ASSOCIATION OF UNIVERSITY PHYSICIANS: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ASSOCIATION OF UNIVERSITY PHYSICIANS (EIN 91-1220843)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-15
- IRS object ID
- 201541359349304024
- Schema version
- 2013v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-15T11:13:29-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBER PS | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4TH STREET SUITE 1700 | AddressLine1 |
| City | BELLEVUE | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911220843 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASSOCIATION OF UNIVERSITY PHYSICIANS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ASSO | BusinessNameControlTxt |
| Phone | 2065205778 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 5TH AVENUE NO 700 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98104 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MAUREEN HOOLEY | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 2065205778 | PhoneNum |
| Signature | 2015-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SARA ELIZABETH J HYRE | PreparerPersonNm |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | PhoneNum |
| Preparation | 2015-05-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UW PHYSICIANS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CATHERINE BOELKE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 5TH AVENUE NO 700 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $225,212,481 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SEE SCHEDULE O | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | PRACTICE PLAN FOR THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE ("UWSOM") FACULTY PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS THAT PROVIDES SUBSTANTIAL SUPPORT TO THE UWSOM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 27 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 1314 | TotalEmployeeCnt |
| Total Volunteers | 212 | TotalVolunteersCnt |
| Total Gross UBI | -$164,522 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$164,522 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $170,697,342 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $181,702,160 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,317,312 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,693,206 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $177,014,654 | PYTotalRevenueAmt |
| CY Total Revenue | $188,395,366 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $139,353,756 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $152,785,163 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $37,380,452 | PYOtherExpensesAmt |
| CY Other Expenses | $40,927,577 | CYOtherExpensesAmt |
| PY Total Expenses | $176,734,208 | PYTotalExpensesAmt |
| CY Total Expenses | $193,712,740 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $280,446 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,317,374 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $113,206,197 | TotalAssetsBOYAmt |
| Total Assets EOY | $111,113,891 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $113,206,197 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $111,113,891 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $0 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ASSOCIATION OF UNIVERSITY PHYSICIANS IS A CLINICAL PRACTICE PLAN FOR THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE ("UWSOM") FACULTY PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS AND PROVIDES SUBSTANTIAL SUPPORT TO THE UWSOM. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $170,548,884 | ExpenseAmt |
| Revenue | $181,702,160 | RevenueAmt |
| Desc | THE PHYSICIANS AND OTHER HEALTH CARE PRACTITIONERS OF THE ASSOCIATION OF UNIVERSITY PHYSICIANS (TOGETHER, "UWP PRACTITIONERS") PROVIDE CLINICAL CARE AT UNIVERSITY OF WASHINGTON OWNED, OPERATED, AND AFFILIATED FACILITIES. UWP PRACTITIONERS ARE REQUIRED TO BE FACULTY MEMBERS OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE AS A CONDITION OF PRACTICE PLAN MEMBERSHIP AND PRACTICE ONLY AT SITES APPROVED BY THE CEO OF UW MEDICINE, EVP FOR MEDICAL AFFAIRS AND DEAN OF THE UWSOM (UW MEDICINE CEO). UWP PRACTITIONERS ALSO PROVIDE CLINICAL CARE IN OTHER LOCAL AND NATIONAL COMMUNITY SETTINGS AS APPROVED BY THE UW MEDICINE CEO. THESE ACTIVITIES INCREASE COMMUNITY ACCESS TO SPECIALIST AND SUB-SPECIALIST CLINICAL CARE AND EXPERTISE, PROVIDE PRIMARY CARE IN COMMUNITIES THAT MAY NOT HAVE SUFFICIENT LOCAL RESOURCES, AND HELP TO ASSURE SUFFICIENT PRACTICE SITES AND PATIENT POPULATIONS TO MAINTAIN THE UWSOM TEACHING AND RESEARCH ACTIVITIES. PURSUANT TO AN OPERATING AGREEMENT BETWEEN THE ASSOCIATION OF UNIVERSITY PHYSICIANS ("UWP") AND THE UNIVERSITY OF WASHINGTON BOARD OF REGENTS, ALL UWP REVENUES IN EXCESS OF ITS OPERATING EXPENSES AND PHYSICIAN COMPENSATION ARE HELD IN AN ACADEMIC SUPPORT FUND SOLELY FOR THE SUPPORT OF THE UWSOM. THE UW MEDICINE CEO CONTROLS ALL PHYSICIAN COMPENSATION BY UWP AND HIS APPROVAL IS REQUIRED FOR THE SIGNIFICANT ACTIONS OF THE UWP BOARD OF TRUSTEES. | Desc |
| Total Program Service Expenses | $170,548,884 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1314 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 27 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAUREEN HOOLEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2065205778 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 5TH AVENUE SUITE 700 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NORMAN BEAUCHAMP MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $203,312 | $346,374 | $60,473 | ||||
