2015-03-10T09:41:11-05:00 2014-06-30 420714325 McGladrey LLP 1 S Wacker Drive Chicago IL 60465 990 2013-07-01 391824445 University of Wisconsin Medical Foundation Inc UNIV 6088214223 7974 UW Health Court Middleton WI 53562 Robert W Flannery Chief Financial Officer 6088214223 2015-03-04 1 Zack Fortsch P00052725 3126343400 2013 2016-02-25 16:41:14Z Jeffrey Grossman MD 600 W Highland Avenue Madison WI 53792 735688340 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. 19 6 4294 0 4891502 337265 48104050 54241924 622980230 658892013 6051582 7680053 3257973 3406168 680393835 724220158 54480447 63353739 0 0 399144502 425698463 0 0 0 204504806 201926269 658129755 690978471 22264080 33241687 421040878 508804661 161630994 194399515 259409884 314405146 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 85963806 32243000 Funding allocated to provide medical education for the benefit of, and in support of the purpose of the UW Medical School and Public Health. 24468764 24468764 Funding allocated to provide medical research for the benefit of, and in support of the purpose of the UW Medical School and Public Health. 573542546 4595479 658892013 Funding allocated to provide healthcare for the benefit of, and in support of the purpose of the UW Medical School and Public Health. 2046496 2046496 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. 2046496 2046496 686021612 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 321 0 1 4294 1 1 1 0 0 0 0 0 0 0 0 0 X 19 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL WI X Robert W Flannery CFO 6088214223 7974 UW Health Court Middleton WI 53562 Ann Casey Public Board Member 1.00 0.00 X 0 0 0 Patricia Brady Public Board Member 1.00 0.00 X 0 0 0 Jim Burgess Public Board Member - Left 12/31/13 1.00 0.00 X 1400 0 0 Roger Hauck Public Board Member - Left 12/31/13 1.00 0.00 X 1400 0 0 Jennifer Alexander Public Board Member 1.00 0.00 X 0 0 0 Ronald Anderson Public Board Member 1.00 0.00 X 0 0 0 Robert N Golden MD Dean - UWSMPH 1.00 39.00 X 301994 301486 52463 Gregory Trost MD Department of Neurological Surgery 1.00 39.00 X 460806 67874 51090 Nizar Jarjour MD Department of Medicine 1.00 39.00 X 226137 208022 52090 K Craig Kent MD Department of Surgery 1.00 39.00 X 547330 228777 52463 Richard Page MD Department of Medicine 1.00 39.00 X 329636 202837 54463 Jon Matsumura MD Department of Surgery 1.00 39.00 X 420699 96803 54963 Stephen Nakada MD Department of Urology 1.00 39.00 X 380120 173383 52463 David Rakel MD Dept. of Family Med. - Left 12/31/13 1.00 39.00 X 105170 114072 15850 Laurel Rice MD Department of OB/Gynecology 1.00 39.00 X 368140 168644 14213 William Schwab MD Department of Family Medicine 1.00 39.00 X 139089 95180 37987 James Shull PhD Chair/Department of Oncology 1.00 39.00 X 0 250560 0 Deborah Rusy MD MBA Department of Anesthesiology 1.00 39.00 X 298521 67415 51090 Ben Graf MD Department of Orthopedics 1.00 39.00 X 613252 65491 51090 Jeffrey Grossman MD President & CEO 39.00 1.00 X X 651102 167068 61378 Caroline Fribance Public Board Member - Secretary 1.00 0.00 X X 0 0 0 Frederick Wenzel Public Board Member - Treasurer 1.00 0.00 X X 0 0 0 Peter Christman COO 40.00 0.00 X 578984 0 61705 Robert Flannery CFO 40.00 0.00 X 355731 0 58821 Peter Newcomer Medical Director 1.00 39.00 X 261247 60446 53090 Jonathan Jaffery MD Medical Director 1.00 39.00 X 157357 113942 39417 Geoffrey S Baer MD PhD Physician 39.00 1.00 X 853379 46837 51090 Gregory K Hartig MD Physician 39.00 1.00 X 831587 68045 51090 Thomas A Zdeblick MD Physician 39.00 1.00 X 824751 177304 52463 Kenneth J Noonan MD Physician 39.00 1.00 X 849759 52847 51090 Robert J Dempsy MD Physician 39.00 1.00 X 776297 161146 51090 10333888 