2023-11-13T16:36:43-06:00 2022-12-31 390859910 BAKER TILLY US LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2022-01-01 396045649 WISCONSIN MEDICAL SOCIETY FOUNDATION INC WISC 6084423800 PO BOX 1109 MADISON WI 53701 MARK WESTOVER TREASURER 6084423800 2023-11-13 1 MARK WESTOVER XXX-XX-XXXX 0 LAWRENCE H MOHR CPA P00447603 6128764500 2023-11-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ELIZABETH RINGLE PO BOX 1109 MADISON WI 53701 2141527 0 X HTTPS://FOUNDATION.WISMED.ORG X 1955 WI TO ADVANCE THE HEALTH OF THE PEOPLE OF WISCONSIN BY SUPPORTING MEDICAL AND HEALTH EDUCATION. 16 16 0 121 0 0 277760 350458 96914 109375 854456 29791 -33013 0 1196117 489624 271386 326959 0 0 201308 248404 0 0 84123 210021 202995 682715 778358 513402 -288734 14872089 12590792 151186 99723 14720903 12491069 X TO ADVANCE THE HEALTH OF THE PEOPLE OF WISCONSIN BY SUPPORTING MEDICAL EDUCATION AND HEALTH INITIATIVES. 0 0 353866 232459 109375 MEDICAL EDUCATION:- STUDENT LOAN AND SCHOLARSHIP PROGRAMALL STUDENT LOANS ARE AWARDED TO STUDENTS ATTENDING THE MEDICAL COLLEGE OF WISCONSIN OR THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH. STUDENT LOANS TOTALING $460,000 WERE AWARDED IN 2022 TO 46 STUDENTS. THESE LOANS ARE INTEREST-FREE WHILE THE STUDENT IS IN SCHOOL AND OFFER GENEROUS DEFERRAL AND REPAYMENT TERMS.SCHOLARSHIP APPLICATIONS ARE REVIEWED BY A SCHOLARSHIP COMMITTEE THAT DETERMINES RECIPIENTS AND THE AMOUNT OF EACH AWARD. THERE ARE ALSO FUTURE SUPERHERO OF MEDICINE FOR UNDER REPRESENTED MINORITIES SCHOLARHIPS WERE AWARDED TO 9 STUDENTS TO ACCESS TEST PREP RESOURCES FOR THE MATC AND STEP 1 AND 2 EXAMS. A TOTAL OF 76 SCHOLARSHIPS WERE AWARDED IN 2022 TOTALING $201,871. 30743 MENTORING: THE FOUNDATION OFFERS TWO MENTORING PROGRAMS. THROUGH THE WHITE COAT CAMPAIGN, THE FOUNDATION PROVIDES A WHITE COAT FOR EACH FIRST-YEAR MEDICAL STUDENT ATTENDING SCHOOL IN WISCONSIN ALONG WITH A LETTER OF WELCOME AND ENCOURAGEMENT FROM A DONOR PHYSICIAN. A TOTAL OF 439 WHITE COATS WERE AWARDED IN 4 CEREMONIES FROM EARLY JULY TO LATE AUGUST. THE FOUNDATION ALSO OFFERS OPERATION: EDUCATION, A FUN AND EDUCATIONAL PROGRAM HELD AT BOTH MEDICAL SCHOOLS. THIS BRINGS TOGETHER MEDICAL STUDENTS AND PHYSICIANS TO ENGAGE IN CONVERSATIONS ABOUT SPECIALTY AND PRIMARY CARE OPTIONS AVAILABLE TO THEM. 133818 94500 PUBLIC HEALTH:-GRANTS PROGRAMTHE FOUNDATION'S GRANTS PROGRAM IS ADMINISTERED THROUGH THE GRANT COMMITTEE. APPLICATIONS ARE ACCEPTED AND GRANTS ARE AWARDED FOR COMMUNITY HEALTH EDUCATION AND RESEARCH INITIATIVES. GRANT RECIPIENTS ARE REQUIRED TO REPORT BACK TO THE FOUNDATION ON RESULTS AND USE OF THE GRANT FUNDS. IN 2022, THE FOUNDATION AWARDED 17 GRANTS FOR A TOTAL OF $70,000.-SUMMER FELLOWSHIP PROGRAMTHE FOUNDATIONS' GRANT COMMITTEE ALSO ADMINISTERS THE FOUNDATION'S SUMMER FELLOWSHIP PROGRAM THAT OFFERS MEDICAL STUDENTS OPPORTUNITIES TO GAIN VALUABLE, HANDS-ON EXPERIENCE IN COMMUNITY HEALTH EDUCATION OR RESEARCH DURING MEDICAL SCHOOL. SEVEN FELLOWSHIPS WERE AWARDED TOTALING $24,500 IN 2022. 