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REGIONAL DIVISION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
REGIONAL DIVISION INC (EIN 39-1446049)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201233199349300438
Schema version
2011v1.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T09:52:35-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Grant Thornton LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1100 E Wisconsin AveAddressLine1
CityMilwaukeeCity
StateWIState
ZIP Code53202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391446049EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1University Health Care IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% THOMAS E KIENITZ JRInCareOfName
Name ControlUNIVNameControl
Phone6082637923Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 S Westfield RoadAddressLine1
CityMadisonCity
StateWIState
ZIP Code53717ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael E DallmanName
TitleVice PresidentTitle
Date Signed2012-11-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMichelle L WeberName
Phone4142898200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonMichael E DallmanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1301 S Westfield RoadAddressLine1
CityMadisonCity
StateWIState
ZIP Code53717ZIPCode
FieldValueIRS element (for citing)
Gross Receipts130444079GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Siten/aWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionFurthering the service, instruction, and research mission of the University of WI School of Medicine & Public Health, University of WI Hospitals and Clinics, and the University of WI Medical Foundation.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI194857TotalGrossUBI
Net Unrelated Business Txbl Income-6937NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year120942550ProgramServiceRevenuePriorYear
Program Service Revenue CY129389624ProgramServiceRevenueCY
Investment Income Prior Year5520InvestmentIncomePriorYear
Investment Income Current Year15814InvestmentIncomeCurrentYear
Other Revenue Prior Year160171OtherRevenuePriorYear
Other Revenue Current Year503560OtherRevenueCurrentYear
Total Revenue Prior Year121108241TotalRevenuePriorYear
Total Revenue Current Year129908998TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year41225GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1400GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year122526333OtherExpensePriorYear
Other Expenses Current Year130154104OtherExpensesCurrentYear
Total Expenses Prior Year122567558TotalExpensesPriorYear
Total Expenses Current Year130155504TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1459317RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-246506RevenuesLessExpensesCY
Total Assets BOY62617156TotalAssetsBOY
Total Assets EOY62726229TotalAssetsEOY
Total Liabilities BOY6345941TotalLiabilitiesBOY
Total Liabilities EOY3642269TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY56271215NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY59083960NetAssetsOrFundBalancesEOY
Mission DescriptionFURTHERING THE SERVICE, INSTRUCTION, AND RESEARCH MISSION OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS, AND THE UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7154095Expense
Grants1400Grants
Revenue10334826Revenue
DescriptionFurthering the service, instruction, and research mission of the University of Wisconsin School of Medicine and Public Health, University of Wisconsin Hospital and Clinics, and University of Wisconsin Medical Foundation (collectively, UW Health) by developing and enhancing relationships with regional physicians, hospitals, and other health care providers, bringing programs and clinical centers for the specialty health care services of UW Health to regional communities, and facilitating communication between the regional health care resources and UW Health.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense115949587Expense
Revenue115949587Revenue
DescriptionPayments to providers for care of patients under managed care contracting arrangements. These arrangements assist the University of Wisconsin School of Medicine and Public Health, University of Wisconsin Hospital and Clinics, and University of Wisconsin Medical Foundation in obtaining access to sufficient patient populations essential to fulfilling their instruction and research missions.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4128663Expense
Revenue3413914Revenue
Descriptione-Care of Wisconsin, LLC, a single member limited liability company, provides remote monitoring services of patients in intensive care units of customer hospitals to further the instruction, research, and service mission of the University of Wisconsin School of Medicine and Public Health, University of Wisconsin Hospital and Clinics, and University of Wisconsin Medical Foundation.Description
FieldValueIRS element (for citing)