2888179 1071459 21 0 1 0 Tri-North Builders Inc 2625 Research Park Dr Fitchburg WI 53711 Construction Management 1689786 Environment Control of WI Inc 2902 Agriculture Dr Madison WI 53718 Maintenance 780649 Vonlay LLC 8215 Greenway Blvd Ste 300 Middleton WI 53562 Healthcare Tech. Consulting 734304 ARUP Laboratories PO BOX 27964 Salt lake City UT 84127 Laboratory Services 594769 Apex Print Technologies MI 35 PO Box 9201 Minneaplois MN 55480 Billing and Processing 586753 38 54008578 233346 233346 54241924 Patient Services 621111 446108845 446108845 Premium Revenue 900099 173075872 173075872 39707296 35522760 4184536 658892013 4393298 4393298 2538249 3011 2535238 2535238 17100 2518138 14358661 393265 11068589 396582 3290072 -3317 3286755 3286755 Admin Support 561110 689866 689866 181064 181064 870930 724220158 654707477 4891502 10379255 63328764 63328764 24975 24975 7036225 4714881 2321344 368228190 368228190 9503925 9503925 24113629 24113629 16816494 16816494 15653151 15014448 638703 464638 464638 183191 183191 241431 241431 1128514 1128514 5629706 5629706 5444564 5444564 18658914 18658914 676691 676691 5000844 5000844 1107552 1107552 6573999 6573999 1086831 1086831 Reimb. of Med School Ex 84663806 84663806 Drugs and Patient Care 30213277 30213277 Bad Debt Expense 9070471 9070471 16128689 16128689 690978471 686021612 4956859 0 105158260 153775529 46450217 53694792 4688406 4796237 11098074 16020219 124260036 66822833 59454673 57437203 152536252 177322895 40993930 45134232 119719 113971 541347 509583 421040878 508804661 109005405 143268834 44600000 43115000 8025589 8015681 161630994 194399515 X 259409884 314405146 259409884 314405146 421040878 508804661 X 33241687 17540535 4213040 X 0 1 X 1 0 X 19510991 29657867 37593827 48104050 54241924 189108659 548893354 565719339 606732366 622980230 658892013 3003217302 568404345 595377206 644326193 671084280 713133937 3192325961 0 0 0 3192325961 5543597 5787502 6393597 7894444 10221619 35840759 5543597 5787502 6393597 7894444 10221619 35840759 5079 61657 152449 98351 337265 654801 318008 234498 740900 224253 181069 1698728 574271029 601460863 651613139 679301328 723873890 3230520249 0.98820 0.98850 0.01110 0.01080 X Schedule A, Part III, Line 12, Explanation of Other Income: Other Non-Program Revenue - 2009 Amount: $ 318,008. 2010 Amount: $ 234,498. 2011 Amount: $ 740,900. 2012 Amount: $ 224,253. 2013 Amount: $ 181,069. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 90469 1 150962 0 0 241431 0 Part II-B, Line 1: Amounts in support of lobbying are for Venn Strategies, LLC of $83,661. UWMF paid lobbyist Lisa Maroney wages of $67,301. Dues were paid to State and National Medical Societies totaling $90,469. 8612392 8612392 55300480 22422573 32877907 10268417 5710000 4558417 50078747 38690260 11388487 57437203 Wisconsin Sleep, Inc. 1866880 C Generations Fertility Care, Inc. 134447 C Madison Medical Center 4844270 C Madison Surgery Center 4450678 C Meriter Physician Contracting 24843 C Wisconsin Dialysis, Inc. 826998 C Transformation Surgery Center, Inc. 773367 C University Health Care, Inc. 28094148 C Chartwell Wisconsin Enterprises, LLC 3974627 C UW Health Accountable Care Org. 143974 C 45134232 Due to Med. School Dev. Fund 7735749 Due to Research & Dev. Fund 279932 8015681 X 736906273 17540535 4216051 21756586 715149687 9070471 9070471 724220158 681911011 3011 3011 681908000 9070471 9070471 690978471 Part X, Line 2: The Foundation has been determined to qualify as exempt from federal income tax under Internal Revenue Code Section 501(a) as an organization described in Section 501(c)(3) of the Code. The Foundation follows the Financial Accounting Standards Board (FASB) guidance on income taxes, Accounting