| WILLIAM BREMNER MD PHD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $206,772 | $252,005 | $63,036 | ||||
| HOWARD CHANSKY MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $135,540 | $70,404 | $26,900 | ||||
| JENS CHAPMAN MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $557,672 | $297,583 | $243,860 | ||||
| CHARLES MICHAEL CROWDER MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD ELLENBOGEN MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $411,463 | $393,245 | $120,018 | ||||
| DAVID ESCHENBACH MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $192,568 | $234,129 | $59,519 | ||||
| PETER ESSELMAN MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $69,539 | $309,845 | $63,701 | ||||
| JAMES FINE MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $152,798 | $236,891 | $85,030 | ||||
| NEAL FUTRAN MD DMD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $177,188 | $367,440 | $78,671 | ||||
| BURKHARD MACKENSEN MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $207,238 | $274,464 | $57,134 | ||||
| NINA MAYER MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $122,500 | $265,542 | $36,578 | ||||
| THOMAS MONTINE MD PHD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $133,788 | $292,596 | $56,143 | ||||
| THOMAS NORRIS MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $176,420 | $193,388 | $52,426 | ||||
| JUDITH PAUWELS MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $10,677 | $124,625 | $33,287 | ||||
| CARLOS PELLEGRINI MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $282,916 | $427,139 | $72,142 | ||||
| BRUCE RANSOM MD PHD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $110,888 | $223,523 | $50,402 | ||||
| ALEC ROOKE MD PHD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $204,751 | $86,149 | $54,793 | ||||
| BRUDER STAPLETON MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $0 | $236,649 | $39,044 | ||||
| APRIL STEMPIEN-OTERO MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $58,491 | $107,303 | $37,356 | ||||
| JURGEN UNUTZER MD MPH | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $0 | $290,455 | $42,186 | ||||
| RUSSELL VAN GELDER | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $85,840 | $383,004 | $46,745 | ||||
| MARC STEWART MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $152,892 | $408 | $27,565 | ||||
| MARK WENER MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $69,014 | $160,946 | $63,318 | ||||
| HUNTER WESSELLS MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $56,652 | $337,434 | $51,809 | ||||
| GREGORY SCHROEDL MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $0 | $298,079 | $31,075 | ||||
| MIKA SINANAN MD PHD | ||||||||||
| PRESIDENT | 40.00 | 0.00 | Yes (X) | $247,456 | $149,856 | $57,239 | Yes (X) | |||
| PETER MCGOUGH MD | ||||||||||
| VICE PRESIDENT | 40.00 | 0.00 | Yes (X) | $241,799 | $0 | $48,287 | Yes (X) | |||
| HUGH FOY MD | ||||||||||
| SECRETARY-TREASURER | 40.00 | 0.00 | Yes (X) | $39,486 | $310,114 | $57,700 | Yes (X) | |||
| BRUCE MONTGOMERY MD | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $0 | $213,606 | $32,044 | ||||
| RICHARD VEITH | ||||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $158,460 | $212,787 | $53,617 | ||||
| CATHERINE BOELKE | ||||||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | $290,803 | $0 | $46,598 | Yes (X) | ||||
| MAUREEN HOOLEY | ||||||||||
| CFO | 40.00 | 0.00 | $203,941 | $0 | $30,672 | Yes (X) | ||||
| RUTH MAHAN | ||||||||||
| CHIEF BUSINESS OFFICER | 40.00 | 0.00 | $141,875 | $413,142 | $56,694 | Yes (X) | ||||
| LORI MITCHELL BSC | ||||||||||
| CFO, UW MEDICINE | 40.00 | 0.00 | $130,430 | $400,200 | $56,363 | Yes (X) | ||||
| PAUL RAMSEY MD | ||||||||||
| CEO, UW MEDICINE | 40.00 | 0.00 | $498,160 | $295,039 | $68,654 | Yes (X) | ||||
| JOHNESE SPISSO | ||||||||||
| CHSO, UW MEDICINE | 40.00 | 0.00 | $171,083 | $521,148 | $60,718 | Yes (X) | ||||
| LALIGAM SEKHAR MD | ||||||||||
| PROFESSOR | 40.00 | 0.00 | $575,191 | $542,926 | $75,210 | Yes (X) | ||||
| LOUIS KIM MD | ||||||||||
| PROFESSOR | 40.00 | 0.00 | $554,473 | $239,888 | $141,898 | Yes (X) | ||||
| FANGYI ZHANG | ||||||||||
| PROFESSOR | 40.00 | 0.00 | $591,521 | $199,841 | $118,054 | Yes (X) | ||||
| JORGE DIONISIO REYES | ||||||||||
| PROFESSOR | 40.00 | 0.00 | $265,586 | $521,498 | $75,602 | Yes (X) | ||||
| CARLO BELLABARBA | ||||||||||
| PROFESSOR | 40.00 | 0.00 | $574,381 | $196,089 | $224,131 | Yes (X) | ||||
| MARGARET PEYTON | ||||||||||
| FORMER KEY EMPLOYEE | 40.00 | 0.00 | $234,852 | $0 | $49,027 | Yes (X) | ||||
| MARK GREEN | ||||||||||
| FORMER KEY EMPLOYEE | 40.00 | 0.00 | $7,600 | $292,253 | $16,366 | Yes (X) | ||||
| ANNELIESE SCHLEYER | ||||||||||
| FORMER SECRETARY-TREASURER | 40.00 | 0.00 | $0 | $186,875 | $34,436 | Yes (X) | ||||
| BRUCE SANGEORZAN | ||||||||||
| FORMER SECRETARY-TREASURER | 40.00 | 0.00 | $204,690 | $264,101 | $129,452 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,910,706 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $11,168,983 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,985,973 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 399 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| STATE COLLECTION SERVICE | |||||