Total Program Service Expense127232345TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTHOMAS E KIENITZ JRNamePerson
Telephone Number6082650149TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1301 S WESTFIELD ROADAddressLine1
CitySuiteCity
StateWIState
ZIP Code53717ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
James C Dechene
Interim President/CEO20.0XX0475745103646
Jeffrey E Grossman MD
Director2.0X077481898513
Donna Katen-Bahensky
Chair2.0X0804589138324
Robert N Golden MD
Director2.0X0520914105062
Michael D Buhl
Treasurer2.0XX0489986100887
Peter Christman
Director2.0X054718354751
Gordon Ridley
Secretary2.0XX022653844322
Kenneth Mount
Secretary/Director2.0XX018191745089
Michael E Dallman
Vice President2.0X020580044555
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4227490TotalReportableCompFrmRltdOrgs
Total Other Compensation735149TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Health EOS
PO Box 29940NEW YORKNY10087Quality Mgmt Data609600
Mile Bluff Clinic LLP
1040 Division StreetMAUSTONWI53948Support Services313496
WynTec Consulting LLC
4207 Chrismac WayCOLLEYVILLETX76034Data Consulting161088
Symphony Corporation
22 E Mifflin St Suite 400MADISONWI53703Data Consulting994383
Affinity Medical Group
222 West College AvenueAPPLETONWI54911Support Services178610
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PROGRAM AND SUPPORT REVENUES62130097361239736123
CAPITATION FEES524292115949587115949587
CANCER CTR AFFIL.621500290000290000
MONITORING FEES62130034139143413914
FieldValueIRS element (for citing)
Total Program Service Revenue129389624TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3495TotalRevenueColumn
Exclusion$3,495ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real710518Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real533097Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real177421Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column177421TotalRevenueColumn
Related Or Exempt Function Income177421RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other14303Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1984Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other12319Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column12319TotalRevenueColumn
Exclusion$12,319ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MISC. INCOME621300269052123160145892
ADMINISTRATIVE INCOME621300591651020048965
WATERTOWN NETWORK, LLC ORDINARY LOSS621300-2078-20780
FieldValueIRS element (for citing)
Total Other Revenue326139TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column129908998TotalRevenueColumn
Related Or Exempt Function Income129698327RelatedOrExemptFunctionIncome
Unrelated Business Revenue194857UnrelatedBusinessRevenue
Exclusion$15,814ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1400Total
Program Services1400ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32540Total
Management And General32540ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3502811Total
Program Services3400243ProgramServices
Management And General102568ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total110179Total
Program Services110179ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total374854Total
Program Services297618ProgramServices
Management And General77236ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total50415Total
Program Services37663ProgramServices
Management And General12752ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total47365Total
Program Services16120ProgramServices
Management And General31245ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6338Total
Management And General6338ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total803152Total
Program Services301992ProgramServices
Management And General501160ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total22968Total
Program Services13310ProgramServices
Management And General9658ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CAPITATION COSTS115949587115949587
CONTRACTED SERVICES736558555909981774587
FEES11467991026163120636
EQUIPMENT, RENTAL & MAINT638210403598234612

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total103301Total
Program Services83474ProgramServices
Management And General19827ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total130155504Total
Program Services127232345ProgramServices
Management And General2923159ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY342089BOY
EOY927584EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5385286BOY
EOY2253368EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY154629BOY
EOY119139EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6682357LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1814526LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4044370BOY
EOY4867831EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY50001695BOY
EOY51869220EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2689087BOY
