2011-05-14T12:13:01-05:00 2010-06-30 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2009-07-01 911220843 ASSOCIATION OF UNIVERSITY PHYSICIANS ASSO 2065436420 501 EASTLAKE AVENUE EAST No 400 SEATTLE WA 98109 MAUREEN HOOLEY 2065436420 2011-05-13 1 Sara Elizabeth J Hyre 4254544919 2009 2016-02-24 21:20:13Z CATHERINE BOELKE 501 EASTLAKE AVENUE EAST No 400 SEATTLE WA 98109 176349226 0 X HTTP//UWMEDICINE.WASHINGTON.EDU/PATIENTCARE X 1983 WA PRACTICE PLAN FOR UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE FACULTY PHYSICIANS AND PROVIDES SUBSTANTIAL SUPPORT TO THE SCHOOL OF MEDICINE. 26 0 1182 238 0 0 0 180071536 147312266 2123628 6011460 0 182195164 153323726 0 0 143798054 127575241 0 0 25216390 27901001 169014444 155476242 13180720 -2152516 81867743 100517535 81867743 100517535 0 0 THE ASSOCIATION OF UNIVERSITY PHYSICIANS IS A CLINICAL PRACTICE PLAN FOR THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE FACULTY CLINICIANS AND PROVIDES SUBSTANTIAL SUPPORT TO THE UW SCHOOL OF MEDICINE. 0 0 129894360 147312266 THE PHYSICIANS AND OTHER HEALTH CARE PRACTITIONERS OF THE ASSOCIATION OF UNIVERSITY PHYSICIANS (TOGETHER, "UWP PRACTITIONERS") PROVIDE CLINICAL CARE AT UW 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 DEAN OF THE SCHOOL OF MEDICINE. UWP PRACTITIONERS ALSO PROVIDE CLINICAL CARE IN OTHER LOCAL AND NATIONAL COMMUNITY SETTINGS AS APPROVED BY THE DEAN. 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 UW MEDICINE TEACHING AND RESEARCH ACTIVITIES. PURSUANT TO AN OPERATING AGREEMENT BETWEEN 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 SCHOOL OF MEDICINE. THE DEAN OF THE SCHOOL OF MEDICINE CONTROLS ALL PHYSICIAN COMPENSATION BY UWP AND HIS APPROVAL IS REQUIRED FOR THE SIGNIFICANT ACTIONS OF THE UWP BOARD OF TRUSTEES. 129894360 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 12 0 1 1182 1 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 1 1 1 1 0 0 0 1 1 0 1 1 0 0 0 WA X MAUREEN HOOLEY 2065436420 501 EASTLAKE AVENUE EAST SUITE 400 SEATTLE WA 98109 NORMAN J BEAUCHAMP 40.00 X 190208 317941 53525 WILLIAM J BREMNER 40.00 X 185304 250543 57340 JENS R CHAPMAN 40.00 X 590815 108060 252556 EDITH Y CHENG 40.00 X 73028 189962 48906 MARC DANTE COLTRERA 40.00 X 42180 104413 35075 CONNIE DAVIS 40.00 X 45980 186127 33824 JAMES E DAVIS 40.00 X 29017 510731 41866 RICHARD G ELLENBOGEN 40.00 X 369005 349033 116042 DAVID A ESCHENBACH 40.00 X 190032 210847 54252 PETER C ESSELMAN 40.00 X 85846 247305 53253 NELSON FAUSTO 40.00 X 147928 245046 55373 JAMES FINE 40.00 X 136798 231386 74248 NEAL DAVID FUTRAN 40.00 X 123560 364182 56232 GEORGE E LARAMORE 40.00 X 292947 222018 71450 DAVID A MANKOFF 40.00 X 70200 190938 33969 FREDERICK A MATSEN 40.00 X 303269 168300 123888 PETER M MCGOUGH 40.00 X X 208224 0 51805 MICHAEL S MULLIGAN 40.00 X 71709 305640 59941 CARLOS A PELLEGRINI 40.00 X 279192 426613 65013 BRUCE ROBERT RANSOM 40.00 X 109608 223057 47688 ANNELIESE M SCHLEYER 36.00 X X 0 126701 19571 DEBRA A SCHWINN 40.00 X 281123 187045 63811 RUSSELL VAN GELDER 40.00 X 162816 253027 51075 RICHARD VEITH 40.00 X 156372 191344 49004 HUNTER WESSELLS 40.00 X 57200 333063 45281 MIKA N SINANAN 40.00 X 214200 146455 53100 CATHERINE BOELKE 40.00 X 66003 0 16227 RICKY D DEESE 40.00 X 273624 0 38933 MAUREEN HOOLEY 40.00 X 199519 0 51128 RUTH M MAHAN 40.00 X 52428 368251 43909 PAUL G RAMSEY 40.00 X 491604 293029 64581 JOHNESE M SPISSO 40.00 X 128844 518341 51609 MARGARET PEYTON 40.00 X 205320 0 45085 CARLO BELLABARBA 40.00 X 485338 193569 221246 DOUGLAS PAUL HANEL 40.00 X 432671 185949 167710 JORGE DIONISIO REYES 40.00 X 275115 519715 65225 LALIGAM N SEKHAR 40.00 X 444013 364617 70473 THOMAS E TRUMBLE 40.00 X 468744 197611 232483 ALFRED O BERG 40.00 X 0 145967 23660 WILLIAM J ELLIS 40.00 X 167719 189186 68717 BRUCE J SANGEORZAN 40.00 X 185623 266225 128441 ERNEST A WEYMULLER 32.00 X 139715 158856 63322 8432841 9491093 3020837 317 1 1 0 KAYE-SMITH 4101 OAKESDALE AVE SW RENTON WA 98057 INVOICE PROCESSING SERVICES 286055 MEDICAL PRESENT VALUE INC 8820 NE 15TH PLACE BELLEVUE WA 98004 CONTRACT ADMINISTRATION SERVICES 180000 GREYTHORN INC 40 LAKE BELLEVUE SUITE 100 BELLEVUE WA 98005 IT CONSULTING 153945 3 PATIENT PROF FEES 621110 147129382 147129382 BILLING REIMBURSEMENTS 561000 182884 182884 147312266 2241386 2241386 26795574 23025500 3770074 3770074 3770074 153323726 147312266 0 6011460 6477741 5638577 839164 104843015 91047783 13795232 5895230 4733383 1161847 6867936 3339496 3528440 3491319 2349101 1142218 148013 148013 102763 102763 147423 147423 6069353 5234861 834492 124528 124528 4973822 3169816 1804006 353598 353598 895777 895777 79405 79405 991091 991091 90071 90071 BUSINESS TAXES 4426350 4426350 DEPARTMENT EXPENSES 3122905 3122905 MALPRACTICE 2891604 2891604 3484298 3314345 169953 155476242 129894360 25581882 0 773094 748854 12110674 8084400 6871345 2799186 7359957 6051574 1633947 1308383 60228854 87322685 249829 254027 81867743 100517535 15945578 16290521 65922165 84227014 81867743 100517535 X 0 0 81867743 100517535 X 0 1 1 X 0 X X 0 0 0 UNIVERSITY OF WASHINGTON 916001537 GOVERNMENT 1 1 1 71013692 1 71013692 1043354 740343 303011 6316603 5311231 1005372 1308383 CLINICAL MEDICINE FUND AND DEPARTMENTAL PAYABLES 84227014 84227014 153323726 155476242 -2152516 2152516 2152516 0 155476242 2152516 2152516 153323726 0 153323726 155476242 0 155476242 0 155476242 Part X: Description of Uncertain Tax Positions Under FIN 48: FASB ASC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS AND PRESCRIBES A THRESHOLD OF MORE-LIKELY THAN-NOT FOR RECOGNITION OF TAX BENEFITS OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX FILING. FASB ASC 740 ALSO PROVIDES RELATED GUIDANCE ON MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, AND DISCLOSURE. MANAGEMENT REGULARLY REVIEWS THE ASSOCIATION'S ACTIVITIES FOR ANY ACTIVITIES THAT COULD GENERATE A TAX LIABILITY OR JEOPARDIZE THE ASSOCIATION'S TAX EXEMPT STATUS. MANAGEMENT BELIEVES THE ADOPTION OF FASB ASC 740 WILL NOT HAVE A MATERIAL EFFECT ON THE ASSOCIATION'S FINANCIAL POSITION OR RESULTS OF OPERATIONS. 0 0 0 0 0 0 0 1 0 NORMAN J BEAUCHAMP 190208 287433 0 0 0 30508 17344 17428 7378 11375 214930 346744 0 0 WILLIAM J BREMNER 179804 226043 0 0 5500 24500 18530 24500 4452 9858 208286 284901 0 0 JENS R CHAPMAN 111441 99745 462874 0 16500 8315 228728 8315 4878 10635 824421 127010 202088 0 EDITH Y CHENG 64985 170783 0 0 8043 19179 8203 19179 11858 9666 93089 218807 0 0 MARC DANTE COLTRERA 32904 93746 9276 0 0 10667 10896 10667 3414 10098 56490 125178 4514 0 CONNIE DAVIS 41180 164811 0 0 4800 21316 4848 14116 4942 9918 55770 210161 0 0 JAMES E DAVIS 29017 478741 0 0 0 31990 2612 23990 4006 11258 35635 545979 0 0 RICHARD G ELLENBOGEN 252055 325735 114545 0 2405 23298 79046 23298 4878 8820 452929 381151 54545 0 DAVID A ESCHENBACH 190032 189560 0 0 0 21287 19003 21287 4104 9858 213139 241992 0 0 PETER C ESSELMAN 75056 222805 5290 0 5500 24500 14629 24500 3489 10635 103964 282440 0 0 NELSON FAUSTO 142428 220546 0 0 5500 24500 14993 24500 6022 9858 168943 279404 0 0 JAMES FINE 85302 208045 43677 0 7819 23341 35823 23341 5226 9858 177847 264585 21900 0 NEAL DAVID FUTRAN 123560 335459 0 0 0 28723 12756 24500 8878 10098 145194 398780 0 0 GEORGE E LARAMORE 273040 199590 10263 0 9644 22428 31226 22428 7698 10098 331871 254544 5388 0 DAVID A MANKOFF 70200 176448 0 0 0 14490 6669 14490 2712 10098 79581 215526 0 0 FREDERICK A MATSEN 169964 151396 133305 0 0 16904 89586 16904 8818 8580 401673 193784 67267 0 PETER M MCGOUGH 153176 0 34552 0 20496 0 28223 0 23582 0 260029 0 0 0 MICHAEL S MULLIGAN 53364 289077 18345 0 0 16563 29649 16563 3631 10098 104989 332301 0 0 CARLOS A PELLEGRINI 273692 380117 0 0 5500 46496 24500 24500 4878 11135 308570 462248 0 0 BRUCE ROBERT RANSOM 109608 191149 0 0 0 31908 10961 22592 3432 10703 124001 256352 0 0 DEBRA A SCHWINN 281123 167987 0 0 0 19058 24500 19058 8878 11375 314501 217478 0 0 RUSSELL VAN GELDER 162816 233849 0 0 0 19178 14653 19178 4314 12930 181783 285135 0 0 RICHARD VEITH 147732 165884 0 0 8640 25460 15637 19391 3576 10400 175585 221135 0 0 HUNTER WESSELLS 57200 300299 0 0 0 32764 5670 17764 10066 11781 72936 362608 0 0 MIKA N SINANAN 205441 121837 0 0 8759 24618 21420 15138 3780 12762 239400 174355 0 0 RICKY D DEESE 236093 0 20519 0 17012 0 22296 0 16637 0 312557 0 12312 0 MAUREEN HOOLEY 171786 0 13940 0 13793 0 23598 0 27530 0 250647 0 8294 0 RUTH M MAHAN 52428 343751 0 0 0 24500 5243 24500 4308 9858 61979 402609 0 0 PAUL G RAMSEY 491096 248045 0 0 508 44984 24500 24500 4878 10703 520982 328232 0 0 JOHNESE M SPISSO 128844 493841 0 0 0 24500 11596 24500 4878 10635 145318 553476 0 0 MARGARET PEYTON 174884 0 14656 0 15780 0 24810 0 20275 0 250405 0 8783 0 CARLO BELLABARBA 129336 162341 339502 0 16500 31228 191005 14728 4878 10635 681221 218932 137916 0 DOUGLAS PAUL HANEL 133512 167098 287159 0 12000 18851 133586 18851 4878 10395 571135 215195 147465 0 JORGE DIONISIO REYES 239768 473219 29847 0 5500 46496 26421 24500 4878 9426 306414 553641 25000 0 LALIGAM N SEKHAR 436033 319361 0 0 7980 45256 24500 23260 4878 17835 473391 405712 0 0 THOMAS E TRUMBLE 77306 155626 376912 0 14526 41985 193520 19987 8878 10098 671142 227696 189136 0 ALFRED O BERG 0 131259 0 0 0 14708 0 14708 0 8952 0 169627 0 0 WILLIAM J ELLIS 114038 169035 43047 0 10634 20151 37550 16551 5502 9114 210771 214851 18875 0 BRUCE J SANGEORZAN 72036 221229 113587 0 0 44996 88428 24500 4878 10635 278929 301360 63632 0 ERNEST A WEYMULLER 107196 142768 32519 0 0 16088 34202 16088 3174 9858 177091 184802 7011 0 Part I, Line 7 UWP IS THE PRACTICE PLAN FOR UNIVERSITY OF WASHINGTON (UW) 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 UW SCHOOL OF MEDICINE. EACH CLINICAL DEPARTMENT OF THE UW SCHOOL OF MEDICINE HAS A DEPARTMENT CHAIR WHO APPROVES THE IDP FOR THE UWP DEPARTMENT/DIVISION. 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 UW SCHOOL OF MEDICINE 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 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 DEAN OF THE UW SCHOOL OF MEDICINE (DEAN) 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 DEAN. 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 UW SCHOOL OF MEDICINE 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. SUZANNE DINTZIS SPOUSE OF RUSSELL VAN GELDER, TRUSTEE 91007 EMPLOYMENT 0 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), A PHYSICIAN-PRESIDENT, AND THREE COMMUNITY TRUSTEES. EACH OF THE PHYSICIAN BOARD MEMBERS IS A FACULTY MEMBER OF THE UNIVERSITY OF WASHINGTON AND EMPLOYED BY UWP, THE UNIVERSITY OF WASHINGTON, OR BOTH. THE COMMUNITY TRUSTEES ARE NOT EMPLOYED BY THE UNIVERSITY OR BY UWP, HOWEVER, THESE INDIVIDUALS DO NOT VOTE. Form 990, Part VI, Section A, line 7a THE DEAN OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE 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 DEAN 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 DEAN OF THE SCHOOL OF MEDICINE. 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 SCHOOL OF MEDICINE AND THE CHIEF BUSINESS OFFICER OF UW MEDICINE. THE VOTING MEMBERS OF THE UWP BOARD OF TRUSTEES ARE EMPLOYED PHYSICIANS OF UWP, AND AS SUCH, IN THEIR GOVERNANCE ROLE WITH UWP, DO NOT OVERSEE OR REVIEW PHYSICIAN COMPENSATION OR THE COMPENSATION FOR OTHER EXECUTIVES WITHIN UW MEDICINE (THE ACADEMIC MEDICAL HEALTH SYSTEM OF THE UNIVERSITY OF WASHINGTON). ALL COMPENSATION FOR PHYSICIANS AND THE KEY PERSONNEL FOR UWP IS REVIEWED AND APPROVED REGULARLY BY DISINTERESTED PERSONS THROUGH A PROCESS WITHIN UW MEDICINE (SEE RESPONSE TO QUESTION 15 FOR FURTHER DETAIL REGARDING THIS PROCESS). Form 990, Part VI, Section B, line 12 THE UWP BYLAWS CONTAIN A CONFLICT OF INTEREST PROVISION IN ARTICLE III J. 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 IS SUBJECT TO AN ADMINISTRATIVE CONFLICT OF INTEREST POLICY CONTAINED IN THE UWP EMPLOYEE HANDBOOK. UWP CONDUCTS AN ANNUAL INQUIRY OF CERTAIN RELATIONSHIPS AS PART OF THE FORM 990 PROCESS, AND ADDRESSES CONFLICTS AS THEY ARISE AND/OR ARE REPORTED TO UWP MANAGEMENT OR THE UWP 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 UW MEDICINE, AS PART OF AN OVERALL REVIEW OF COMPENSATION FOR SIMILARLY SITUATED INDIVIDUALS IN OTHER COMPONENTS OF UW MEDICINE. THE REVIEW IS PERFORMED REGULARLY, AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE. COMPENSATION OF UWP BOARD MEMBERS, 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 SCHOOL OF MEDICINE 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 VI, SECTION B, LINE 13: UWP HAS A POLICY THAT REQUIRES BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES TO REPORT BILLING COMPLIANCE CONCERNS. THE POLICY EMPHASIZES THAT UWP DOES NOT TOLERATE RETALIATION AGAINST THOSE REPORTING CONCERNS. THIS POLICY IS AVAILABLE TO ALL ADMINISTRATIVE STAFF AND MEMBERS, AND IS BROADLY DISSEMINATED. UWP ALSO HAS AN ADMINISTRATIVE POLICY THAT REQUIRES STAFF TO REPORT CONCERNS RELATED TO ANY FINANCIAL IMPROPRIETIES, AND PROHIBITS RETALIATION AGAINST THOSE REPORTING SUCH CONCERNS. THIS ADMINISTRATIVE POLICY IS MAINTAINED IN THE EMPLOYEE HANDBOOK. FORM 990, PART I, LINE 6: VOLUNTEERS HAVE BOTH UW SCHOOL OF MEDICINE FACULTY APPOINTMENTS AS WELL AS A WRITTEN PRACTICE AGREEMENT WITH UWP. THEY PERFORM CLINICAL SERVICES TO PATIENTS AT UW MEDICINE FACILITIES. VOLUNTEERS ARE TRACKED IN THE PAYROLL SYSTEM EVEN THOUGH NOT PAID BY UWP. UNIVERSITY OF WASHINGTON 1959 NE PACIFIC STREET SEATTLE WA 98195 916001537 EDUCATION AND MEDICAL CARE WA GOVERNMENT N/A UW PHYSICIANS NETWORK 4333 BROOKLYN AVENUE NE SEATTLE WA 98105 911715882 MEDICAL PRACTICE WA 501(c)(3) Line 11a, I UNIVERSITY OF WASHINGTON UW MEDICINE NORTHWEST 1550 N 115TH STREET SEATTLE WA 98133 910637400 HOSPITAL WA 501(c)(3) Line 3 UNIVERSITY OF WASHINGTON 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1