| 2509 S STOUGHTON RD | MADISON | WI | 53716 | COLLECTION AGENCY | $464,775 |
| HAYES MANAGEMENT CONSULTING | |||||
| 1320 CENTRE STREET SUITE 402 | NEWTON CENTRE | MA | 02459 | CONSULTING | $413,230 |
| KAYE-SMITH | |||||
| 4101 OAKESDALE AVE SW | RENTON | WA | 98057 | STATEMENT PROCESSING | $388,781 |
| MOSS ADAMS LLP | |||||
| 999 THIRD AVE SUITE 3300 | SEATTLE | WA | 98104 | CONSULTING | $331,099 |
| SDM CONSULTING LLC | |||||
| 3668 MACINTOSH LANE | SALT LAKE CITY | UT | 84121 | CONSULTING | $196,843 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT PROF FEES | 621110 | $179,017,203 | $179,017,203 |
| BILLING AND COLLECTION | 561000 | $2,684,957 | $2,684,957 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $181,702,160 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,296,457 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$164,522 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,460,979 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $40,213,864 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $36,817,115 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,396,749 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,396,749 | TotalRevenueColumnAmt |
| Exclusion | $3,396,749 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $188,395,366 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $181,702,160 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$164,522 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,857,728 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,171,927 | TotalAmt |
| Program Services | $6,629,360 | ProgramServicesAmt |
| Management And General | $542,567 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,872 | TotalAmt |
| Program Services | $37,872 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,247,886 | TotalAmt |
| Program Services | $114,392,366 | ProgramServicesAmt |
| Management And General | $12,855,520 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,824,556 | TotalAmt |
| Program Services | $6,678,258 | ProgramServicesAmt |
| Management And General | $1,146,298 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,352,693 | TotalAmt |
| Program Services | $3,670,349 | ProgramServicesAmt |
| Management And General | $2,682,344 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,150,229 | TotalAmt |
| Program Services | $3,137,008 | ProgramServicesAmt |
| Management And General | $1,013,221 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,945 | TotalAmt |
| Program Services | $196,945 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,700 | TotalAmt |
| Management And General | $110,700 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,486 | TotalAmt |
| Management And General | $179,486 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,377,516 | TotalAmt |
| Program Services | $11,321,495 | ProgramServicesAmt |
| Management And General | $1,056,021 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,746 | TotalAmt |
| Program Services | $6,746 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,553,158 | TotalAmt |
| Program Services | $3,765,209 | ProgramServicesAmt |
| Management And General | $1,787,949 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,828,974 | TotalAmt |
| Program Services | $1,828,974 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,282,541 | TotalAmt |
| Management And General | $1,282,541 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,875 | TotalAmt |
| Management And General | $101,875 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,025 | TotalAmt |
| Management And General | $321,025 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,458,206 | TotalAmt |
| Program Services | $4,373,897 | ProgramServicesAmt |
| Management And General | $84,309 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| CITY/STATE BUSINESS TAX | $5,258,713 | $5,258,713 |
| DEPARTMENT EXPENSES | $4,829,547 | $4,829,547 |
| UW MEDICINE ALLOCATIONS | $2,518,346 | $2,518,346 |
| PURCHASED SERVICES | $1,334,224 | $1,334,224 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $569,575 | TotalAmt |
| Program Services | $569,575 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,712,740 | TotalAmt |
| Program Services | $170,548,884 | ProgramServicesAmt |
| Management And General | $23,163,856 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,751 | BOYAmt |
| EOY | $581,459 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,306,419 | BOYAmt |
| EOY | $12,676,274 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,159,573 | BOYAmt |
| EOY | $6,581,795 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,540,218 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,791,144 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,732 | BOYAmt |
| EOY | $2,749,074 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,137,141 | BOYAmt |
| EOY | $88,455,087 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,581 | BOYAmt |
| EOY | $70,202 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,206,197 | BOYAmt |
| EOY | $111,113,891 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,407,903 | BOYAmt |
| EOY | $27,159,242 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,798,294 | BOYAmt |
| EOY | $83,954,649 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,206,197 | BOYAmt |
| EOY | $111,113,891 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,206,197 | BOYAmt |
| EOY | $111,113,891 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$5,317,374 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $5,317,374 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF WASHINGTON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 916001537 | EIN |
| Organization Type | GOVERNMENT | OrganizationTypeDesc |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $90,408,700 | SupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $90,408,700 | SupportSumAmt |
Form990 Schedule A Part IV Form990ScheduleAPartIVGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART I, LINE 11H, COLUMN VII: | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT OF SUPPORT TO THE UNIVERSITY OF WASHINGTON REPRESENTS REVENUE COLLECTED ON BEHALF OF AND FOR THE BENEFIT OF THE UNIVERSITY OF WASHINGTON FOR PHYSICIAN SERVICES PROVIDED TO PATIENTS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,358,145 | OtherCostOrOtherBasisAmt |
| Depreciation | $146,925 | DepreciationAmt |
| Book Value | $2,211,220 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,182,073 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,644,219 | DepreciationAmt |
| Book Value | $537,854 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,749,074 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CLINICAL MEDICINE FUND PAYABLE | $33,930,107 |
| DEPARTMENTAL PAYABLES | $50,024,542 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $83,954,649 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $193,712,740 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $5,317,374 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $5,317,374 | RevenueNotReportedAmt |
| Revenue Subtotal | $188,395,366 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $188,395,366 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $193,712,740 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $193,712,740 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $193,712,740 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (45 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORMAN BEAUCHAMP MD | ||||||||||||||
| TRUSTEE | $203,312 | $310,818 | $0 | $0 | $0 | $35,556 | $18,523 | $19,056 | $6,354 | $16,540 | $228,189 | $381,970 | $0 | $0 |
| WILLIAM BREMNER MD PHD | ||||||||||||||
| TRUSTEE | $206,772 | $226,505 | $0 | $0 | $0 | $25,500 | $20,677 | $25,500 | $3,707 | $13,152 | $231,156 | $290,657 | $0 | $0 |
| HOWARD CHANSKY MD | ||||||||||||||
| TRUSTEE | $135,540 | $70,404 | $0 | $0 | $0 | $0 | $13,554 | $0 | $3,854 | $9,492 | $152,948 | $79,896 | $0 | $0 |
| JENS CHAPMAN MD | ||||||||||||||
| TRUSTEE | $202,672 | $272,083 | $355,000 | $0 | $0 | $25,500 | $200,250 | $25,500 | $3,854 | $14,256 | $761,776 | $337,339 | $177,500 | $0 |
| RICHARD ELLENBOGEN MD | ||||||||||||||
| TRUSTEE | $286,463 | $367,745 | $125,000 | $0 | $0 | $25,500 | $88,000 | $25,500 | $3,854 | $2,664 | $503,317 | $421,409 | $62,500 | $0 |
| DAVID ESCHENBACH MD | ||||||||||||||
| TRUSTEE | $192,568 | $210,350 | $0 | $0 | $0 | $23,779 | $19,257 | $23,779 | $3,331 | $13,152 | $215,156 | $271,060 | $0 | $0 |
| PETER ESSELMAN MD | ||||||||||||||
| TRUSTEE | $40,908 | $284,304 | $28,631 | $0 | $0 | $25,541 | $21,479 | $25,541 | $3,121 | $13,560 | $94,139 | $348,946 | $18,955 | $0 |
| JAMES FINE MD | ||||||||||||||
| TRUSTEE | $97,224 | $212,690 | $55,574 | $0 | $0 | $24,201 | $43,067 | $24,201 | $3,154 | $14,608 | $199,019 | $275,700 | $27,787 | $0 |
| NEAL FUTRAN MD DMD | ||||||||||||||
| TRUSTEE | $147,188 | $341,940 | $30,000 | $0 | $0 | $25,500 | $32,969 | $25,500 | $6,354 | $13,848 | $216,511 | $406,788 | $15,000 | $0 |
| BURKHARD MACKENSEN MD | ||||||||||||||
| TRUSTEE | $189,941 | $253,562 | $17,297 | $0 | $0 | $20,902 | $18,652 | $20,902 | $3,854 | $13,726 | $229,744 | $309,092 | $17,297 | $0 |
| NINA MAYER MD | ||||||||||||||
| TRUSTEE | $122,500 | $251,333 | $0 | $0 | $0 | $14,209 | $12,250 | $14,209 | $2,248 | $7,871 | $136,998 | $287,622 | $0 | $0 |
| THOMAS MONTINE MD PHD | ||||||||||||||
| TRUSTEE | $133,788 | $267,096 | $0 | $0 | $0 | $25,500 | $13,379 | $25,500 | $3,462 | $13,802 | $150,629 | $331,898 | $0 | $0 |
| THOMAS NORRIS MD | ||||||||||||||
| TRUSTEE | $176,420 | $173,774 | $0 | $0 | $0 | $19,614 | $17,642 | $19,614 | $2,922 | $12,248 | $196,984 | $225,250 | $0 | $0 |
| JUDITH PAUWELS MD | ||||||||||||||
| TRUSTEE | $0 | $111,953 | $10,677 | $0 | $0 | $12,672 | $7,850 | $12,672 | $1,175 | $11,590 | $19,702 | $148,887 | $6,388 | $0 |
| CARLOS PELLEGRINI MD | ||||||||||||||
| TRUSTEE | $282,916 | $378,647 | $0 | $0 | $0 | $48,492 | $25,500 | $25,500 | $3,854 | $17,288 | $312,270 | $469,927 | $0 | $0 |
| BRUCE RANSOM MD PHD | ||||||||||||||
| TRUSTEE | $110,888 | $177,740 | $0 | $0 | $0 | $45,783 | $11,089 | $22,783 | $2,730 | $13,800 | $124,707 | $260,106 | $0 | $0 |
| ALEC ROOKE MD PHD | ||||||||||||||
| TRUSTEE | $176,760 | $76,986 | $27,991 | $0 | $0 | $9,163 | $37,677 | $9,163 | $2,469 | $5,484 | $244,897 | $100,796 | $12,121 | $0 |
| BRUDER STAPLETON MD | ||||||||||||||
| TRUSTEE | $0 | $214,149 | $0 | $0 | $0 | $22,500 | $0 | $24,200 | $0 | $14,844 | $0 | $275,693 | $0 | $0 |
| APRIL STEMPIEN-OTERO MD | ||||||||||||||
| TRUSTEE | $36,676 | $98,929 | $21,815 | $0 | $0 | $8,374 | $13,758 | $8,374 | $1,376 | $13,848 | $73,625 | $129,525 | $8,566 | $0 |