EOY2689087EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY62617156BOY
EOY62726229EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5505486BOY
EOY2870888EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY296186BOY
EOY245679EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY544269BOY
EOY525702EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6345941BOY
EOY3642269EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY56271215BOY
EOY59083960EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY56271215BOY
EOY59083960EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY62617156BOY
EOY62726229EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-246506ReconcilationRevenueExpenses
Reconcilation Other Changes3059251ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (3 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocAmountAmount
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH
39180596306true$0
UNIVERSITY OF WISCONSIN HOSPITAL & CLINICS
39183563003true$56,120,686
UNIVERSITY OF WIS MEDICAL FOUNDATION
39182444509true$72,986,805
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
Sum Of Amounts129107491SumOfAmounts
General ExplanationPayments to our Supported Organizations includes: Payments to providers for care of patients under managed care contracting arrangements, and reimbursement for expense items paid by them on behalf of University Health Care, Inc. These items include, but are not limited to: salaries, wages, and benefits of UHC staff; professional service expenses; facility rent and fees; and equipment rental and maintenance costs.GeneralExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis127737OtherCostOrOtherBasis
Depreciation99067Depreciation
Book Value28670BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis5269030OtherCostOrOtherBasis
Depreciation1715459Depreciation
Book Value3553571BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1285590OtherCostOrOtherBasis
Book Value1285590BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4867831TotalOfBookValueLandBuildings
Total Of Book Value Program Related51869220TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ADVANCES FROM HPW$287,162
ACCRUED EXPENSES$238,540
FieldValueIRS element (for citing)
Total Of Amounts525702TotalOfAmounts
Total Revenue129908998TotalRevenue
Total Expenses130155504TotalExpenses
Excess Or Deficit For Year-246506ExcessOrDeficitForYear
Other$51,750OtherAmount
Total Adjustments51750TotalAdjustments
Excess Or Deficit Per FS-194756ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt129960748TotRevenueEtcAuditedFinclStmt
Other Revenues51750OtherRevenues
Revenue Not Rptd F99051750RevenueNotRptdF990
Revenue Subtotal129908998RevenueSubtotal
Total Revenue Per Form990129908998TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt130155504TotExpensesEtcAuditedFinclStmt
Expenses Subtotal130155504ExpensesSubtotal
Total Expenses Per Form990130155504TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
ASC 740THE COMPANY RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION FOLLOWING AN AUDIT. FOR TAX POSITIONS MEETING THE MORE-LIKELY-THAN-NOT THRESHOLD, THE AMOUNT RECOGNIZED IN THE FINANCIAL STATEMENTS IS THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT WITH THE RELEVANT TAX AUTHORITY. THE COMPANY HAS APPLIED THE UNCERTAIN TAX POSITION GUIDANCE TO ALL TAX POSITIONS FOR WHICH THE STATUTE OF LIMITATIONS REMAINED OPEN. THERE ARE NO MATERIAL UNRECOGNIZED TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN THAT HAVE BEEN RECORDED ON THE COMPANY'S FINANCIAL STATEMENTS FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010 AS IT WAS DETERMINED THAT ALL TAX POSITIONS TAKEN MEET THE MORE LIKELY THAN NOT THRESHOLD. UNITY AND HPW FILE CORPORATE INCOME TAX RETURNS IN THE UNITED STATES FEDERAL JURISDICTION AND IN THE STATE OF WISCONSIN. TAX YEARS OPEN TO EXAMINATION BY TAX AUTHORITIES UNDER FEDERAL AND STATE STATUTE OF LIMITATIONS FOR THESE ENTITIES INCLUDE CALENDAR YEARS 2008 THROUGH 2011 AND 2007 THROUGH 2011, RESPECTIVELY. UHC IS EXEMPT FROM INCOME TAX, THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSES, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE CODE. UHC FILES A FEDERAL INFORMATIONAL RETURN EACH YEAR, BUT MANAGEMENT HAS DETERMINED THAT THERE IS NO UNRELATED BUSINESS INCOME TO REPORT FOR UHC, THEREFORE INCOME TAX RETURNS ARE NOT REQUIRED TO BE FILED. BECAUSE THE STATUTE OF LIMITATIONS DOES NOT RUN FOR RETURNS NOT FILED, ALL YEARS WILL REMAIN OPEN TO AUDIT FOR BOTH FEDERAL AND STATE PURPOSES FOR UHC. ECARE IS A WHOLLY-OWNED DISREGARDED ENTITY OF UHC. AS SUCH, ECARE DOES NOT HAVE A FEDERAL OR A STATE INCOME TAX FILING REQUIREMENT. THE COMPANY RECOGNIZES, IF NECESSARY, INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN THE PROVISION FOR INCOME TAXES. THERE WERE NO INTEREST OR PENALTIES RELATED TO INCOME TAXES THAT HAVE BEEN ACCRUED OR RECOGNIZED AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010.
