFICER - DEAN OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH - ASSOCIATE DEAN FOR FINANCE OF UWSMPH - CHAIR OF THE SWEDISHAMERICAN HEALTH SYSTEM CORPORATION - TWO (2) SAHS REPRESENTATIVES DESIGNATED BY THE SAHS BOARD OF DIRECTORS
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBERS OF THE ORGANIZATION SHALL HAVE THE POWER TO: - APPROVE THE ORGANIZATION'S STRATEGIC PLAN, BUDGET AND QUALITY AND SAFETY MEASURES; - APPROVE CHANGES TO THE ORGANIZATIONAL DOCUMENTS; - APPROVE MATERIAL TRANSACTIONS OF THE ORGANIZATION; - APPROVE OF THE ORGANIZATION'S INCURRENCE OF DEBT; AND - CREATE OR DISSOLVE ORGANIZATION'S OPERATING UNITS OR SUBSIDIARIES.
FORM 990, PART VI, SECTION B, LINE 11KEY OFFICERS WITHIN THE ORGANIZATION REVIEW THE CONTENT OF THE FORM 990 PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CMEMBERS 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 15COMPENSATION 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 19GOVERNING 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).

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
UNIVERSITY OF WISCONSIN
1220 LINDEN DRIVEMADISONWI53706396006492EDUCATIONWI115N/AN/A0
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
7974 UW HEALTH COURTMIDDLETONWI53562391824445EDUCATIONWI501(C)(3)LINE 9Yes (1)UNIVERSITY OF WI HOSPITAL AND CLINICS
UNIVERSITY HEALTH CARE INC
301 SOUTH WESTFIELD ROAD SUITE 320MADISONWI53717391446049SUPPORT ORGANIZATIONWI501(C)(3)LINE 11AYes (1)UNIVERSITY OF WI HOSPITAL AND CLINICS
GENERATIONS FERTILITY CARE
2365 DEMING WAYMIDDLETONWI53562273496527REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY SERVICESWI501(C)(3)LINE 9Yes (1)UNIVERSITY OF WI HOSPITAL AND CLINICS
WISCONSIN DIALYSIS
3034 FISH HATCHERY ROADFITCHBURGWI53713300072647DIALYSIS SERVICESWI501(C)(3)LINE 11CYes (1)UNIVERSITY OF WI HOSPITAL AND CLINICS
MADISON SURGERY CENTER
7974 UW HEALTH COURTMIDDLETONWI53562391940656HEALTH CARE SERVICES AND TRAININGWI501(C)(3)LINE 90UNIVERSITY OF WI HOSPITAL AND CLINICS
SWEDISHAMERICAN HEALTH SYSTEM CORPORATION
1401 EAST STATE STREETROCKFORDIL61104363241458PARENT CORPORATION TO MANAGE AND DIRECT ACTIVITES OF ENTITIESIL501(C)(3)LINE 11AYes (1)UNIVERSITY HEALTH CARE INC
SWEDISHAMERICAN HOSPITAL
1401 EAST STATE STREETROCKFORDIL61104362222696HOSPITALIL501(C)(3)LINE 3Yes (1)SWEDISHAMERICAN HEALTH SYSTEM CORPORATION
SWEDISHAMERICAN FOUNDATION
1401 EAST STATE STREETROCKFORDIL61104363097493SUPPORTING ORGANIZATION FOR SWEDISHAMERICAN HOSPITAL FUNDRAISINGIL501(C)(3)LINE 7Yes (1)SWEDISHAMERICAN HOSPITAL
SWEDISHAMERICAN REALTY CORPORATION
1313 EAST STATE STREETROCKFORDIL61104363248013TITLE HOLDING COMPANYIL501(C)(2)Yes (1)SWEDISHAMERICAN HEALTH SYSTEM CORPORATION
SWEDISHAMERICAN HOSPITAL SELF INSURANCE TRUST
1401 EAST STATE STREETROCKFORDIL61104366652702HOSPITAL MALPRACTICE TRUSTVT501(C)(3)LINE 11AYes (1)SWEDISHAMERICAN HOSPITAL

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
THREE RIVERS PARTNERS LLC
1313 EAST STATE STREETROCKFORDIL61104262231757INFORMATION TECHNOLOGY SERVICESILN/AN/A00
NORTHERN ILLINOIS VEIN CLINIC
2550 CHARLES STREETROCKFORDIL61108201642329OUTPATEINT HEALTH SERVICESILN/AN/A00
CHARTWELL WISCONSIN ENTERPRISES LLC
2241 PINEHURST DRIVEMIDDLETONWI53562391796267INFUSION THERAPYWIN/AN/A00
SIXTH STREET MEDICAL LLC
7974 UW HEALTH COURTMIDDLETONWI53562472705724LEASE AND RENTAL SERVICESWIN/AN/A00
INNTOWNER LLC
2424 UNIVERSITY AVENUEMADISONWI53726461630964LODGINGWIN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
SARI INSURANCE COMPANY
76 ST PAUL STREET SUITE 500BURLINGTONVT054014477030308753CAPTIVE INSURANCE COMPANYVTSAHS CORPORATIONCYes (1)
LSG BUILDING CORPORATION
1313 EAST STATE STREETROCKFORDIL61104363033985REAL ESTATEILSAHS CORPORATIONSYes (1)
STATE & CHARLES INC
1313 EAST STATE STREETROCKFORDIL61104363321193HOLDING COMPANYILSAHS CORPORATIONCYes (1)
SWEDISHAMERICAN HEALTH MANAGEMENT CORP
1313 EAST STATE STREETROCKFORDIL61104363246511MANAGEMENT SERVICESILSTATE & CHARLES INCCYes (1)
UNITY HEALTH INSURANCE
840 CAROLINA STREETSAUK CITYWI53583391450766HEALTH MAINTENANCE ORGANIZATIONWIUNIVERSITY HEALTH CARE INCC0
HEALTH PROFESSIONALS OF WISCONSIN
301 SOUTH WESTFIELD ROADMADISONWI53717391806711REAL ESTATEWIUNIVERSITY HEALTH CARE INCC0
PHYSICIAN'S CARE NETWORK
1313 EAST STATE STREETROCKFORDIL61104363455791HEALTH SERVICESILSTATE & CHARLES INCCYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd