2012-03-02T13:53:49-06:00 2011-06-30 MCGLADREY & PULLEN LLP PO BOX 5946 MADISON WI 537050946 990 2010-07-01 391824445 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC UNIV 6088214223 7974 UW HEALTH COURT MIDDLETON WI 53562 ROBERT FLANNERY 6088214223 2012-03-01 1 JAMES G GRAHAM 6088332612 2010 2016-02-24 21:20:13Z JEFFREY GROSSMAN MD 600 HIGHLAND AVENUE MADISON WI 53792 605323119 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 3832 0 3426572 61657 19510991 29657867 551830051 568711280 4435003 3796569 2611151 2660062 578387196 604825778 38617526 42061862 0 0 333478645 354447060 0 0 0 197174710 197729352 569270881 594238274 9116315 10587504 394299511 404753446 213332234 192506654 180967277 212246792 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 76393212 27807960 FUNDING ALLOCATED TO PROVIDE MEDICAL EDUCATION FOR THE BENEFIT OF, AND IN SUPPORT OF THE PURPOSE OF THE UW MEDICAL SCHOOL AND PUBLIC HEALTH. 11078866 11078866 FUNDING ALLOCATED TO PROVIDE MEDICAL RESEARCH FOR THE BENEFIT OF, AND IN SUPPORT OF THE PURPOSE OF THE UW MEDICAL SCHOOL AND PUBLIC HEALTH. 443511238 2224341 565719339 FUNDING ALLOCATED TO PROVIDE HEALTHCARE FOR THE BENEFIT OF, AND IN SUPPORT OF THE PURPOSE OF THE UW MEDICAL SCHOOL AND PUBLIC HEALTH. 59016079 925695 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. 59016079 925695 589999395 1 1 0 1 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 0 0 0 0 0 1 0 0 0 0 1 284 0 1 3832 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 0 1 1 1 1 1 1 1 0 IL WI X ROBERT W FLANNERY CFO 6088214223 7974 UW HEALTH COURT MIDDLETON WI 53562 JENNIFER ALEXANDER 1.00 X 0 0 0 PATRICIA BRADY 1.00 X 0 0 0 JIM BURGESS 1.00 X 0 0 0 ROBERT N GOLDEN MD 1.00 X 247632 240616 49090 THOMAS GRIST MD 1.00 X 366799 175825 49090 ROGER HAUCK 1.00 X 0 0 0 NIZAR JARJOUR MD 1.00 X 186642 176761 46938 K CRAIG KENT MD 1.00 X 518926 232644 49090 FRED LEE JR MD 1.00 X 431290 107652 49090 DENNIS LUND MD 1.00 X 471798 124468 49090 STEPHEN NAKADA MD 1.00 X 358805 155096 49090 DAVID RAKEL MD 1.00 X 106089 86777 15958 LAUREL RICE MD 1.00 X 317069 156646 12340 WILLIAM SCHWAB MD 1.00 X 112461 95433 28130 RODNEY WELCH MD 1.00 X 0 0 0 ELIOT WILLIAMS MD PHD 1.00 X 73327 113482 18219 JEFFREY GROSSMAN MD 40.00 X X 543431 165277 58991 CAROLINE FRIBANCE 1.00 X X 0 0 0 FREDERICK WENZEL 1.00 X X 0 0 0 PETER CHRISTMAN 40.00 X 581783 0 24618 ROBERT FLANNERY 40.00 X 317111 0 20420 RICHARD WELNICK MD 40.00 X 183695 56440 46014 GEOFFREY S BAER MD PHD 40.00 X 745745 44565 49000 GREGORY K HARTIG MD 40.00 X 707258 64882 49000 MICHAEL M ALTAWEEL MD 40.00 X 653285 72124 52735 BEN K GRAF MD 40.00 X 662532 64855 49000 KENNETH J NOONAN MD 40.00 X 664263 53698 54000 8249941 2187241 819903 726 0 1 0 TRI-NORTH BUILDERS INC PO BOX 259568 MADISON WI 53725 CONSTRUCTION 2504425 TNB SUPPLY COMPANY LLC 2625 RESEARCH PARK DRIVE FITCHBURG WI 53711 CONSTRUCTION 1331697 MERITER LABORATORIES PO BOX 681166 CHICAGO IL 60695 LAB 1221315 MERITER HOSPITAL PO BOX 78430 MILWAUKEE WI 53278 MEDICAL 745450 DANE COUNTY CYTOLOGY 2000 ENGEL STREET 201 MONONA WI 53713 LAB 739407 39 29657867 29657867 PATIENT SERVICES 621111 374600301 374600301 PREMIUM REVENUE 900099 170703742 170703742 OTHER MEDICAL SERVICES 561000 23407237 20415296 2991941 568711280 3275544 3275544 2005130 7692 1997438 1997438 6505 1990933 451904 558770 489649 451904 69121 521025 521025 ADMIN SUPPORT 561110 428126 428126 OTHER NON-OPERATING RE 900099 234498 234498 662624 604825778 565719339 3426572 6022000 42036862 42036862 25000 25000 5391112 3618661 1772451 7695628 7695628 293129837 293129837 6469921 6469921 28407201 28407201 13353361 13353361 49167444 48739318 428126 472698 472698 121085 121085 192358 192358 1940795 1940795 31562783 31562783 4992028 4992028 15686740 15686740 1222501 1222501 7264121 7264121 1082797 1082797 REIMBURSE OF MED SCHOOL 75093212 75093212 BAD DEBT EXPENSE 7147063 7147063 MISCELLANEOUS 1754067 1754067 NON-OPERATING EXPENSES 29660 29660 594238274 589999395 4238879 0 69123428 107954246 5000000 2500000 50258020 45415731 4148024 4409109 10109924 16080424 134287224 72508392 100908333 61778832 120943561 129947618 1328443 1861089 31675421 34056562 167716 144959 636641 604876 394299511 404753446 159272536 140496813 44600000 44600000 754435 8705263 7409841 213332234 192506654 X 180967277 212246792 180967277 212246792 394299511 404753446 X 10587504 20692011 X X 0 1 1 X 0 X 12805545 17749751 19294896 19510991 29657867 99019050 465541185 483064471 505030677 548893354 565719339 2568249026 478346730 500814222 524325573 568404345 595377206 2667268076 0 0 0 2667268076 8049440 8756546 7168362 5543597 5787502 35305447 8049440 8756546 7168362 5543597 5787502 35305447 107778 5079 61657 174514 217606 427298 162554 318008 234498 1359964 486613776 509998066 531764267 574271029 601460863 2704108001 0.98640 0.98540 0.01310 0.01400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 192358 0 0 0 192358 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: PURCHASED SERVICES - MALRONEY WAGES: $60,689; WAGES AND REIMBURSEMENT FOR JOHN SENDER: $38,420; DUES PAID TO STATE AND MEDICAL SOCIETIES: $93,249 5828612 5828612 64430638 26499380 37931258 8430827 4395650 4035177 55597147 41613362 13983785 61778832 WISCONSIN SLEEP INC 2018072 C GEN FERTILITY CARE 158034 C MADISON MEDICAL CENTER 4356479 C MADISON SURGERY CENTER 3625814 C MERITER PHYSICIAN CONTRACTING 23846 C WISCONSIN DIALYSIS INC 284143 C TRANSFORMATIONS LLC 655907 C UNIVERSITY HEALTH CARE INC 22934267 C 34056562 DUE TO MED. SCHOOL DEV. FUND 7001989 DUE TO RESEARCH & DEV. FUND 407852 7409841 604825778 594238274 10587504 15494621 5197390 20692011 31279515 625064210 15494621 5197390 20692011 604372199 453579 453579 604825778 593784695 7692 7692 593777003 461271 461271 594238274 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 FORMS 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 2007 AND EARLIER. PART XI, LINE 8 - OTHER ADJUSTMENTS: REVENUE FROM UNCONSOLIDATED ENTITIES 5,135,210. UNREALIZED GAIN (LOSS) ON FINANCIAL INSTRUMENT 62,180. PART XII, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM UNCONSOLIDATED ENTITIES 5,135,210. UNREALIZED GAIN (LOSS) ON FINANCIAL INSTRUMENT 62,180. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF NON-OPERATING REVENUE 33,145. RECLASSIFICATION OF RENT EXPENSES -7,692. RECLASS OF UNITY/UHC MANAGEMENT SERVICE REVENUE 428,126. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFICATION OF RENT EXPENSES 7,692. PART XIII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF NON-OPERATING REVENUE 33,145. RECLASS OF UNITY/UHC MANAGEMENT SERVICE REVENUE 428,126. 1 UW SCHOOL OF MEDICINE AND PUBLIC HEALTH 750 HIGHLAND AVENUE MADISON WI 53705 396006492 115 27818505 SUPPORT FUNCTIONS OF THE MEDICAL SCHOOL UNIVERSITY HEALTH CARE INC 1848 UNIVERSITY AVENUE MADISON WI 53708 391446049 501(C)(3) 2224341 SUPPORT FOR CONTRACT MANAGEMENT UNIVERSITY OF WISCONSIN FOUNDATION 1848 UNIVERSITY AVENUE MADISON WI 53708 390743975 501(C)(3) 11078866 RESEARCH SUPPORT MADISON COMMUNITY HEALTH CENTER INC DBA ACCESS COMMUNITY HEALTH CENTERS 2901 W BELTLINE HWY MADISON WI 53713 391391134 501(C)(3) 650150 SUPPORT UNCOMPENSATED COSTS INCURRED WITH PROVIDING WINGRA CLINIC AND PATIENTS WITH ITS FULL SCOPE OF SERVICES RESTORING HOPE TRANSPLANT HOUSE 7457 TERRACE AVENUE MIDDLETON WI 53562 204786829 501(C)(3) 60000 SUPPORT FUNCTIONS OF THE ORGANIZATION FOUNDATION FOR WOMEN'S CANCER 230 W MONROE ST SUITE 2528 CHICAGO IL 60606 363797707 501(C)(3) 30000 SUPPORT FUNCTIONS OF THE ORGANIZATION UNIVERSITY OF WISCONSIN SYSTEM 635 SCIENCE DRIVE MADISON WI 53711 391805963 115 125000 SUPPORT FUNCTIONS OF THE ORGANIZATION SUPPORT FUNCTIONS OF THE ORGANIZATION ACHC FACILITIES INC 2901 W BELTLINE HWY MADISON WI 53713 203125025 501(C)(3) 50000 SUPPORT FUNCTIONS OF THE ORGANIZATION 8 0 UWMF EMPLOYEE CHILDREN'S SCHOLARSHIP FUND - SCHOLARSHIPS TO CHILDREN OF UWMF EMPLOYEES TO BE USED IN THEIR PURSUIT OF A HEALTHCARE CAREER. 40 25000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE GRANT SCHEDULE FOR UW SCHOOL OF MEDICINE IS BASED ON A 2 YEAR AGREEMENT AT A FIXED AMOUNT. THE UW FOUNDATION MAKES A CONTRIBUTION 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 FOLLOWING MONTHS TRANSFER. THE FIXED AMOUNTS ARE REVIEWED MONTHLY TO CONFIRM TRANSFERS TO CONTRACTS AND BUDGET. ANY DISCREPANCIES ARE ADJUSTED IN THE FOLLOWING MONTH. THE 2011 UWMF EMPLOYEE CHILDREN'S SCHOLARSHIPS WERE AWARED TO CHILDREN OF UWMF EMPLOYEES. EACH CHILD WAS AWARDED A $625 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 0 0 0 0 0 0 0 ROBERT N GOLDEN MD 247632 240616 0 0 0 0 49000 0 90 0 296722 240616 0 0 THOMAS GRIST MD 366799 175825 0 0 0 0 49000 0 90 0 415889 175825 0 0 NIZAR JARJOUR MD 186642 176761 0 0 0 0 46848 0 90 0 233580 176761 0 0 K CRAIG KENT MD 518926 232644 0 0 0 0 49000 0 90 0 568016 232644 0 0 FRED LEE JR MD 431290 107652 0 0 0 0 49000 0 90 0 480380 107652 0 0 DENNIS LUND MD 471798 124468 0 0 0 0 49000 0 90 0 520888 124468 0 0 STEPHEN NAKADA MD 358805 155096 0 0 0 0 49000 0 90 0 407895 155096 0 0 DAVID RAKEL MD 106089 86777 0 0 0 0 15868 0 90 0 122047 86777 0 0 LAUREL RICE MD 317069 156646 0 0 0 0 12250 0 90 0 329409 156646 0 0 WILLIAM SCHWAB MD 112461 95433 0 0 0 0 28040 0 90 0 140591 95433 0 0 ELIOT WILLIAMS MD PHD 73327 113482 0 0 0 0 18129 0 90 0 91546 113482 0 0 JEFFREY GROSSMAN MD 493435 165277 40000 0 9996 0 49000 0 9991 0 602422 165277 0 0 PETER CHRISTMAN 475603 0 42533 0 63647 0 0 0 24618 0 606401 0 0 0 ROBERT FLANNERY 244269 0 22946 0 49896 0 0 0 20420 0 337531 0 0 0 RICHARD WELNICK MD 183695 56440 0 0 0 0 45924 0 90 0 229709 56440 0 0 GEOFFREY S BAER MD PHD 745745 44565 0 0 0 0 49000 0 0 0 794745 44565 0 0 GREGORY K HARTIG MD 707258 64882 0 0 0 0 49000 0 0 0 756258 64882 0 0 MICHAEL M ALTAWEEL MD 653285 72124 0 0 0 0 49000 0 3735 0 706020 72124 0 0 BEN K GRAF MD 662532 64855 0 0 0 0 49000 0 0 0 711532 64855 0 0 KENNETH J NOONAN MD 664263 53698 0 0 0 0 49000 0 5000 0 718263 53698 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS COMPLETED BY THE ORGANIZATION'S EXTERNAL ACCOUNTING FIRM. UPON COMPLETION, THE DIRECTOR OF 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 SUBMITTED FOR FILING. 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. PLEASE NOTE THAT THE CONFLICT OF INTEREST POLICY PROVIDES A PROCESS FOR BOTH VOLUNTARY AND INVOLUNTARY RECUSAL IN SECTIONS 2.3 AND 2.4, RESPECTIVELY. 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 DOCUMENTS AVAILABLE UPON REQUEST FROM THE CORPORATE OFFICE ARE THE FINANCIAL STATEMENTS, BYLAWS, ARTICLES, CONFLICT OF INTEREST POLICIES, TAX RETURNS, AND FORM 1023. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 15,494,621. REVENUE FROM UNCONSOLIDATED ENTITIES 5,135,210. UNREALIZED GAIN (LOSS) ON FINANCIAL INSTRUMENT 62,180. TOTAL TO FORM 990, PART XI, LINE 5: 20,692,011. CHANGES TO THE ORGANIZATION'S OVERSIGHT PROCESS OR SELECTION PROCESS: FORM 990, PART XII, LINE 2C EXPLANATION: THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. 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 1 1 0 0 0 1 1 1 0 0