Part XI Line 8 and Part XII Line 2d Other AmountsInvestment Income - HPW $(131,351) Book/Tax Difference in Watertown Network, LLC Income - $319,376 Book/Tax Difference in UW Cancer Center Johnson Creek, LLC Income - $(35,409) Investment Income - Unity $(1,211,870) Investment Income - e-Care $1,007,505 Rounding - $(1) Total = $(51,750)

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
James C Dechene
0399959047446028340073962029684057939100
Jeffrey E Grossman MD
071572205000009096072927025586087333100
Donna Katen-Bahensky
067232201029000293670105280033044094291300
Robert N Golden MD
05209140000084993020069062597600
Michael D Buhl
0415382052604022000078139022748059087300
Peter Christman
05375710009612031152023599060193400
Gordon Ridley
016118700065351025562018760027086000
Michael E Dallman
0205437000363024389020166025035500
Kenneth Mount
01819170000026437018652022700600

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSchedule J, Line 4bIdentifier
ExplanationSome employees participate in a 457(f) plan. In 2011, the following employer contributions were made: - James C. Dechene $38,731 - Donna Katen-Bahensky $70,000 - Michael D. Buhl $4,071Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Review ProcessForm 990, Part VI, Line 11bThe Form 990 is prepared by Grant Thornton, LLP and then reviewed by University Health Care's Financial Officer. The organization's final Form 990 is then presented to and reviewed with the University Health Care Board of Directors at the October Board meeting. The review with the Board is facilitated by Grant Thornton's Tax personnel.
Conflict of Interest Policy Monitoring & EnforcementForm 990, Part VI, Line 12cAll board members and management staff complete a disclosure questionnaire annually. Any disclosures noted are reviewed by the board.
Process for Determining CompensationForm 990, Part VI, LINE 15All wages are paid by the supported organizations which are: University of Wisconsin Hospital and Clinics, University of Wisconsin Medical Foundation, and University of Wisconsin School of Medicine and Public Health. The CEO and VP compensation is discussed and reviewed with the board in an executive session by the director of compensation and benefits for UW Hospitals and Clinics (the employer of record).
How Documents are Made Available to the PublicForm 990, Part VI, Line 19Records are made available to the public upon request by mailing to University Health Care, Inc., c/o Thomas E. Kienitz Jr., 301 S. Westfield Road, Suite 320, Madison, WI 53717.
OTHER CHANGE IN NET ASSETSPART XI, LINE 5THE OTHER CHANGE IN NET ASSETS IS COMPOSED OF THE FOLLOWING: $51,750 - BOOK/TAX DIFFERENCES $7,504 - CHANGE IN EQUITY IN ECARE FROM 2010 TO 2011 $3,000,000 - CONTRIBUTIONS TO EQUITY $(3) - Rounding ________________________________________ $3,059,251 - TOTAL OTHER CHANGE IN NET ASSETS
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:James C. Dechene TITLE:Interim President/CEO HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Jeffrey E. Grossman, MD TITLE:Director HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Donna Katen-Bahensky TITLE:Chair HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Robert N. Golden, MD TITLE:Director HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Michael D. Buhl TITLE:Treasurer HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Peter Christman TITLE:Director HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Gordon Ridley TITLE:Secretary HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Kenneth Mount TITLE:Secretary/Director HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Michael E. Dallman TITLE:Vice President HOURS:40

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ECARE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1301 S WESTFIELD ROAD STE 320AddressLine1
CityMADISONCity
StateWIState
ZIP Code53717ZIPCode
FieldValueIRS element (for citing)
EIN262921480EIN
Primary ActivitiesHOSPITAL CAREPrimaryActivities
Legal Domicile StateWILegalDomicileState
Total Income-1007504TotalIncome
EOY Assets2519524EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1UHCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatus
UW School of Medicine and Public Health
600 Highland AveMadisonWI53792391805963SchoolWINAfalse
University of WI Hospital and Clinics
600 Highland AveMadisonWI53792391835630HospitalWINAfalse501(c)(3)03
UNIVERSITY OF WI MEDICAL FOUNDATION
600 HIGHLAND AVEMADISONWI53792391824445SUPPORTED ORGWINAfalse501(C)(3)09

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Health Professionals of Wisconsin Inc
301 S Westfield Road Suite 320MadisonWI53717391806711Real EstateWIUHCC Corp13135133482561.00000
UNITY HEALTH PLANS INSURANCE CORPORATION
840 CAROLINA STREETSAUK CITYWI53583391450766HMOWIUHCC CORP12118691218243441.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Health Professionals of Wisconsin
k48965Interco. Acct
Unity Health Plans Insurance Corporation
k115949587Interco. Acct