518427 1 1 0 0 0 0 0 1 0 1 1 0 0 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 1 0 1 X 10 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X KRIS ROUG 6084423711 2920 MARKETPLACE DRIVE SUITE 103 FITCHBURG WI 53719 MICHAEL FLESHER SECRETARY (AS OF 6/2022) 1.00 39.00 X 0 206455 18247 CLYDE BUD CHUMBLEY MD PAST SECRETARY, DIRECTOR 1.00 39.00 X X 0 133758 13454 ELIZABETH RINGLE EXEC. DIRECTOR (AS OF 5/2022) 37.50 X 86812 0 4625 MARJE MURRAY EXEC. DIRECTOR (THRU 5/2022) 37.50 X 42174 0 10250 JOSE ORTIZ MD PRESIDENT (AS OF 7/2022) 1.00 X X 0 0 0 DAVID GALBIS-REIG MD PAST PRESIDENT (THRU 7/2022) 1.00 X X 0 0 0 NOEL DEEP MD VICE PRESIDENT (AS OF 7/2022) 1.00 X X 0 0 0 SARAH KROLICKI MD VP - PUBLIC HEALTH (AS OF 3/2022) 1.00 X X 0 0 0 MARK WESTOVER TREASURER 1.00 X X 0 0 0 ALYSSA DAILY FLEISHMAN DIRECTOR 1.00 X 0 0 0 ASHLEY ANDERSON MD DIRECTOR (THRU 5/2022) 1.00 X 0 0 0 CLARENCE CHOU MD DIRECTOR (AS OF 5/2022) 1.00 X 0 0 0 DAVID K FALK MD DIRECTOR 1.00 X 0 0 0 JACKLYN GELLINGS MD DIRECTOR 1.00 X 0 0 0 JOEL CHARLES MD DIRECTOR 1.00 X 0 0 0 KYLE CASS DIRECTOR 1.00 X 0 0 0 LATISHA SMITH-CHASE MD DIRECTOR 1.00 X 0 0 0 PAMELA WILSON MD DIRECTOR (THRU 7/2022) 1.00 X 0 0 0 RICHARD A DART MD DIRECTOR 1.00 X 0 0 0 TOM O'DAY JD DIRECTOR 1.00 X 0 0 0 ALICIA C ARNOLD MD EX-OFFICIO MEMBER (THRU 4/2022) 1.00 X 0 0 0 DON LEE MD EX-OFFICIO MEMBER (AS OF 4/2022) 1.00 X 0 0 0 WENDY MOLASKA MD EX-OFFICIO MEMBER 1.00 X 0 0 0 128986 340213 46576 0 0 1 0 0 350458 350458 STUDENT LOAN 611710 109375 109375 109375 233771 233771 1447923 1632903 19000 -184980 -19000 -203980 -203980 489624 109375 0 29791 100130 100130 226829 226829 143861 90623 53238 69141 12581 56560 5304 2570 1326 1408 16036 7770 4008 4258 14062 6813 3515 3734 31561 31561 52434 52434 19317 19317 9775 2732 4480 2563 1400 1400 4151 2054 971 1126 1336 816 520 1742 334 45 1363 786 389 184 213 2212 1095 517 600 PROFESSIONAL FEES 78241 44374 21569 12298 STAFF TRAINING 40 40 778358 518427 175808 84123 431751 528481 800 0 6062 3797 2737650 2911335 130 1700 2886 2623 1049 263 11428982 8954384 10000 10000 255665 180832 14872089 12590792 81376 36217 69810 63506 151186 99723 X 2473643 2015176 12247260 10475893 14720903 12491069 14872089 12590792 X -288734 -1885719 -55381 X X 0 1 X 1 0 X 464598 551872 361210 277760 350458 2005898 464598 551872 361210 277760 350458 2005898 837359 1168539 189935 190970 193423 209913 233771 1018012 3023910 389934 0.38640 0.39410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 28950 X X 0 932295 2000 -128482 30044 775769 868976 2000 96129 34810 932295 833066 2000 74283 40373 868976 717341 22000 109283 15558 833066 880507 82700 -28557 217309 717341 0.00000 0.84980 0.15020 0 0 2886 2623 263 263 DUE TO WISCONSIN MEDICAL SOCIETY 25747 PPP LOAN 37759 63506 X -1484910 -1885719 -36381 -1922100 437190 52434 52434 489624 744924 19000 19000 725924 52434 52434 778358 PART III, LINE 4: PRIMARILY A COLLECTION OF MEDICAL-THEMED ARTWORK THAT DEPICTS THE HISTORICAL PROGRESSION OF THE MEDICAL FIELD. SEVERAL EXAMPLES OF RARE MEDICAL TOOLS AND INSTRUMENTS. THE ARTWORK WAS DONATED TO THE ORGANIZATION. THEY HAVE HOPES OF SELLING THE ARTWORK AT SOME POINT, BUT ARE HOLDING IT FOR THE TIME BEING. PART V, LINE 4: THE FOUNDATION'S ENDOWMENT CONSISTS OF SIX INDIVIDUAL FUNDS ESTABLISHED BY DONORS, THREE OF WHICH WERE ESTABLISHED TO FUND SCHOLARSHIPS, AND THREE WERE ESTABLISHED TO FUND HEALTH INITIATIVES AND RESEARCH. NET ASSETS ARE ASSOCIATED WITH ENDOWMENT FUNDS CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. PART X, LINE 2: THE FOUNDATION FOLLOWS THE PROVISIONS OF THE UNCERTAINTY IN INCOME TAXES SECTION OF THE INCOME TAXES TOPIC OF THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION. THESE PROVISIONS ADDRESS THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. THE FOUNDATION FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS FILED IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF THE ENTITY AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). UBIT IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESS, IF ANY. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST -55,381. LOSS ON DISPOSAL OF ASSETS 19,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF FIXED ASSETS 19,000. 1 LATINO HEALTH COUNCIL OF DANE COUNTY PO BOX 731 MADISON WI 53701 391534049 501(C)(3) 10000 0 MENTAL HEALTH TRAINING FOR DIRECTORS/STAFF WISCONSIN MEDICAL SOCIETY INC 2920 MARKETPLACE DR STE 103 FITCHBURG WI 53719 390634758 501(C)(6) 12000 0 CONTINUING MEDICAL EDUCATION ON JEDI 1 1 AMY HUNTER-WILSON, MD SCHOLARSHIP 1 11000 VICTOR BAYLON, MD SCHOLARSHIP 2 4000 EDMUND J. & ESTELLE D. WALKER SCHOLARSHIP 55 159000 ROBERT "JASON" GORE SCHOLARSHIP 1 5000 RUKMINI & JOYCE VASUDEVAN SCHOLARSHIP 1 5000 PRESIDENTIAL SCHOLAR AWARD 1 5000 MARATHON COUNTY MEDICAL SOCIETY SCHOLARSHIP 1 3000 HOUGHTON MED. STUDENT AWARD 2 2000 JOHN D. AND VIRGINIA RIESCH SCHOLARSHIP 1 3000 MEDICAL & HEALTH EDUCATION FUND 1 3000 FUTURE SUPERHERO OF MEDICINE 9 2329 FELLOWSHIPS 7 24500 PART I, LINE 2: TO OBTAIN A GRANT FROM THE FOUNDATION, A DETAILED APPLICATION IS REQUIRED AND REVIEWED BY THE GRANTS COMMITTEE. IF A GRANT IS APPROVED, A FINAL DETAILED REPORT IS REQUIRED TO BE GIVEN AND PRESENTED TO THE COMMITTEE AT THE END OF THE COMPLETED PROJECT. THIS REPORT DETAILS THE PROJECT RESULTS AND SUMMARY OF EXPENSES. IF A GRANT EXTENDS OVER A FISCAL YEAR END, A PROJECT STATUS REPORT IS REQUIRED AT THE YEAR END TO THE FOUNDATION AND THEN A FINAL REPORT IS DUE AT THE PROJECT'S COMPLETION. 