| JURGEN UNUTZER MD MPH | ||||||||||||||
| TRUSTEE | $0 | $242,455 | $0 | $0 | $0 | $48,000 | $0 | $25,500 | $2,238 | $14,448 | $2,238 | $330,403 | $0 | $0 |
| RUSSELL VAN GELDER | ||||||||||||||
| TRUSTEE | $85,840 | $360,632 | $0 | $0 | $0 | $22,372 | $8,443 | $22,372 | $3,774 | $12,156 | $98,057 | $417,532 | $0 | $0 |
| MARC STEWART MD | ||||||||||||||
| TRUSTEE | $152,892 | $408 | $0 | $0 | $0 | $0 | $15,289 | $0 | $2,784 | $9,492 | $170,965 | $9,900 | $0 | $0 |
| MARK WENER MD | ||||||||||||||
| TRUSTEE | $13,440 | $144,851 | $55,574 | $0 | $0 | $16,095 | $34,797 | $16,095 | $2,934 | $9,492 | $106,745 | $186,533 | $27,787 | $0 |
| HUNTER WESSELLS MD | ||||||||||||||
| TRUSTEE | $56,652 | $301,472 | $0 | $0 | $0 | $35,962 | $6,195 | $20,962 | $10,664 | $13,988 | $73,511 | $372,384 | $0 | $0 |
| GREGORY SCHROEDL MD | ||||||||||||||
| TRUSTEE | $0 | $238,856 | $0 | $59,223 | $0 | $0 | $0 | $5,940 | $0 | $25,135 | $0 | $329,154 | $0 | $0 |
| MIKA SINANAN MD PHD | ||||||||||||||
| PRESIDENT | $247,456 | $134,435 | $0 | $0 | $0 | $15,421 | $24,746 | $15,421 | $3,224 | $13,848 | $275,426 | $179,125 | $0 | $0 |
| PETER MCGOUGH MD | ||||||||||||||
| VICE PRESIDENT | $223,228 | $0 | $17,071 | $0 | $1,500 | $0 | $24,405 | $0 | $23,882 | $0 | $290,086 | $0 | $1,481 | $0 |
| HUGH FOY MD | ||||||||||||||
| SECRETARY-TREASURER | $9,728 | $286,558 | $29,758 | $0 | $0 | $23,556 | $17,075 | $23,556 | $2,813 | $14,256 | $59,374 | $347,926 | $13,976 | $0 |
| BRUCE MONTGOMERY MD | ||||||||||||||
| TRUSTEE | $0 | $197,160 | $0 | $0 | $0 | $16,446 | $0 | $16,446 | $1,842 | $13,756 | $1,842 | $243,808 | $0 | $0 |
| RICHARD VEITH | ||||||||||||||
| TRUSTEE | $158,460 | $169,150 | $0 | $0 | $0 | $43,637 | $15,846 | $21,641 | $3,014 | $13,116 | $177,320 | $247,544 | $0 | $0 |
| CATHERINE BOELKE | ||||||||||||||
| EXECUTIVE DIRECTOR | $275,600 | $0 | $14,383 | $0 | $820 | $0 | $25,500 | $0 | $21,098 | $0 | $337,401 | $0 | $0 | $0 |
| MAUREEN HOOLEY | ||||||||||||||
| CFO | $191,893 | $0 | $11,228 | $0 | $820 | $0 | $20,954 | $0 | $9,718 | $0 | $234,613 | $0 | $0 | $0 |
| RUTH MAHAN | ||||||||||||||
| CHIEF BUSINESS OFFICER | $141,875 | $387,642 | $0 | $0 | $0 | $25,500 | $14,188 | $25,500 | $3,854 | $13,152 | $159,917 | $451,794 | $0 | $0 |
| LORI MITCHELL BSC | ||||||||||||||
| CFO, UW MEDICINE | $130,430 | $374,700 | $0 | $0 | $0 | $25,500 | $13,043 | $25,500 | $3,854 | $13,966 | $147,327 | $439,666 | $0 | $0 |
| PAUL RAMSEY MD | ||||||||||||||
| CEO, UW MEDICINE | $498,160 | $254,047 | $0 | $0 | $0 | $40,992 | $25,500 | $25,500 | $3,854 | $13,800 | $527,514 | $334,339 | $0 | $0 |
| JOHNESE SPISSO | ||||||||||||||
| CHSO, UW MEDICINE | $171,083 | $495,648 | $0 | $0 | $0 | $25,500 | $17,108 | $25,500 | $3,854 | $14,256 | $192,045 | $560,904 | $0 | $0 |
| LALIGAM SEKHAR MD | ||||||||||||||
| PROFESSOR | $444,012 | $494,434 | $131,179 | $0 | $0 | $48,492 | $25,500 | $25,500 | $3,854 | $20,356 | $604,545 | $588,782 | $56,468 | $0 |
| LOUIS KIM MD | ||||||||||||||
| PROFESSOR | $397,278 | $204,547 | $157,195 | $0 | $0 | $35,341 | $98,635 | $18,349 | $10,658 | $14,256 | $663,766 | $272,493 | $67,428 | $0 |
| FANGYI ZHANG | ||||||||||||||
| PROFESSOR | $486,830 | $156,796 | $104,691 | $0 | $0 | $43,045 | $87,246 | $20,050 | $6,354 | $4,404 | $685,121 | $224,295 | $48,240 | $0 |
| JORGE DIONISIO REYES | ||||||||||||||
| PROFESSOR | $248,840 | $473,006 | $16,746 | $0 | $0 | $48,492 | $32,617 | $25,500 | $3,854 | $13,631 | $302,057 | $560,629 | $5,646 | $0 |
| CARLO BELLABARBA | ||||||||||||||
| PROFESSOR | $160,436 | $163,571 | $413,945 | $0 | $0 | $32,518 | $190,957 | $15,064 | $3,854 | $14,256 | $769,192 | $225,409 | $193,067 | $0 |
| MARGARET PEYTON | ||||||||||||||
| FORMER KEY EMPLOYEE | $233,884 | $0 | $0 | $0 | $968 | $0 | $24,336 | $0 | $24,691 | $0 | $283,879 | $0 | $0 | $0 |
| MARK GREEN | ||||||||||||||
| FORMER KEY EMPLOYEE | $7,600 | $292,253 | $0 | $0 | $0 | $0 | $760 | $0 | $2,454 | $13,152 | $10,814 | $305,405 | $0 | $0 |
| ANNELIESE SCHLEYER | ||||||||||||||
| FORMER SECRETARY-TREASURER | $0 | $172,205 | $0 | $0 | $0 | $14,670 | $0 | $14,670 | $1,554 | $18,212 | $1,554 | $219,757 | $0 | $0 |
| BRUCE SANGEORZAN | ||||||||||||||
| FORMER SECRETARY-TREASURER | $72,880 | $218,105 | $131,810 | $0 | $0 | $45,996 | $83,342 | $25,500 | $3,854 | $16,756 | $291,886 | $306,357 | $66,005 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE UWP GOVERNING BOARD DOES NOT REVIEW COMPENSATION OF ITS EXECUTIVES. INSTEAD, COMPENSATION OF THE UWP EXECUTIVE DIRECTOR AND CHIEF FINANCIAL OFFICER ARE REVIEWED AND SET BY REPRESENTATIVES OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE. THE REVIEW RELIES ON COMPARISON OF COMPENSATION TO SIMILARLY SITUATED INDIVIDUALS, IN LIKE-SIZED ORGANIZATIONS ENGAGED IN SIMILAR ACTIVITIES. THE COMPARISON IS PERFORMED BY AN INDEPENDENT CONTRACTOR CONSULTANT WITH EXPERIENCE AND EXPERTISE IN COMPENSATION OF ACADEMIC MEDICAL CENTER PERSONNEL. THE COMPENSATION COMPARISON DATA IS REVIEWED BY DISINTERESTED EMPLOYEES OF THE UWSOM, AS PART OF AN OVERALL REVIEW OF COMPENSATION FOR SIMILARLY SITUATED INDIVIDUALS IN OTHER COMPONENTS OF THE UW MEDICINE SYSTEM. THE REVIEW IS PERFORMED REGULARLY, AND DOCUMENTATION IS MAINTAINED BY THE UWSOM. COMPENSATION OF UWP BOARD MEMBERS, INCLUDING THE UWP PRESIDENT, IN THEIR CAPACITY AS UWP MEMBERS EMPLOYED BY UWP AND/OR THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, IS REVIEWED REGULARLY THROUGH A UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE PROCESS THAT INVOLVES DISINTERESTED SCHOOL OF MEDICINE EMPLOYEES WHO REVIEW COMPENSATION OF ALL UWSOM FACULTY. FOR UWP MEMBERS, REVIEW OF COMPENSATION ALSO INCLUDES APPLICATION OF THE "UNIVERSITY OF WASHINGTON PHYSICIANS METHOD OR STANDARD REGARDING BASIC INDIVIDUAL CAPS UNDER AMENDED INCOME DISTRIBUTION PLAN, AS OF JULY 1, 1999" (UWP CAP POLICY). THE UWP CAP POLICY LIMITS COMPENSATION OF UWP MEMBERS BY COMPARISON TO OBJECTIVE DATA FOR SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS, SUCH AS THAT ESTABLISHED BY THE AAMC. THE REVIEW IS PERFORMED REGULARLY AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE. |
| SCHEDULE J, PART I, LINE 7: | UWP IS THE PRACTICE PLAN FOR UNIVERSITY OF WASHINGTON FACULTY PHYSICIANS AND HEALTH CARE PRACTITIONERS WHO PROVIDE CLINICAL CARE PRIMARILY TO ADULT PATIENTS. UWP BILLS AND COLLECTS REVENUE GENERATED BY THE CLINICAL SERVICES OF THESE FACULTY PHYSICIANS. ALL REVENUES COLLECTED BY UWP ARE ALLOCATED IN ACCORDANCE WITH THE ASSOCIATION OF UNIVERSITY PHYSICIANS D/B/A UNIVERSITY OF WASHINGTON PHYSICIANS AMENDED AND RESTATED INCOME DISTRIBUTION PLAN (IDP). UWP MAINTAINS A "MASTER" IDP AND EACH UWP DEPARTMENT OR DIVISION ALSO MAINTAINS A DEPARTMENTAL (OR DIVISIONAL) IDP THAT PROVIDES MORE DETAIL AS TO HOW ADDITIONAL COMPENSATION (INCENTIVE PAYMENT) IS CALCULATED AND PAID TO PARTICIPATING INDIVIDUALS (THE PHYSICIANS AND HEALTH CARE PRACTITIONERS WITH PRACTICE AGREEMENTS MAKING THEM ELIGIBLE FOR INCENTIVE PAYMENTS). DEPARTMENTS AND DIVISIONS ARE COMPRISED OF THE FACULTY PHYSICIANS WITHIN EACH SPECIALTY OR PRIMARY CARE AREA OF CLINICAL PRACTICE. THE DEPARTMENTAL AND DIVISIONAL IDPS ALIGN WITH THE CLINICAL DEPARTMENTS OF THE UWSOM. EACH CLINICAL DEPARTMENT OF THE UWSOM HAS A DEPARTMENT CHAIR WHO APPROVES THE IDP FOR THE UWP DEPARTMENT/DIVISION. THE UW MEDICINE CEO ALSO MUST APPROVE EACH DEPARTMENT/DIVISION IDP. UNDER ALL IDPS, REVENUES GENERATED BY FACULTY ARE ALLOCATED TO THE FACULTY MEMBER'S DEPARTMENT, AND THE FUNDS FLOW IS SUBJECT TO CERTAIN STANDARDIZED DEDUCTIONS AS FOLLOWS: FIRST, REVENUES ARE USED TO PAY UWP OPERATING EXPENSES. OF THE REMAINING REVENUES, A PORTION IS ALLOCATED TO THE UWSOM CLINICAL MEDICINE FUND. THE REMAINING REVENUES ARE USED TO PAY DEPARTMENT DIRECT CLINICAL COSTS, THEN PHYSICIAN/PRACTITIONER SALARY AND BENEFITS. THERE IS A PERCENTAGE CONTRIBUTION TO DEPARTMENT (AND DIVISION) OPERATIONS AND RESERVE FUNDS, AND FINALLY, A POOL IS CREATED FOR ADDITIONAL COMPENSATION. WHILE SOME ADDITIONAL COMPENSATION MAY BE IN THE FORM OF FIXED PAYMENTS FOR A DEFINED PERIOD, EACH DEPARTMENTAL/DIVISIONAL IDP PROVIDES FOR PARTICIPATING INDIVIDUALS TO RECEIVE VARIABLE ADDITIONAL COMPENSATION. THE METRICS FOR CALCULATING ADDITIONAL COMPENSATION GENERALLY ARE BASED ON WORK PERSONALLY PERFORMED BY THE PRACTICE PLAN PHYSICIAN OR HEALTH CARE PROFESSIONAL DURING THE PERIOD OF RECORD. WHERE PERSONAL WORK IS NOT THE METRIC, THE DEPARTMENTAL TRUSTEE/DEPARTMENTAL CHAIR FOR THE DEPARTMENT ESTABLISHES A PER CAPITA DISTRIBUTION OF THE POOL TO ALL PARTICIPATING INDIVIDUALS. THE PERCENTAGE OF REVENUES ALLOCATED TO THE DEPARTMENT AND/OR DIVISION OPERATING AND RESERVE FUND IS ESTIMATED BY THE DEPARTMENT AND APPROVED BY THE UW MEDICINE CEO OR HIS DESIGNEE IN A BUDGET ESTABLISHED PRIOR TO THE PERIOD OF RECORD. THE PERIOD OF RECORD IS EITHER A 12-MONTH OR SIX-MONTH PERIOD DURING WHICH THE REVENUES AND EXPENSES FOR THE PRACTICE PLAN ARE ALLOCATED. THE ACTUAL PERCENTAGE FOR DEPARTMENTAL/DIVISIONAL OPERATIONS AND RESERVE CONTRIBUTION MAY BE MODIFIED FROM THE ORIGINAL ESTIMATE BASED ON THE OPERATIONAL NEEDS OF THE DEPARTMENT OR DIVISION, AND WHEN THAT OCCURS, THE PERCENTAGE MAY BE ADJUSTED RETROACTIVELY BY THE CHAIR OF THE DEPARTMENT UPON APPROVAL OF THE UW MEDICINE CEO. AT THE END OF THE PERIOD OF RECORD, AMOUNTS REMAINING AFTER ALL ALLOCATIONS HAVE BEEN MADE ARE AVAILABLE TO PAY THE ADDITIONAL COMPENSATION TO PARTICIPATING INDIVIDUALS. ADDITIONAL COMPENSATION IS CALCULATED FOR EACH PARTICIPATING INDIVIDUAL AND THE ADDITIONAL COMPENSATION AMOUNT IS PAID APPROXIMATELY THREE MONTHS LATER. ADDITIONAL COMPENSATION PAYMENTS ARE SUBJECT TO THE COMPENSATION CAP POLICY ADOPTED BY UWP: THE "UWP METHOD OR STANDARD REGARDING BASIC INDIVIDUAL CAPS UNDER AMENDED INCOME DISTRIBUTION PLAN, AS OF JULY 1, 1999." THIS COMPENSATION CAP POLICY LIMITS THE AMOUNT OF COMPENSATION TO INDIVIDUAL PHYSICIANS AND HEALTH CARE PROFESSIONALS BY COMPARISON TO OBJECTIVE DATA FOR LIKE ACTIVITIES AND LIKE PHYSICIANS OR PRACTITIONERS, INCLUDING SURVEYS SUCH AS THE ASSOCIATION OF AMERICAN MEDICAL COLLEGE (AAMC) AND MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) COMPENSATION SURVEYS. FOR THE MOST FREQUENTLY USED MEASURE (AAMC SURVEY), THE MAXIMUM "BASIC INDIVIDUAL CAP" GENERALLY IS 90% OF THE APPLICABLE STANDARD OR MEASURE. IF AAMC DATA IS NOT AVAILABLE OR DOES NOT PROVIDE THE MOST APPROPRIATE COMPARATIVE DATA, THE POLICY ALLOWS FOR OTHER COMPARATORS TO BE USED. IN GENERAL, THE 90TH PERCENTILE IS THE MAXIMUM BASIC INDIVIDUAL CAP IMPOSED UNDER ANY SURVEY OR DATA. IN ALL INSTANCES, COMPENSATION IS LIMITED BY A CAP ESTABLISHED USING A COMPARATIVE SURVEY OR DATA DETERMINED BY THE UWSOM PRIOR TO THE PERIOD OF RECORD. BEFORE PAYMENT OF ADDITIONAL COMPENSATION FOLLOWING A PERIOD OF RECORD, UWP REVIEWS AND, WHERE NECESSARY, LIMITS INDIVIDUAL COMPENSATION PURSUANT TO THE APPLICABLE CAP. THUS, WHILE THE AMOUNT OF ADDITIONAL COMPENSATION MAY NOT BE FIXED, THE TOTAL COMPENSATION, INCLUDING BASE SALARY AND ADDITIONAL COMPENSATION, IS SUBJECT TO LIMITS ESTABLISHED BY RELEVANT COMPARATORS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUZANNE DINTZIS | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART IV SPOUSE OF RUSSELL VAN GELDER, TRUSTEE | RelationshipDescriptionTxt |
