2025-04-29T12:09:02-05:00 2024-06-30 420714325 RSM US LLP 30 S Wacker Drive Ste 3300 Chicago IL 60606 990 2023-07-01 391940656 Madison Surgery Center Inc MADI 6088214230 7974 UW Health Court Middleton WI 53562 Jodilynn Vitello VP of Finance 6088214230 2025-04-28 1 1 Rebekuh Eley P01247672 3126343400 2025-04-28 2023 2025-03-06 01:10:19Z Kelsie Doty 7974 UW Health Court Middleton WI 53562 36322808 0 X uwhealth.org X 1996 WI The Corporation's goal is to provide quality health care services, facilitate training of medical students, and be committed to the community it serves. 6 2 0 2 0 0 0 0 37121798 36322808 0 0 0 0 37121798 36322808 0 0 0 0 9698962 10106083 0 0 0 16753735 17336964 26452697 27443047 10669101 8879761 17584881 21768976 2848602 7949911 14736279 13819065 X The Corporation's purposes are to (a) provide surgical services to patients not requiring hospitalization in furtherance of the needs of the community, (b) carry on educational activities related to rendering health care services to patients, (c) participate in any activity designed and carried on to promote and advance the general health and welfare of persons in the community, and (d) to do all other things necessary or convenient to accomplish its purposes. 0 0 24742472 36322808 Madison Surgery Center is a nonstock, nonprofit corporation organized in 1996. The organization is staffed by a comprehensive team of general and vascular surgeons, ophthalmologists, gynecologists, otolaryngologists, urologists, plastic surgeons, orthopedic surgeons, anesthesiologists, and interventional pain proceduralists. Madison Surgery Center served a total of 16,355 cases from July 2023 - June 2024. 24742472 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 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 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 2 0 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X Aaron Prochaska 6088214272 7974 UW Health Court Middleton WI 53562 Mary Link Secretary 2.00 38.00 X X 0 579791 99752 Roland Vega Board Member 2.00 38.00 X 0 472089 50909 Deborah Rusy Board Member 2.00 38.00 X 0 432461 67428 Kelsie Doty President 2.00 38.00 X X 0 381038 67919 Beth Erdman Vice President 2.00 2.00 X X 0 0 0 Christina Jackson Board Member 2.00 2.00 X 0 0 0 Dan Jordan Director of MSC 40.00 0.00 X 0 180363 52107 Aaron Prochaska Treasurer 2.00 38.00 X 0 153482 49535 Patti Meyer Assistant Secretary 1.00 39.00 X 0 121229 23866 0 2320453 411516 0 0 1 0 0 Ambulatory Surgery Center 621910 36321748 36321748 1060 1060 36322808 36322808 36322808 0 0 232469 232469 7123872 6579654 544218 532541 497297 35244 1667299 1531256 136043 549902 495352 54550 1038752 1038752 4431 4431 1569350 1242854 326496 88082 39554 48528 59050 53192 5858 1905034 1716055 188979 3450 3196 254 2627 2366 261 828891 828891 23340 21025 2315 Drugs & Patient Care 10696838 10696838 Equip Repair/Maint 717634 646445 71189 Small Equip/Furnish 110770 99782 10988 Dues & Subscriptions 4254 4254 284461 284461 27443047 24742472 2700575 0 10012811 13856908 3673948 3308816 1131270 1177953 80110 153253 18783461 15911783 2411868 2871678 274874 400368 17584881 21768976 187479 2013054 2661123 5936857 2848602 7949911 X 14736279 13819065 14736279 13819065 17584881 21768976 X 8879761 -9796975 X 0 1 X 1 0 X 578350 270754 412768 0 0 1261872 25394760 29115215 34806384 37121798 36322808 162760965 25973110 29385969 35219152 37121798 36322808 164022837 0 0 0 164022837 25973110 29385969 35219152 37121798 36322808 164022837 1.00000 1.00000 0.00000 0.00000 X 6350272 6099534 250738 12242718 9812249 2430469 190471 190471 2871678 Due To Related Parties 5936857 5936857 0 1 0 0 0 0 0 0 0 Mary Link Secretary 0 312975 0 92755 0 174061 0 57990 0 41762 0 679543 0 158256 Roland Vega Board Member 0 472089 0 0 0 0 0 49500 0 1409 0 522998 0 0 Deborah Rusy Board Member 0 432461 0 0 0 0 0 66000 0 1428 0 499889 0 0 Kelsie Doty President 0 266535 0 69246 0 45257 0 52028 0 15891 0 448957 0 41900 Dan Jordan Director of MSC 0 155657 0 22918 0 1788 0 19521 0 32586 0 232470 0 0 Aaron Prochaska Treasurer 0 140545 0 11566 0 1371 0 15783 0 33752 0 203017 0 0 Part I, Line 3 Compensation is paid via a leasing agreement with members of the organization. Executive compensation is based on comparative data with like positions within the market. Part I, Line 4b Some members of the Board participate in supplemental, non-qualified retirement plans through their employers, which are related organizations to the filing entity. Those individuals participate in a 457(f) plan. In 2023, the following employer contributions were made: - Mary Link $32,580 - Kelsie Doty $9,349 In 2023, the below distributions were made: - Mary Link $158,256 - Kelsie Doty $41,900 Form 990, Part VI, Section A, line 3 Due to the management services agreement established between University of Wisconsin Medical Foundation, Inc. (UWMF) and Madison Surgery Center, Inc. (MSC), we have answered yes to Question #3 on Part VI, Section A. UWMF is the management company within this agreement. UWMF provides payroll services and reporting (through a paymaster agreement), human resources, patient billing and collections, accounts payable services, IT services, monthly financial statement preparation, tax return preparation support, financial audit support, compliance auditing, medical records storage/transcription, infection control/employee health, maintenance/mechanical support, nursing and nursing support, quality assurance and improvement, housekeeping, removal of hazardous waste, courier, mail and receiving, purchasing, security, and telecommunications. In addition, an administrative person is charged with carrying out the decision/direction of MSC's board of directors and any clinical duties performed for UWMF. Daniel Jordan (Director of Clinic Operations) spends 100% of his time carrying out the decision/direction of MSC's board of directors. Since UWMF is considered a related organization, all compensation paid from UWMF and related organizations for services provided to Madison Surgery Center, Inc., and related organizations is reported in Part VII. Form 990, Part VI, Section A, line 6 The Corporation has two voting members consisting of University of Wisconsin Hospitals and Clinics Authority (UWHCA) with 66.7% membership interest and Unity Point Health-Meriter (Meriter) with 33.3% membership interest. UWHCA shall be entitled to two (2) Members votes and Meriter shall be entitled to one (1) Member vote. Members will be admitted, suspended, expelled, or terminated pursuant to Bylaws of Corporation. Form 990, Part VI, Section A, line 7a University of Wisconsin Hospitals and Clinics Authority shall appoint four (4) Directors and Unity Point Health-Meriter shall appoint two (2) Directors. Directors will serve until his or her death, resignation or removal, or until a successor has been appointed. Upon the expiration of a Director's term, the Member that appointed such Director will appoint his or her successor. Form 990, Part VI, Section A, line 7b The following actions require the unanimous approval of the Members: (a) merger, consolidation, or dissolution of the Corporation, (b) amendment, restatement, alteration, or repeal of the Articles of Incorporation or Bylaws of the Corporation, or the adoption of new Articles of Incorporation or Bylaws, (c) a sale, lease, exchange, or other disposition of all, or substantially all, the property and assets of the Corporation, (d) the call for additional contributions from Members to the Corporation or assessments against the Members, (e) any distribution of assets of the Corporation to one or more members, and (f) execution, amendment, or termination of any agreement between the corporation and any member. Form 990, Part VI, Section A, line 8b Madison Surgery Center has no other committees beyond the governing body. 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 annual conflict of interest forms were reviewed by the Office of Corporate Counsel and Business Integrity. In addition, a summary of all Key Employee and Board Members interests is created and provided to Corporate Governance for review during decision-making. If a member would have an actual or perceived conflict they would follow the respective conflict of interest policy. Form 990, Part VI, Section C, line 19 Madison Surgery Center, Inc. makes the governing documents, conflict of interest policy and financial statements available upon request for the same period of disclosure as set forth in IRC Section 6104(d). Form 990, Part XI, line 9: Distribution to Members -9,800,000. Gain on Trade-In 3,025. Generations Fertility Care 2365 Deming Way Middleton WI 53562 273496527 Reproductive Endocrinology and Infertility Services WI 501(c)(3) Line 10 N/A 1 Isthmus Project Inc 600 Highland Avenue Madison WI 53792 832278676 Research and Innovation WI 501(c)(3) Line 12a University of WI Hospital and Clinics Authority 1 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 SwedishAmerican Foundation 1415 E State Street Rockford IL 61104 363097493 Supporting Fundraising for SwedishAmerican Hospital IL 501(c)(3) Line 7 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 SwedishAmerican Hospital 1401 E State Street Rockford IL 61104 362222696 Hospital IL 501(c)(3) Line 3 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 Realty Corporation 1313 E State Street Rockford IL 61104 363248013 Title Holding Company IL 501(c)(2) SwedishAmerican Health System Corporation 1 University Health Care Inc 7974 UW Health Court Middleton WI 53562 472553196 Support Organization WI 501(c)(3) Line 12a University of WI Hospitals and Clinics Authority 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 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 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 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 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 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 Health Insurance Corporation 840 Carolina Street Sauk City WI 53583 391565691 Health Maintenance Organization WI N/A C 1 Quartz Health Solutions 840 Carolina Street Sauk City WI 53583 465710709 Insurance WI N/A C 1 Quartz Holding Company 840 Carolina Street Sauk City WI 53583 821728929 Holding Company WI 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 Wisconsin Dialysis Inc 3034 Fish Hatchery Road Madison WI 53713 300072647 Dialysis Services WI N/A C 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 0