0 0 0 0 0 0 0 0 0 MICHAEL FLESHER SECRETARY (AS OF 6/2022) 0 206455 0 0 0 0 0 5379 0 12868 0 224702 0 0 PART I, LINE 3 ALL COMPENSATION IS PAID BY WISCONSIN MEDICAL SOCIETY, INC. (FEIN 39-0634758), A RELATED ORGANIZATION EXEMPT UNDER IRC 501(C)(6), BUT THE FILING ORGANIZATION ESTABLISHES THE COMPENSATION FOR ITS EXECUTIVE DIRECTOR BASED ON COMPENSATION SURVEYS AND FORM 990 OF OTHER ORGANIZATIONS. THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS APPROVED BY THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. FORM 990, PART V, LINE 2A AND 2B: ALL EMPLOYEES ARE LEGAL EMPLOYEES OF WISCONSIN MEDICAL SOCIETY, INC. (FEIN: 39-0634758), A RELATED ORGANIZATION, WHICH FILES ALL REQUIRED FEDERAL EMPLOYMENT FORMS EACH YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES REVIEWS THE FORM 990 PRIOR TO THE FILING OF THE FORM. THIS IS TYPICALLY DONE AT A MEETING OF THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THE TRUSTEES, OFFICERS, AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST STATEMENT AT THE BEGINNING OF THEIR TENURE. THE CONFLICT OF INTEREST STATEMENT IMPOSES AN ONGOING OBLIGATION ON THE REPORTING INDIVIDUAL TO UPDATE THE CONFLICT OF INTEREST STATEMENT WHEN CIRCUMSTANCES CHANGE. THE ORGANIZATION REQUIRES ALL TRUSTEES, OFFICERS, AND KEY EMPLOYEES TO REVIEW AND UPDATE THE CONFLICT OF INTEREST STATEMENT ANNUALLY. THE CONFLICT OF INTEREST STATEMENT IDENTIFIES PARTNERSHIPS, AFFILIATIONS AND OTHER RELATIONSHIPS WITH HOSPITALS AND OTHER ORGANIZATIONS AND THE POSITION THAT THE REPORTING INDIVIDUAL HOLDS IN EACH ORGANIZATION OR VENTURE. THE CONFLICT OF INTEREST STATEMENT ALSO REQUIRES A LISTING OF PROFESSIONAL MEMBERSHIPS. THE OFFICE OF THE ORGANIZATION'S EXECUTIVE DIRECTOR RECEIVES, REVIEWS AND MAINTAINS THE CONFLICT OF INTEREST STATEMENT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES REPORTING INDIVIDUALS TO PROMPTLY DISCLOSE ANY CONFLICT OF INTEREST THAT MIGHT ARISE AND TAKE STEPS TO PREVENT THE CONFLICT OF INTEREST FROM AFFECTING ORGANIZATION'S DECISIONS OR ACTIVITIES BY REFRAINING FROM VOTING ON THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION ESTABLISHES THE COMPENSATION FOR ITS EXECUTIVE DIRECTOR BASED ON COMPENSATION SURVEYS AND FORM 990 OF OTHER ORGANIZATIONS. THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL HONOR ANY REQUESTS BY MEMBERS OF THE PUBLIC FOR INSPECTION OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS. THE INSPECTION WOULD OCCUR AT THE ORGANIZATION'S PRIMARY PLACE OF BUSINESS. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST -55,381. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR WISCONSIN MEDICAL SOCIETY INC PO BOX 1109 MADISON WI 53701 390634758 TO SUPPORT AND STRENGTHEN PHYSICIANS' ABILITY TO PRACTICE HIGH QUALITY CARE WI 501(C)(6) 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 WISCONSIN MEDICAL SOCIETY INC P 101938 SEE PART VII WISCONSIN MEDICAL SOCIETY INC O 225136 SEE PART VII WISCONSIN MEDICAL SOCIETY INC B 53719 AMOUNT AWARDED SCHEDULE R, PART V, LINE 2(D): THESE WERE THE EXPENSES CHARGED FROM WISCONSIN MEDICAL SOCIETY, INC TO THE FOUNDATION.