| Transaction | $37,872 | TransactionAmt |
| Transaction | EMPLOYMENT | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 6 | VOLUNTEERS HAVE BOTH UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE FACULTY APPOINTMENTS AS WELL AS A WRITTEN PRACTICE AGREEMENT WITH THE ASSOCIATION OF UNIVERSITY PHYSICIANS ("UWP"). THEY PERFORM CLINICAL SERVICES TO PATIENTS AT UW MEDICINE FACILITIES. VOLUNTEERS ARE TRACKED IN THE PAYROLL SYSTEM EVEN THOUGH NOT PAID BY UWP. |
| FORM 990, SECTION J, WEBSITE | WWW.UWMEDICINE.ORG/UW-PHYSICIANS |
| FORM 990, PART VI, SECTION A, LINE 1 | NONE OF THE VOTING MEMBERS ARE INDEPENDENT. THE UWP BOARD OF TRUSTEES IS COMPRISED OF THE 18 CLINICAL CHAIRS OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, SIX AT-LARGE MEMBERS ELECTED BY THE VOTING UWP MEMBERSHIP, THE MEDICAL DIRECTOR FOR THE UW PHYSICIANS NETWORK (A NON-PROFIT, TAX EXEMPT CORPORATION CLOSELY AFFILIATED WITH THE UNIVERSITY OF WASHINGTON), THE MEDICAL DIRECTOR FOR UW MEDICINE/NORTHWEST (A COMMUNITY HOSPITAL FOR WHICH THE SOLE CORPORATE MEMBER IS THE UNIVERSITY OF WASHINGTON), THE MEDICAL DIRECTOR FOR THE SEATTLE CANCER CARE ALLIANCE (A TAX EXEMPT ENTITY FOR WHICH THE UNIVERSITY OF WASHINGTON PARTICIPATES AS A ONE OF THREE CORPORATE MEMBERS), A PHYSICIAN-PRESIDENT, AND THREE COMMUNITY TRUSTEES. THE PHYSICIAN MEMBERS OF THE BOARD ARE FACULTY MEMBERS OF THE UNIVERSITY OF WASHINGTON (EXCEPT THE MEDICAL DIRECTOR OF UW MEDICINE/NORTHWEST) AND EMPLOYED BY ONE OF THE FOLLOWING: UWP, THE UNIVERSITY OF WASHINGTON, UW MEDICINE/NORTHWEST (FOR ITS MEDICAL DIRECTOR), SEATTLE CANCER CARE ALLIANCE (FOR ITS MEDICAL DIRECTOR), THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS (FOR THE DEPARTMENT OF PEDIATRICS) OR A COMBINATION OF THESE EMPLOYERS. |
| FORM 990, PART VI, SECTION A, LINE 2 | PAUL RAMSEY, MD, IS THE CEO OF UW MEDICINE, EXECUTIVE VICE PRESIDENT FOR MEDICAL AFFAIRS AND DEAN OF THE SCHOOL OF MEDICINE, UNIVERSITY OF WASHINGTON. THE FOLLOWING INDIVIDUALS ALSO ARE EMPLOYED BY THE UNIVERSITY OF WASHINGTON AND REPORT DIRECTLY OR INDIRECTLY TO DR. RAMSEY IN THAT CAPACITY: NORMAN BEAUCHAMP, WILLIAM BREMNER, HOWARD CHANSKY, JENS CHAPMAN, RICHARD ELLENBOGEN, DAVID ESCHENBACH, PETER ESSELMAN, JAMES FINE, NEAL FUTRAN, BURKHARD MACKENSE, NINA MAYER, THOMAS MONTINE, THOMAS NORRIS, JUDITH PAUWELS, CARLOS PELLEGRINI, BRUCE RANSOM, ALEC ROOKE, BRUDER STAPLETON, APRIL STEMPIEN-OTERO, JURGEN UNUTZER, RUSSEL VAN GELDER, MARC STEWART, MARK WENER, HUNTER WESSELLS, MIKA SINANAN, HUGH FOY, BRUCE MONTGOMERY, RICHARD VEITH, RUTH MAHAN, LORI MITCHELL, AND JOHNESE SPISSO. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE UW MEDICINE CEO APPOINTS THREE NON-VOTING COMMUNITY TRUSTEES TO THE BOARD OF TRUSTEES AND ALSO APPOINTS THE PRESIDENT OF UWP. THE CHAIRS OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE CLINICAL DEPARTMENTS AND THE MEDICAL DIRECTOR FOR UW PHYSICIANS NETWORK SERVE AS EX OFFICO MEMBERS OF THE BOARD. THE UW MEDICINE CEO PARTICIPATES IN THE PROCESS OF APPOINTMENT TO THE CLINICAL DEPARTMENT CHAIR POSITIONS AS WELL AS THE UW PHYSICIANS NETWORK MEDICAL DIRECTOR POSITION. |
| FORM 990, PART VI, SECTION A, LINE 7B | MOST DECISIONS OF THE UWP BOARD OF TRUSTEES ARE SUBJECT TO THE APPROVAL OF THE UW MEDICINE CEO. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD HAS BEEN PRESENTED WITH INFORMATION RELATED TO THE PURPOSE AND RELEVANCE OF THE FORM 990 TO TAX EXEMPT ENTITIES SUCH AS UWP, AND BOARD MEMBERS MAY REQUEST A COPY OF THE FORM 990 FROM THE UWP CHIEF FINANCIAL OFFICER. THE COMPLETED FORM 990 IS REVIEWED BY THE UWP EXECUTIVE DIRECTOR, GENERAL COUNSEL, AND THE CHIEF FINANCIAL OFFICER, AS WELL AS THE ASSOCIATE DEAN FOR BUSINESS FOR THE UW SCHOOL OF MEDICINE, AND THE ENTERPRISE FINANCE OFFICER AND ASSOCIATE VICE PRESIDENT OF UW MEDICINE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE UWP BYLAWS CONTAIN A CONFLICT OF INTEREST PROVISION IN ARTICLE III J AND A WRITTEN BOARD POLICY. IN ADDITION, UWP BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES WHO ARE EMPLOYED BY THE UNIVERSITY OF WASHINGTON AND SERVING ON UWP COMMITTEES ARE SUBJECT TO THE STATE OF WASHINGTON ETHICS IN PUBLIC SERVICE ACT, CHAPTER 45.52 RCW. THE ACT RESTRICTS ACTIVITIES INCOMPATIBLE WITH THE INDIVIDUAL'S ROLE AS A STATE EMPLOYEE AND ALSO LIMITS THE INDIVIDUAL'S INVOLVEMENT IN TRANSACTIONS WHERE A POTENTIAL CONFLICT MAY EXIST. UWP ADMINISTRATIVE STAFF ARE SUBJECT TO AN ADMINISTRATIVE CONFLICT OF INTEREST POLICY CONTAINED IN THE UWP EMPLOYEE HANDBOOK. UWP CONDUCTS AN ANNUAL SURVEY AS REQUIRED BY THE UWP BOARD OF TRUSTEES CONFLICT OF INTEREST POLICY AND SURVEYS AS PART OF THE FORM 990 PROCESS. UWP ALSO ADDRESSES CONFLICTS AS THEY ARISE AND/OR ARE REPORTED TO UWP MANAGEMENT OR TO THE BOARD OF TRUSTEES. WHEN A CONFLICT IS IDENTIFIED, DISINTERESTED PERSONS ON THE BOARD, COMMITTEE, OR ADMINISTRATION EVALUATE THE POTENTIAL CONFLICT, CONTEMPORANEOUSLY DOCUMENT THE EVALUATION AND DETERMINATION, AND