2025-04-08T17:21:00-05:00 2024-06-30 390747409 REILLY PENNER & BENTON LLP 1233 NORTH MAYFAIR ROAD SUITE 302 MILWAUKEE WI 532263255 990 2023-07-01 391341366 MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS INC MEDI 4149554575 8701 WATERTOWN PLANK RD POBOX 265 MILWAUKEE WI 53226 MARK HOHENWALTER EXECUTIVE DIRECTOR 4149554575 2025-03-19 1 1 JOSHUA BIERBACH P01449255 4142717800 2025-03-19 2023 2025-03-06 01:10:19Z MARK HOHENWALTER 8701 WATERTOWN PLANK RD POBOX 26509 MILWAUKEE WI 53226 87355796 0 X WWW.MCW.EDU/GME X 1980 WI THE MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS (MCWAH) IS A CONSORTIUM THAT WAS ESTABLISHED IN 1980 TO FACILITATE THE ADMINISTRATION OF GRADUATE MEDICAL EDUCATION (GME) PROGRAMS CONDUCTED JOINTLY BY THE MEDICAL COLLEGE OF WISCONSIN IN CONJUNCTION WITH MULTIPLE HEALTH CARE INSTITUTIONS. IN ADDITION, MCWAH ENSURES THE ACCREDITATION OF ITS TRAINING PROGRAMS BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). CURRENTLY, MCWAH EMPLOYS 945 TRAINEES IN 101 ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS. 19 0 1255 24 0 0 50000 50000 83407771 86233985 7264 16018 1024684 1055793 84489719 87355796 0 0 0 0 82254640 84996395 0 0 0 2354783 2622713 84609423 87619108 -119704 -263312 8830605 5938258 4171684 1542649 4658921 4395609 X THE MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS (MCWAH) IS A CONSORTIUM THAT WAS ESTABLISHED IN 1980 TO FACILITATE THE ADMINISTRATION OF GRADUATE MEDICAL EDUCATION (GME) PROGRAMS CONDUCTED JOINTLY BY THE MEDICAL COLLEGE OF WISCONSIN IN CONJUNCTION WITH MULTIPLE HEALTH CARE INSTITUTIONS. IN ADDITION, MCWAH ENSURES THE ACCREDITATION OF ITS TRAINING PROGRAMS BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). CURRENTLY, MCWAH EMPLOYS 945 TRAINEES IN 101 ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS. 0 0 85299086 87289778 TO PROVIDE STIPENDS AND FRINGE BENEFITS TO PARTICIPANTS IN THE GRADUATE MEDICAL TRAINING PROGRAMS CONDUCTED BY THE MEDICAL COLLEGE OF WISCONSIN AND ITS AFFILIATED INSTITUTIONS 85299086 1 1 0 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 1 0 0 0 1 11 0 1 1255 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 0 0 0 0 0 1 1 0 1 1 1 0 1 1 1 1 0 1 1 1 0 WI X MS CATHLEEN BRUMMER 4149554575 8701 WATERTOWN PLANK ROAD MILWAUKEE WI 53226 MARK HOHENWALTER MD EXECUTIVE DIRECTOR 20.00 30.00 X X 203217 368671 50959 RICHELLE WEBB-DIXON BOARD MEMBER 0.00 X 0 0 0 ALICIA PILARSKI DO BOARD MEMBER 0.00 X 0 0 0 PETER STAMAS JR MD BOARD MEMBER 0.00 X 0 0 0 ROWENA PUNZALAN MD BOARD MEMBER 0.00 X 0 0 0 SRIRAM DARISETTY MD BOARD MEMBER 0.00 X 0 0 0 MICHAEL STADLER MD BOARD MEMBER 0.00 X 0 0 0 TITO IZARD MD BOARD MEMBER 0.00 X 0 0 0 SCOTT TURNER BOARD MEMBER 0.00 X 0 0 0 MICHAEL LAPPEN MS LPC BOARD MEMBER 0.00 X 0 0 0 BARBARA BRYANT MD BOARD MEMBER 0.00 X 0 0 0 JOHN RAYMOND MD BOARD MEMBER 0.00 X 0 0 0 PAUL BURSTEIN MD BOARD MEMBER 0.00 X 0 0 0 MICHAEL GUTZEIT MD VICE PRESIDENT, BECAME PRESIDENT JUNE 2024 0.00 X X 0 0 0 JEFFREY BAHR MD BOARD MEMBER 0.00 X 0 0 0 NATHAN GUNDACKER MD VICE PRESIDENT 0.00 X X 0 0 0 JACOB BIDWELL MD BOARD MEMBER 0.00 X 0 0 0 JOSEPH E KERSCHNER MD BOARD MEMBER 0.00 X 0 0 0 JOHN SCHNEIDER MD BOARD MEMBER 0.00 X 0 0 0 LAURIE YAKE BOARD MEMBER 0.00 X 0 0 0 ANDREEA ANTONESO-TURCU MD BOARD MEMBER 0.00 X 0 0 0 PAUL TSENG MD BOARD MEMBER 0.00 X 0 0 0 JAMES MCLAIN BOARD MEMBER 0.00 X 0 0 0 JUDY JANKOWSKI SECRETARY/TREASURER UNTIL JUNE 2024 50.00 X 133496 0 19209 336713 368671 70168 2 0 1 0 0 50000 50000 BILLINGS TO AFFILIATES 900099 86233985 86233985 86233985 16018 16018 HOUSESTAFF REIMBURSEMENT 900099 1055789 1055789 MISC. 900099 4 4 1055793 87355796 87289778 0 16018 409163 409163 68459360 67872615 586745 11160631 11076374 84257 4967241 4926300 40941 90812 90812 20000 20000 46133 46133 27561 27561 170 170 3743 3743 1193 1193 4820 4820 1191091 1191091 ACCREDITATION 574178 574178 RESIDENCY MANAGEMENT SY 192974 192974 RISK MANAGEMENT 177652 177652 MEDICAL EDUCATION SPECI 82500 82500 209886 55054 154832 87619108 85299086 2320022 0 7521438 3945819 371900 371900 868948 1572992 61038 42481 212987 207921 7281 5066 8830605 5938258 1449271 1252503 2722413 290146 4171684 1542649 X 4658921 4395609 4658921 4395609 8830605 5938258 -263312 0 X X 0 1 X 1 0 X X 10 AURORA HEALTH CARE METRO INC 390806181 3 0 0 0 VERSITI WISCONSIN INC 390807235 7 0 0 0 CHILDREN'S HOSPITAL OF WISCONSIN 390812532 3 0 0 0 COLUMBIA ST MARY'S HOSPITAL 390806315 3 0 0 0 FROEDTERT MEMORIAL LUTHERAN HOSPITAL 396105970 3 0 0 0 THE MEDICAL COLLEGE OF WISCONSIN 390806261 2 0 0 0 ASCENSION SE WISCONSIN HOSPITAL INC 390816857 3 0 0 0 ZABLOCKI VA MEDICAL CENTER 5000 W NATIONAL AVE 391326366 6 0 0 0 MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION 396005720 6 0 0 0 MILWAUKEE HEALTH SERVICES INC 391664109 3 0 0 0 10 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 1: THE ORGANIZATION'S SUPPORTED ORGANIZATIONS, OTHER THAN THE MEDICAL COLLEGE OF WISCONSIN, ARE NOT LISTED BY NAME IN THE ORGANIZATION'S GOVERNING DOCUMENTS. AS INDICATED IN THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS, THE AFFILIATED INSTITUTIONS ARE PARTIES TO AFFILIATION AGREEMENTS FORM 990, SCHEDULE A, SECTION A, LINE 5A: AS INDICATED IN THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS, THE AFFILIATED INSTITUTIONS ARE PARTIES TO AFFILIATION AGREEMENTS. IN ACCORDANCE WITH THE PROVISIONS OF THE AFFILIATION AGREEMENT, MENTAL HEALTH SERVICES INC (EIN 39-1664109) JOINED THE AFFILIATION AGREEMENT AND BECAME A SUPPORTED ORGANIZATION DURING THE YEAR ENDED JUNE 30, 2024. FORM 990, SCHEDULE A, PART IV, SECTION B, LINE 1: THE MEDICAL COLLEGE OF WISCONSIN AND EACH AFFILIATED INSTITUTION HAS THE RIGHT TO ANNUALLY APPOINT DIRECTORS. IN ADDITION, THE EXECUTIVE DIRECTOR IS AN EX OFFICIO VOTING MEMBER OF THE BOARD. ANY DIRECTOR MAY BE REMOVED FROM OFFICE BY THE AFFIRMATIVE VOTE OF TWO-THIRDS OF THE DIRECTORS. FORM 990, SCHEDULE A, PART 1, LINE 11G: MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS, INC. PROVIDES SUPPORT TO FACILITATE THE ADMINISTRATION OF GRADUATE MEDICAL EDUCATION PROGRAMS CONDUCTED JOINTLY WITH THE MEDICAL COLLEGE OF WISCONSIN IN CONJUNCTION WITH HEALTH CARE INSTITUTIONS. NO FINANCIAL SUPPORT IS PROVIDED TO THESE ORGANIZATIONS. SCHEDULE A, PAGE 1, PART I, LINE 12G, COLUMN IV THE ORGANIZATION'S SUPPORTED ORGANIZATIONS, OTHER THAN THE MEDICAL COLLEGE OF WISCONSIN, ARE NOT LISTED BY NAME IN THE ORGANIZATION'S GOVERNING DOCUMENTS. AS INDICATED IN THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS, THE AFFILIATED INSTITUTIONS ARE PARTIES TO AFFILIATION AGREEMENTS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 43281 38215 5066 169706 169706 0 5066 X 89187314 1831518 1831518 87355796 0 87355796 89450626 1831518 1831518 87619108 0 87619108 PART X, LINE 2: MCWAH IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS ALSO EXEMPT FROM WISCONSIN INCOME TAXES AND, THEREFORE, HAS MADE NO PROVISION FOR INCOME TAXES. ADDITIONALLY, THE ORGANIZATION HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A "PRIVATE FOUNDATION" WITHIN THE GUIDELINES OF SECTION 509(A) OF THE CODE. MCWAH HAS IMPLEMENTED ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. THIS STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN AND ALSO PROVIDES GUIDANCE ON VARIOUS RELATED MATTERS SUCH AS DERECOGNIZING, INTEREST, PENALTIES AND DISCLOSURES REQUIRED. MCWAH BELIEVES THAT INCOME TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE EFFECT ON THE MCWAH'S FINANCIAL POSITION, RESULTS OF OPERATIONS OR CASH FLOWS. ACCORDINGLY, MCWAH HAS NOT RECORDED ANY RESERVES, OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS ON JUNE 30, 2024. X 0 0 0 0 0 0 0 0 0 MARK HOHENWALTER MD EXECUTIVE DIRECTOR 186200 302078 0 38986 17017 27607 10067 16333 9365 16071 222649 401075 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THREE (3) OR MORE MEMBERS OF THE BOARD OF DIRECTORS INCLUDING THE PRESIDENT, VICE-PRESIDENT, AND EXECUTIVE DIRECTOR THAT ARE ELECTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MAY EXERCISE, WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, ALL OF THE POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION AND RECOMMENDS TO THE BOARD AN ANNUAL BUDGET FOR THE CORPORATION. AT JUNE 30, 2024, THE EXECUTIVE COMMITTEE WAS REPRESENTED WITH FOUR (4) BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 6 THE MEDICAL COLLEGE OF WISCONSIN AND EACH AFFILIATED INSTITUTION ARE MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEDICAL COLLEGE OF WISCONSIN AND EACH AFFILIATED INSTITUTION HAS THE RIGHT TO ANNUALLY APPOINT DIRECTORS. IN ADDITION, THE EXECUTIVE DIRECTOR IS AN EX OFFICIO VOTING MEMBER OF THE BOARD. ANY DIRECTOR MAY BE REMOVED FROM OFFICE BY THE AFFIRMATIVE VOTE OF TWO-THIRDS OF THE DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND THE SECRETARY/TREASURER OF THE CORPORATION. A COPY OF THE FORM 990 IS PROVIDED TO THE MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO SUBMITTAL. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL STATEMENT IS SIGNED BY EACH BOARD MEMBER AND BY THE SECRETARY/TREASURER. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR IS NOMINATED BY THE MEDICAL COLLEGE OF WISCONSIN (MCW) AND IS ELECTED BY THE MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS' (MCWAH) BOARD. THE EXECUTIVE DIRECTOR MUST BE A MEMBER OF THE FACULTY OF MCW. MCW SETS THE SALARIES FOR ITS FACULTY. IT UTILIZES THE FACULTY SALARY INFORMATION PROVIDED BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) IN CONJUCTION WITH OTHER AVAILABLE SALARY COMPARISON TOOLS. THE MCWAH ADMINISTRATOR/SECRETARY/TREASURER'S COMPENSATION IS DETERMINED BY MCW USING SALARY POLICY GUIDELINES. THE MCWAH EXECUTIVE DIRECTOR AND THE ADMINISTRATOR ARE EMPLOYEES OF MCW. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC RICHELLE WEBB-DIXON - 9200 WEST WISCONSIN AVENUE, MILWAUKEE, WI 53226. ALICIA PILARSKI, DO - 9200 WEST WISCONSIN AVENUE, MILWAUKEE, WI 53226. PETER STAMAS JR, MD - 5000 WEST CHAMBERS, MILWAUKEE, WI 53210. ROWENA PUNZALAN, MD - 638 NORTH 18TH STREET, MILWAUKEE, WI 53233. SRIRAM DARISETTY, MD - 5000 WEST CHAMBERS, MILWAUKEE, WI 53210. MICHAEL STADLER, MD - 9200 WEST WISCONSIN AVENUE, MILWAUKEE, WI 53226. TITO IZARD, MD - 2555 N MARTIN LUTHER KING DRIVE, MILWAUKEE, WI 53212. SCOTT TURNER - 9000 WEST WISCONSIN AVENUE, MILWAUKEE, WI 53201. MICHAEL LAPPEN, MS LPC - 9455 WEST WATERTOWN PLANK ROAD, MILWAUKEE, WI 53226. BARBARA BRYANT, MD - 638 NORTH 18TH STREET, MILWAUKEE, WI 53233. JOHN RAYMOND, MD - 8701 WATERTOWN PLANK ROAD, MILWAUKEE, WI 53226. PAUL BURSTEIN, MD - 2301 LAKE DRIVE, MILWAUKEE, WI 53211. MICHAEL GUTZEIT, MD - 9000 WEST WISCONSIN AVENUE, MILWAUKEE, WI 53201. JEFFREY BAHR, MD - 1020 NORTH 12TH STREET SUITE 5120, MILWAUKEE, WI 53233. NATHAN GUNDACKER, MD - 5000 WEST NATIONAL AVENUE, MILWAUKEE, WI 53295. JACOB BIDWELL, MD - 1020 NORTH 12TH STREET SUITE 5120, MILWAUKEE, WI 53233. JOSEPH E. KERSCHNER, MD - 8701 WATERTOWN PLANK ROAD, MILWAUKEE, WI 53226. JOHN SCHNEIDER, MD - 9455 WEST WATERTOWN PLANK ROAD, MILWAUKEE, WI 53226. LAURIE YAKE - 2555 N MARTIN LUTHER KING DRIVE, MILWAUKEE, WI 53212. ANDREEA ANTONESO-TURCU, MD - 5000 WEST NATIONAL AVENUE, MILWAUKEE, WI 53295. PAUL TSENG, MD - 5000 WEST CHAMBERS, MILWAUKEE, WI 53210. JAMES MCLAIN - 5000 WEST NATIONAL AVENUE, MILWAUKEE, WI 53295. FORM 990, PART XII, LINE 2C: PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. AURORA HEALTH CARE METRO INC 750 W VIRGINIA ST MILWAUKEE WI 53234 390806181 HOSPITAL WI 501(C)(3) 170 B 1 A III N/A 0 VERSITI WISCONSIN INC 638 N 18TH STREET PO BOX 2178 MILWAUKEE WI 532012178 390807235 RECRUITING BLOOD DONORS, COLLECTING, PROCESSING & DISTRIBUTING BLOOD WI 501(C)(3) 170 B 1 A VI N/A 0 CHILDREN'S HOSPITAL OF WISCONSIN INC 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE WI 532012178 390812532 PEDIATRIC HOSPITAL WI 501(C)(3) 170 B 1 A III N/A 0 COLUMBIA ST MARY'S HOSPITAL 2301 LAKE DRIVE MILWAUKEE WI 53211 390806315 ACUTE CARE FACILITY WI 501(C)(3) 170 B 1 A III N/A 0 FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC 9200 WEST WISCONSIN AVENUE MILWAUKEE WI 532263522 396105970 HEALTH CARE SERVICES WI 501(C)(3) 170 B 1 A III N/A 0 THE MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN PLANK ROAD MILWAUKEE WI 532263548 390806261 EDUCATION, RESEARCH, PATIENT SERVICES AND COMMUNITY SERVICES WI 501(C)(3) 170 B 1 A II N/A 0 ASCENSION SE WISCONSIN HOSPITAL INC 5000 WEST CHAMBERS MILWAUKEE WI 53210 390816857 HOSPITAL WI 501(C)(3) 170 B 1 A III N/A 0 ZABLOCKI VA MEDICAL CENTER 5000 W NATIONAL AVENUE MILWAUKEE WI 53295 391326366 MEDICAL CARE FOR VETERANS, EDUCATION, RESEARCH, BACKUP TO D.O.D. WI GOVERNMENT ENTITY N/A 0 MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION 1220 W VLIET ST MILWAUKEE WI 53205 396005720 GOVERNMENT BEHAVIORAL HEALTH WI GOVERNMENT ENTITY N/A 0 MILWAUKEE HEALTH SERVICES INC 8200 W SILVER SPRING DR MILWAUKEE WI 53218 391664109 PROVIDE MEDICAL & DENTAL PRIMARY CARE SERVICES TO A MEDICALLY UNDERSERVED P WI 501(C)(3) 170 B 1 A II N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 ZABLOCKI VA MEDICAL CENTER Q 14870357 ACTUAL AMOUNT OF REIMBURSEMENTS MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION Q 100126 ACTUAL AMOUNT OF REIMBURSEMENTS