2012-11-14T09:52:35-06:00 2011-12-31 Grant Thornton LLP 100 E Wisconsin Ave Milwaukee WI 53202 990 2011-01-01 391446049 University Health Care Inc % THOMAS E KIENITZ JR UNIV 6082637923 301 S Westfield Road Madison WI 53717 Michael E Dallman 2012-11-13 true Michelle L Weber 4142898200 2011 2016-03-07 17:11:31Z X Michael E Dallman 301 S Westfield Road Madison WI 53717 130444079 false X n/a X 1983 WI Furthering 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. 7 0 0 0 194857 -6937 0 0 120942550 129389624 5520 15814 160171 503560 121108241 129908998 41225 1400 0 0 0 0 0 0 0 122526333 130154104 122567558 130155504 -1459317 -246506 62617156 62726229 6345941 3642269 56271215 59083960 FURTHERING 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. false false 7154095 1400 10334826 Furthering 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. 115949587 115949587 Payments 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. 4128663 3413914 e-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. 127232345 true false false false false false false false false false true false true false true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 0 0 0 true true false false false false false false false false false X 7 0 false false false false false false false true true false false true true true true true true true true false X THOMAS E KIENITZ JR 6082650149 301 S WESTFIELD ROAD Suite WI 53717 X James C Dechene 20.0 X X 0 475745 103646 Jeffrey E Grossman MD 2.0 X 0 774818 98513 Donna Katen-Bahensky 2.0 X 0 804589 138324 Robert N Golden MD 2.0 X 0 520914 105062 Michael D Buhl 2.0 X X 0 489986 100887 Peter Christman 2.0 X 0 547183 54751 Gordon Ridley 2.0 X X 0 226538 44322 Kenneth Mount 2.0 X X 0 181917 45089 Michael E Dallman 2.0 X 0 205800 44555 0 4227490 735149 0 false true false Health EOS PO Box 29940 NEW YORK NY 10087 Quality Mgmt Data 609600 Mile Bluff Clinic LLP 1040 Division Street MAUSTON WI 53948 Support Services 313496 WynTec Consulting LLC 4207 Chrismac Way COLLEYVILLE TX 76034 Data Consulting 161088 Symphony Corporation 22 E Mifflin St Suite 400 MADISON WI 53703 Data Consulting 994383 Affinity Medical Group 222 West College Avenue APPLETON WI 54911 Support Services 178610 6 0 PROGRAM AND SUPPORT REVENUES 621300 9736123 9736123 CAPITATION FEES 524292 115949587 115949587 CANCER CTR AFFIL. 621500 290000 290000 MONITORING FEES 621300 3413914 3413914 129389624 3495 3495 0 0 710518 533097 177421 177421 177421 14303 1984 12319 12319 12319 0 0 0 MISC. INCOME 621300 269052 123160 145892 ADMINISTRATIVE INCOME 621300 59165 10200 48965 WATERTOWN NETWORK, LLC ORDINARY LOSS 621300 -2078 -2078 0 326139 129908998 129698327 194857 15814 1400 1400 0 0 0 0 0 0 0 0 0 0 0 0 32540 32540 0 0 0 3502811 3400243 102568 110179 110179 0 0 0 374854 297618 77236 50415 37663 12752 0 47365 16120 31245 6338 6338 0 803152 301992 501160 22968 13310 9658 CAPITATION COSTS 115949587 115949587 CONTRACTED SERVICES 7365585 5590998 1774587 FEES 1146799 1026163 120636 EQUIPMENT, RENTAL & MAINT 638210 403598 234612 103301 83474 19827 130155504 127232345 2923159 0 0 0 342089 927584 0 0 5385286 2253368 0 0 0 0 0 0 0 0 154629 119139 6682357 1814526 4044370 4867831 0 0 0 0 50001695 51869220 2689087 2689087 0 0 62617156 62726229 5505486 2870888 0 0 296186 245679 0 0 0 0 0 0 0 0 0 0 544269 525702 6345941 3642269 X 56271215 59083960 0 0 0 0 56271215 59083960 62617156 62726229 X -246506 3059251 X false true true X false X X X false false false UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH 391805963 06 true 0 UNIVERSITY OF WISCONSIN HOSPITAL & CLINICS 391835630 03 true 56120686 UNIVERSITY OF WIS MEDICAL FOUNDATION 391824445 09 true 72986805 3 129107491 Payments 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. 0 127737 99067 28670 0 5269030 1715459 3553571 1285590 1285590 4867831 51869220 0 ADVANCES FROM HPW 287162 ACCRUED EXPENSES 238540 525702 129908998 130155504 -246506 51750 51750 -194756 129960748 51750 51750 129908998 129908998 130155504 130155504 130155504 ASC 740 THE 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 Amounts Investment 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) false true false false false false false false false James C Dechene 0 399959 0 47446 0 28340 0 73962 0 29684 0 579391 0 0 Jeffrey E Grossman MD 0 715722 0 50000 0 9096 0 72927 0 25586 0 873331 0 0 Donna Katen-Bahensky 0 672322 0 102900 0 29367 0 105280 0 33044 0 942913 0 0 Robert N Golden MD 0 520914 0 0 0 0 0 84993 0 20069 0 625976 0 0 Michael D Buhl 0 415382 0 52604 0 22000 0 78139 0 22748 0 590873 0 0 Peter Christman 0 537571 0 0 0 9612 0 31152 0 23599 0 601934 0 0 Gordon Ridley 0 161187 0 0 0 65351 0 25562 0 18760 0 270860 0 0 Michael E Dallman 0 205437 0 0 0 363 0 24389 0 20166 0 250355 0 0 Kenneth Mount 0 181917 0 0 0 0 0 26437 0 18652 0 227006 0 0 Schedule J, Line 4b Some 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 $4,071 Form 990 Review Process Form 990, Part VI, Line 11b The 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 & Enforcement Form 990, Part VI, Line 12c All board members and management staff complete a disclosure questionnaire annually. Any disclosures noted are reviewed by the board. Process for Determining Compensation Form 990, Part VI, LINE 15 All 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 Public Form 990, Part VI, Line 19 Records 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 ASSETS PART XI, LINE 5 THE 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 ORGANIZATION FORM 990 PART VII NAME:James C. Dechene TITLE:Interim President/CEO HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Jeffrey E. Grossman, MD TITLE:Director HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Donna Katen-Bahensky TITLE:Chair HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Robert N. Golden, MD TITLE:Director HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael D. Buhl TITLE:Treasurer HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Peter Christman TITLE:Director HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Gordon Ridley TITLE:Secretary HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Kenneth Mount TITLE:Secretary/Director HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael E. Dallman TITLE:Vice President HOURS:40 ECARE LLC 301 S WESTFIELD ROAD STE 320 MADISON WI 53717 262921480 HOSPITAL CARE WI -1007504 2519524 UHC UW School of Medicine and Public Health 600 Highland Ave Madison WI 53792 391805963 School WI NA false University of WI Hospital and Clinics 600 Highland Ave Madison WI 53792 391835630 Hospital WI 501(c)(3) 03 NA false UNIVERSITY OF WI MEDICAL FOUNDATION 600 HIGHLAND AVE MADISON WI 53792 391824445 SUPPORTED ORG WI 501(C)(3) 09 NA false Health Professionals of Wisconsin Inc 301 S Westfield Road Suite 320 Madison WI 53717 391806711 Real Estate WI UHC C Corp 131351 3348256 1.00000 UNITY HEALTH PLANS INSURANCE CORPORATION 840 CAROLINA STREET SAUK CITY WI 53583 391450766 HMO WI UHC C CORP 1211869 121824344 1.00000 false false true false false false false false false true true false true true true true false false Health Professionals of Wisconsin k 48965 Interco. Acct Unity Health Plans Insurance Corporation k 115949587 Interco. Acct