TAKE APPROPRIATE ACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE UWP GOVERNING BOARD DOES NOT REVIEW COMPENSATION OF ITS EXECUTIVES. INSTEAD, COMPENSATION OF THE UWP EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER, AND GENERAL COUNSEL IS REVIEWED AND SET BY REPRESENTATIVES OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE. THE REVIEW RELIES ON COMPARISON OF COMPENSATION TO SIMILARLY SITUATED INDIVIDUALS, IN LIKE-SIZED ORGANIZATIONS ENGAGED IN SIMILAR ACTIVITIES. THE COMPARISON IS PERFORMED BY AN INDEPENDENT CONTRACTOR CONSULTANT WITH EXPERIENCE AND EXPERTISE IN COMPENSATION OF ACADEMIC MEDICAL CENTER PERSONNEL. THE COMPENSATION COMPARISON DATA IS REVIEWED BY DISINTERESTED EMPLOYEES OF THE UWSOM, AS PART OF AN OVERALL REVIEW OF COMPENSATION FOR SIMILARLY SITUATED INDIVIDUALS IN OTHER COMPONENTS OF THE UW MEDICINE SYSTEM. THE REVIEW IS PERFORMED REGULARLY, AND DOCUMENTATION IS MAINTAINED BY THE UWSOM. COMPENSATION OF UWP BOARD MEMBERS, INCLUDING THE UWP PRESIDENT, IN THEIR CAPACITY AS UWP MEMBERS EMPLOYED BY UWP AND/OR THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, IS REVIEWED REGULARLY THROUGH A UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE PROCESS THAT INVOLVES DISINTERESTED SCHOOL OF MEDICINE EMPLOYEES WHO REVIEW COMPENSATION OF ALL UWSOM FACULTY. FOR UWP MEMBERS, REVIEW OF COMPENSATION ALSO INCLUDES APPLICATION OF THE "UNIVERSITY OF WASHINGTON PHYSICIANS METHOD OR STANDARD REGARDING BASIC INDIVIDUAL CAPS UNDER AMENDED INCOME DISTRIBUTION PLAN, AS OF JULY 1, 1999" (UWP CAP POLICY). THE UWP CAP POLICY LIMITS COMPENSATION OF UWP MEMBERS BY COMPARISON TO OBJECTIVE DATA FOR SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS, SUCH AS THAT ESTABLISHED BY THE AAMC. THE REVIEW IS PERFORMED REGULARLY AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CORPORATE BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE UWP BUSINESS OFFICE. IN ADDITION, THESE DOCUMENTS MAY BE REQUESTED FROM THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE. |
| FORM 990, PART VII, COLUMN B | ALL OF THE KEY EMPLOYEES AND BOARD MEMBERS, EXCEPT THE THREE COMMUNITY TRUSTEES AND THE UWP EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER, AND GENERAL COUNSEL, ARE EMPLOYED FULL TIME BY THE UNIVERSITY OF WASHINGTON AND PARTICIPATE IN UWP'S BUSINESS MATTERS AS A FUNCTION OF THEIR RESPECTIVE POSITIONS WITHIN THE UNIVERSITY OF WASHINGTON. FOR EXAMPLE, BOARD MEMBERS WHO ARE THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE CLINICAL DEPARTMENT CHAIRS ARE REQUIRED AS PART OF THEIR ROLE AS CHAIR TO SERVE ON THE UWP BOARD. OTHER KEY EMPLOYEES EMPLOYED BY THE UNIVERSITY OF WASHINGTON SERVE IN ROLES THAT PROVIDE THE UNIVERSITY OF WASHINGTON OVERSIGHT REQUIRED BY THE UWP ARTICLES OF INCORPORATION AND BYLAWS. FOR THESE INDIVIDUALS, ALTHOUGH EACH MAY ENGAGE IN ACTIVITIES RELATED SOLELY TO THE UNIVERSITY AND UNRELATED TO UWP, WE ARE NOT ABLE TO SEGREGATE THE HOURS DEVOTED TO UWP FROM THE HOURS EACH INDIVIDUAL DEVOTES TO THE UNIVERSITY OF WASHINGTON. THUS, WE ARE REPORTING 40 HOURS FOR EACH INDIVIDUAL, TO REPRESENT THAT INDIVIDUAL'S WORK FOR THE UNIVERSITY OF WASHINGTON. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY OF WASHINGTON | |||||||||||
| 1959 NE PACIFIC STREET | SEATTLE | WA | 98195 | 916001537 | EDUCATION AND MEDICAL CARE | WA | GOVERNMENT | N/A | N/A | 0 | |
| UW PHYSICIANS NETWORK | |||||||||||
| MS 359410 | SEATTLE | WA | 981952700 | 911715882 | MEDICAL PRACTICE | WA | 501(C)(3) | LINE 11A, I | 0 | UNIVERSITY OF WASHINGTON | |
| UW MEDICINE NORTHWEST | |||||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 910637400 | HOSPITAL | WA | 501(C)(3) | LINE 3 | 0 | UNIVERSITY OF WASHINGTON | |
| NORTHWEST HOSPITAL FOUNDATION | |||||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 911011603 | FUNDRAISING | WA | 501(C)(3) | LINE 7 | 0 | UW MEDICINE NORTHWEST | |
| VALLEY MEDICAL CENTER | |||||||||||
| 400 SOUTH 43RD STREET | RENTON | WA | 980555010 | 916000986 | HOSPITAL | WA | GOVERNMENT | N/A | 0 | UNIVERSITY OF WASHINGTON | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| NORTH SEATTLE SURGERY CENTER LLC | |||||||
| 10330 MERIDIAN AVE NORTH SUITE 150 | SEATTLE | WA | 98133 | 202033654 | OFFICE OF PHYSICIANS | WA | N/A |
| RICHMOND BUILDING PARTNERSHIP | |||||||
| 355 RICHMOND BEACH ROAD | SEATTLE | WA | 98177 | 911518742 | OFFICE OF PHYSICIANS | WA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST ASSURANCE COMPANY | |||||||||||||
| PO BOX 1109GT MAEY STREET | GRAND CAYMAN | CJ | INSURANCE PROVIDER | CJ | N/A | C | 0 | ||||||
| SEATTLE ARTHRITIS CLINIC | |||||||||||||
| OFFICES OF PHYSICIANS | N/A | C | 0 | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 203890258 | WA | ||||
| SPORTS MEDICINE GROUP | |||||||||||||
| OFFICES OF PHYSICIANS | N/A | C | 0 | 10330 MERIDIAN AVENUE NORTH SUITE 3 | SEATTLE | WA | 98133 | 911698413 | WA | ||||
| NEUROSURGICAL CONSULTANTS OF WA | |||||||||||||
| OFFICES OF PHYSICIANS | N/A | C | 0 | 801 BROADWAY SUITE 617 | SEATTLE | WA | 98122 | 911856460 | WA | ||||
| BONE & JOINT CENTER OF SEATTLE | |||||||||||||
| OFFICES OF PHYSICIANS | N/A | C | 0 | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 270208005 | WA | ||||
| SUMMIT CARDIOLOGY | |||||||||||||
| OFFICES OF PHYSICIANS | N/A | C | 0 | 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 273492322 | WA | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |