2023-11-15T10:22:28-06:00 2022-12-31 420714325 RSM US LLP 30 S Wacker Drive Ste 3300 Chicago IL 60606 990 2022-01-01 472553196 University Health Care Inc UNIV 6082655560 7974 UW Health Ct Middleton WI 53562 Jodilynn Vitello VP Finance 6082655560 2023-11-13 1 Jodilynn Vitello XXX-XX-XXXX 0 Rebekuh Eley P01247672 3126343400 2023-11-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Carey Gehl 7974 UW Health Ct Middleton WI 53562 13576 0 X N/A X 2014 WI The goal of University Health Care, Inc. is to act as holding company for its investment in Quartz Health Insurance. 5 0 0 0 0 0 0 0 0 0 1130 13576 1598 0 2728 13576 0 0 0 0 0 0 0 0 0 7484 6627 7484 6627 -4756 6949 115393715 109296337 91645 5168 115302070 109291169 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 the University of Wisconsin Medical Foundation. 0 0 University Health Care, Inc. primarily operates as a holding company for its investment in Quartz Health Insurance. 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Aaron Prochaska 6088214272 7974 UW Health Ct Middleton WI 53562 Alan Kaplan MD Director 1.00 39.00 X 0 3107291 771802 Bob Flannery Vice President/Treasurer/Director 1.00 39.00 X X 0 1139055 195823 Robert N Golden MD Director 1.00 39.00 X 0 921481 62414 Carey Gehl President/Director 1.00 39.00 X X 0 644844 172803 Kelsie Doty Director 1.00 39.00 X 0 331511 61125 Kenneth Mount Director (until 6/30/22) 1.00 39.00 X 0 279525 10723 Patricia Hutter Secretary 1.00 39.00 X 0 399961 88827 0 6823668 1363517 0 0 1 0 0 13576 13576 13576 0 0 13576 6384 6384 243 243 6627 0 6627 0 7256098 4290571 105448530 102316679 2689087 2689087 115393715 109296337 91645 5168 91645 5168 X 115302070 109291169 115302070 109291169 115393715 109296337 X 6949 -5144 -6012706 X 0 0 0 X X 3 University of Wisconsin School of Medicine and Public Health 391805963 6 0 0 0 University of Wisconsin Hospitals and Clinics 391835630 3 0 0 0 University of Wisconsin Medical Foundation 391824445 10 0 0 0 3 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Part IV, Section A, Line 2: Per IRC Section 509(a)(1) and under section 170(b)(1)(a)(v) as defined in section 170(c)(1), governmental entities like the University of Wisconsin School of Medicine and Public Health are deemed to be public charities. Part IV, Section B, Line 1: The business and affairs of the corporation shall be managed by the board of directors. The number of the directors shall be seven. All of who serve ex-officio (based on their role with the following organizations), include from the supported organizations UWMF (1), UWHCA (2), UWSMPH (2), and UW Health (1). The president of the filing organization serves as the seventh director. If vacancy exists in any such position, the person acting in such a position shall serve as a director until such time as the position is filled. 0 Investment in Quartz Health Benefits Plans Corporation 102316679 C 102316679 0 1 0 0 0 0 0 0 0 Alan Kaplan MD Director 0 1828660 0 1145625 0 133006 0 718865 0 52937 0 3879093 0 0 Bob Flannery Vice President/Treasurer/Director 0 798143 0 334560 0 6352 0 158861 0 36962 0 1334878 0 0 Robert N Golden MD Director 0 921481 0 0 0 0 0 61000 0 1414 0 983895 0 0 Carey Gehl President/Director 0 537828 0 106605 0 411 0 112130 0 60673 0 817647 0 0 Patricia Hutter Secretary 0 304606 0 90074 0 5281 0 53595 0 35232 0 488788 0 0 Kelsie Doty Director 0 254907 0 73083 0 3521 0 46444 0 14681 0 392636 0 0 Kenneth Mount Director (until 6/30/22) 0 279525 0 0 0 0 0 0 0 10723 0 290248 0 0 Part I, Line 3 All wages are paid by the supported organizations which are: University of Wisconsin Hospital and Clinics Authority and University of Wisconsin Medical Foundation. The CEO and VP's compensation is discussed and reviewed with the Board in an executive session by the Director of compensation and benefits for UW Hospitals and Clinics Authority (the employer of record). Part I, Line 4b Several members of the Board participate in supplemental, non-qualified retirement plans through their employers, who are "related organizations to the filing entity. Those individuals particpate in a 457(f) plan. In 2022, the following employer contributions were made: - Alan Kaplan $696,600 - Bob Flannery $119,355 - Cary Gehl $89,865 - Patricia Hutter $31,330 - Kelsie Doty $6,938 In 2022, the following employer distributions were made: - Alan Kaplan $110,000 Form 990, Part VI, Section A, line 6 The organization has two members: University of Wisconsin Medical Foundation, Inc. and University of Wisconsin Hospitals and Clinics Authority. Form 990, Part VI, Section A, line 7b Each member shall be entitled to one vote on any matter submitted to a vote of the members. Two members shall constitute a quorum at a meeting of members. Certain actions, including amendments to the bylaws and entity dissolution, require affirmative vote of the members. Form 990, Part VI, Section B, line 11b Form 990 is completed by the organization's external accounting firm. Key Finance employees review the Form 990 to determine complete and accurate. The return is provided to the members of the Board of Directors before filing. The return is submitted for filing with the Internal Revenue Service. Form 990, Part VI, Section B, line 12c All board members and management staff complete a disclosure questionnaire annually. Any disclosure noted are reviewed by the board. Form 990, Part VI, Section B, line 15 All wages are paid by the supported organizations which are: University of Wisconsin School of Medicine and Public Health (UWSMPH), University of Wisconsin Hospital and Clinics Authority (UWHCA), and University of Wisconsin Medical Foundation (UWMF). The Executive Compensation Committee recommends the CEO's compensation to the UWHCA's full board. Form 990, Part VI, Section C, line 19 Governing documents, conflict of interest policy and financial statements are made available to the public upon request for the same period of disclosure as set forth in IRC section 6104(d). Requests can be made by mailing University Health Care, Inc., c/o Heather Brahm, 7974 UW Health Ct., M/C 1020, Middleton, WI 53562. Form 990, Part XI, line 9: Equity Interest in the Income from Joint Ventures -12,412,706. Capital Contributions from Member 6,400,000. Regional Division Inc 7974 UW Health Court No MC1020 Middleton WI 53562 391446049 Regional Parent Corp. to manage and direct activities of entities WI 501(c)(3) Line 12a University of WI Hospitals and Clinics Authority 1 Wisconsin Therapies Inc 7974 UW Health Court Middleton WI 53562 391807425 Infusion Therapy WI 501(c)(3) Line 12a University of WI Hospitals and Clinics Authority 1 Generations Fertility Care 2365 Deming Way Middleton WI 53562 273496527 Reproductive Endocrinology and Infertility Services WI 501(c)(3) Line 10 N/A 1 University of Wisconsin Medical Foundation 7974 UW Health Court Middleton WI 53562 391824445 Physician Services WI 501(c)(3) Line 10 University of WI Hospitals and Clinics Authority 0 Madison Surgery Center 7974 UW Health Court Middleton WI 53562 391940656 Health Care Services and Training WI 501(c)(3) Line 10 N/A 1 University of Wisconsin Hospitals and Clinics Authority 7974 UW Health Court Middleton WI 53562 391835630 Hospital and Clinics WI 501(c)(3) Line 3 N/A 0 UW Health ACO Inc 7974 UW Health Court Middleton WI 53562 455490584 Accountable Care Organization WI 501(c)(3) Line 10 University of WI Hospitals and Clinics Authority 1 SwedishAmerican Hospital 1401 E State Street Rockford IL 61104 362222696 Hospital IL 501(c)(3) Line 3 SwedishAmerican Health System Corporation 1 SwedishAmerican Foundation 1415 E State Street Rockford IL 61104 363097493 Supports Fundraising for SwedishAmerican Hospital IL 501(c)(3) Line 7 SwedishAmerican Hospital 1 SwedishAmerican Realty Corporation 1313 E State Street Rockford IL 61104 363248013 Title Holding Company IL 501(c)(2) SwedishAmerican Health System Corporation 1 SwedishAmerican Hospital Self Insurance Trust 1401 E State Street Rockford IL 61104 366652702 Hospital Malpractice Trust VT 501(c)(3) Line 12a SwedishAmerican Hospital 1 SwedishAmerican Health System Corporation 1401 E State Street Rockford IL 61104 363241458 Parent Corporation to Manage and Direct Activities of Entities IL 501(c)(3) Line 12a Regional Division Inc 1 Isthmus Project Inc 600 Highland Avenue Madison WI 53792 832278676 Research & Innovation WI 501(c)(3) Line 12a University of WI Hospitals and Clinics Authority 1 University of Wisconsin School of Medicine and Public Health 750 Highland Avenue Madison WI 53726 391805963 School WI 501(c)(3) Line 6 University of WI Hospitals and Clinics Authority 0 Madison Medical Center LLP 7974 UW Health Court Middleton WI 53562 391329429 Real Estate WI N/A 0 0 Chartwell Wisconsin Enterprises LLC 2241 Pinehurst Drive Middleton WI 53562 391796267 Parent Entity of CW and CMW-HR WI N/A 0 0 Sixth Street Medical LLC 7974 UW Health Court Middleton WI 53562 472705724 Real Estate WI N/A 0 0 Three Rivers Partners LLC 1313 E State Street Rockford IL 61104 262231757 Information Technology Services IL N/A 0 0 Northern Illinois Vein Clinic 2550 Charles Street Rockford IL 61108 201642329 Outpatient Health Services IL N/A 0 0 SARI Insurance Company 76 St Paul Street Suite 500 Burlington VT 054014477 030308753 Captive Insurance Company VT N/A C 1 State & Charles Inc 1313 E State Street Rockford IL 61104 363321193 Holding Company IL N/A C 1 SwedishAmerican Health Management Corp 1401 E State Street Rockford IL 61104 363246511 Management Services IL N/A C 1 Physician's Care Network 1313 E State Street Rockford IL 61104 363455791 Health Services IL N/A C 1 Quartz Health Benefit Plans Corporation 840 Carolina Street Sauk City WI 53583 391450766 Health Maintenance Organization WI N/A C 1 Quartz Holding Company 840 Carolina Street Sauk City WI 53583 821728929 Holding Company WI University Health Care C 937702774 192614371 0.54840 1 Quartz Health Solutions Inc 840 Carolina Street Sauk City WI 53583 465710709 Insurance WI N/A C 1 Quartz Health Insurance Corporation 840 Carolina Street Sauk City WI 53583 391565691 Health Maintenance Organization WI N/A C 1 Wisconsin Dialysis Inc 3034 Fish Hatchery Road Madison WI 53713 300072647 Dialysis Services WI N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1