for Uncertainty in Income Taxes, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this guidance, the Foundation may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Foundation and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. Most of the income received by the Foundation is exempt from taxation as income related to the mission of the organization. Accordingly, there is no material provision for income tax. However, the Foundation does receive an immaterial amount of unrelated business income. The Foundation files Form 990 in the U.S. federal jurisdiction and the State of Wisconsin. With few exceptions, the Foundation is no longer subject to examination by the Internal Revenue Service for the years 2010 and earlier. Part XI, Line 2d - Other Adjustments: Revenue from Unconsolidated Entities 3,660,302. Unrealized Gain (Loss) on Financial Instrument 552,738. Reclassification of Rent Expenses 3,011. Part XI, Line 4b - Other Adjustments: Reclassification of Bad Debt Expenses 9,070,471. Part XII, Line 2d - Other Adjustments: Reclassification of Rent Expenses 3,011. Part XII, Line 4b - Other Adjustments: Reclassification of Bad Debt Expenses 9,070,471. 1 UW School of Medicine and Public Health 750 Highland Avenue Madison WI 53705 396006492 115 32243000 Support Functions of the Medical School University of Wisconsin Foundation 1848 University Avenue Madison WI 53708 390743975 501(c)(3) 24468764 Research Support University Health Care Inc 1848 University Avenue Madison WI 53708 391446049 501(c)(3) 4595479 Support for Contract Management Madison Community Health Center Inc DBA Aaccess Community Health Centers 2202 Park Street Madison WI 53713 391391134 501(c)(3) 859080 Support Functions of the Organization United Way of Dane County Inc 2059 Atwood Avenue Madison WI 53707 390817532 501(c)(3) 758535 Support Functions of the Organization UW Hospitals and Clinics Authority 301 S Westfield Rd Ste 350 Madison WI 53717 391835630 501(c)(3) 174467 Support Functions of the Organization Friends of the UW Hospitals and Clinics 301 S Westfield Rd Ste 250 Madison WI 53717 510137187 501(c)(3) 91940 Support Functions of the Organization Orthopaedic Research and Education Foundation 6300 N River Rd Ste 700 Rosemont IL 60019 366009467 501(c)(3) 33200 Support Functions of the Organization UW Hospitals and Clinics UW Hospital Drawer 853 Milwaukee WI 53278 391805963 115 25000 Support Functions of the Organization National Alliance on Mental Illness 3803 N Fairfax Dr Ste 100 Arlington VA 22203 431201653 501(c)(3) 18950 Support Functions of the Organization Madison Symphony Orchestra League 222 W Washington Avenue Ste 106 Madison WI 53703 390839707 501(c)(3) 10000 Support Functions of the Organization UW House Staff Association PO Box 45373 Madison WI 53744 540162532 115 8500 Support Functions of the Organization American Heart Association Inc 2850 Dairy Dr Ste 300 Madison WI 53718 135613797 501(c)(3) 7700 Support Functions of the Organization American Thoracic Society Foundation 25 Boadway 18th Floor New York NY 10004 202138855 501(c)(3) 6600 Support Functions of the Organization American Liver Foundation 1845 N Farwell Avenue Ste 312 Milwaukee WI 53202 362883000 501(c)(3) 5500 Support Functions of the Organization 12 5 UWMF Employee Children's Scholarship Fund - scholarships to children of UWMF employees to be used in their pursuit of a healthcare career. 27 24975 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. The 2013 UWMF Employee Children's Scholarships were awared to children of UWMF employees. Each child was awarded a $925 scholarship from UW Medical Foundation to be used in their pursuit of a healthcare career. UWMF places great value and pride in the opportunity to reinvest in the next generation of professionals entering the healthcare industry. X X 0 0 X X X 0 0 0 0 0 0 0 0 0 Robert N Golden MD Dean - UWSMPH 301994 301486 0 0 0 0 51000 0 1463 0 354457 301486 0 0 Gregory Trost MD Department of Neurological Surgery 460806 67874 0 0 0 0 51000 0 90 0 511896 67874 0 0 Nizar Jarjour MD Department of Medicine 226137 208022 0 0 0 0 51000 0 1090 0 278227 208022 0 0 K Craig Kent MD Department of Surgery 547330 228777 0 0 0 0 51000 0 1463 0 599793 228777 0 0 Richard Page MD Department of Medicine 329636 202837 0 0 0 0 51000 0 3463 0 384099 202837 0 0 Jon Matsumura MD Department of Surgery 420699 96803 0 0 0 0 51000 0 3963 0 475662 96803 0 0 Stephen Nakada MD Department of Urology 380120 173383 0 0 0 0 51000 0 1463 0 432583 173383 0 0 David Rakel MD Dept. of Family Med. - Left 12/31/13 105170 114072 0 0 0 0 15760 0 90 0 121020 114072 0 0 Laurel Rice MD Department of OB/Gynecology 368140 168644 0 0 0 0 12750 0 1463 0 382353 168644 0 0 William Schwab MD Department of Family Medicine 139089 95180 0 0 0 0 35397 0 2590 0 177076 95180 0 0 James Shull PhD Chair/Department of Oncology 0 250560 0 0 0 0 0 0 0 0 0 250560 0 0 Deborah Rusy MD MBA Department of Anesthesiology 298521 67415 0 0 0 0 51000 0 90 0 349611 67415 0 0 Ben Graf MD Department of Orthopedics 613252 65491 0 0 0 0 51000 0 90 0 664342 65491 0 0 Jeffrey Grossman MD President & CEO 605704 167068 32642 0 12756 0 51000 0 10378 0 712480 167068 0 0 Peter Christman COO 543826 0 25546 0 9612 0 33500 0 28205 0 640689 0 0 0 Robert Flannery CFO 349413 0 1000 0 5318 0 33500 0 25321 0 414552 0 0 0 Peter Newcomer Medical Director 261247 60446 0 0 0 0 51000 0 2090 0 314337 60446 0 0 Jonathan Jaffery MD Medical Director 157357 113942 0 0 0 0 39327 0 90 0 196774 113942 0 0 Geoffrey S Baer MD PhD Physician 853379 46837 0 0 0 0 51000 0 90 0 904469 46837 0 0 Gregory K Hartig MD Physician 831587 68045 0 0 0 0 51000 0 90 0 882677 68045 0 0 Thomas A Zdeblick MD Physician 824751 177304 0 0 0 0 51000 0 1463 0 877214 177304 0 0 Kenneth J Noonan MD Physician 849759 52847 0 0 0 0 51000 0 90 0 900849 52847 0 0 Robert J Dempsy MD Physician 776297 161146 0 0 0 0 51000 0 90 0 827387 161146 0 0 Part I, Line 1a Retiring public board members receive service acknowledgements that are taxable. The recognition amount is grossed-up for tax purposes. 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. X 1 233346 FMV 1 0 0 0 Part I, Column (b): The number in column (b) indicates the number of contributions during the year. Form 990, Part VI, Section B, line 11 Form 990 is completed by the organization's external accounting firm. Upon completion, the manager of financial accounting reviews the return and workpapers. Once that is complete, the return is then forwarded to the chief financial officer for review. After the chief financial officer's review, the return is forwarded to the chief operating officer for review. When all reviewers have determined the 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 CEO, 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 is provided benchmark data from three surveys that are weighted for physician compensation. This data is used to compare to current compensation. The deliberations are contemporaneously substantiated. Executive compensation is based on comparative data with like positions within the market. The compensation for CEO and EVP/COO 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 3,660,302. Unrealized Gain (Loss) on Financial Instrument 552,738. University of Wisconsin 1220 Linden Drive Madison WI 53706 396006492 Education WI 115 N/A N/A 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0