Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
The Medical College of Wisconsin Inc
Employer identification number
39-0806261
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2011.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2011.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE E(Form 990 or 990-EZ) Department of the TreasuryInternal Revenue Service
SchoolsComplete if the organization answered "Yes" to Form 990, Part IV, line 13,or Form 990-EZ, Part VI, line 48. Attach to Form 990 or Form 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
The Medical College of Wisconsin Inc
Employer identification number
39-0806261
Part I
YES
NO
1
Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a resolution of its governing body?
......................
1
Yes
2
Does the organization include a statement of its racially nondiscriminatory policy toward students in all its
brochures, catalogues, and other written communications with the public dealing with student admissions,
programs, and scholarships?
......................................
2
Yes
3
Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way
that makes the policy known to all parts of the general community it serves? If "Yes," please describe. If "No,"
please explain. If you need more space use Part II.
.............................
3
Yes
4
Does the organization maintain the following?
a
Records indicating the racial composition of the student body, faculty, and administrative staff?
..........
4a
Yes
b
Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory
Other extracurricular activities?
.....................................
5h
No
If you answered "Yes" to any of the above, please explain. If you need more space, use Part II.
6a
Does the organization receive any financial aid or assistance from a governmental agency?
...........
6a
Yes
b
Has the organization's right to such aid ever been revoked or suspended?
...................
6b
No
If you answered "Yes" to either line 6a or line 6b, explain on Part II.
7
Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05
of Rev. Proc. 75-50, 1975-2 C.B. 587, covering racial nondiscrimination? If "No," explain on Part II.
7
Yes
Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50085D
Schedule E (Form 990 or 990-EZ) 2012
Schedule E (Form 990 or 990EZ) 2012
Page 2
Part II
Supplemental Information. Complete this part to provide the explanations required by Part I, lines 3, 4d, 5h, 6b, and 7, as applicable. Also complete this part to provide any other additional information (see instructions).
Identifier
Return Reference
Explanation
PART I, LINE 3
THE COLLEGE VALUES DIVERSITY AMONG ITS STUDENT BODY AND ACTIVELY RECRUITS TO PROMOTE DIVERSITY. MORE THAN HALF OF THE COLLEGE'S STUDENT BODY IS NOT FROM THE STATE OF WISCONSIN AND MANY OF THOSE FROM WITHIN WISCONSIN ARE NOT LOCAL. THEREFORE, THE COLLEGE'S COMMITMENT TO RECRUITMENT AND TRAINING OF A MULTICULTURAL STUDENT BODY ALONG WITH ITS NON-DISCRIMINATION POLICY IS PUBLICIZED ON THE COLLEGE'S WEBSITE AND IN ITS BROCHURES AND PUBLICATIONS. PART I, LINE 6A THE COLLEGE RECEIVES RESEARCH GRANTS AND CONTRACTS FROM SEVERAL GOVERNMENTAL AGENCIES, INCLUDING BUT NOT LIMITED TO, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE DEPARTMENT OF EDUCATION, THE DEPARTMENT OF DEFENSE, THE DEPARTMENT OF TRANSPORTATION, THE DEPARTMENT OF VETERANS' AFFAIRS, THE NATIONAL SCIENCE FOUNDATION AND THE STATE OF WISCONSIN. MANY STUDENTS OF THE COLLEGE ARE ELIGIBLE TO RECEIVE FEDERAL STUDENT FINANCIAL AID, INCLUDING BUT NOT LIMITED TO, THE FEDERAL PERKINS LOAN PROGRAM AND THE FEDERAL PRIMARY CARE LOAN PROGRAM. FEDERALLY GUARANTEED LOANS ARE ISSUED TO STUDENTS OF THE COLLEGE THROUGH THE DEPARTMENT OF EDUCATION'S DIRECT LOAN PROGRAM. THE STATE OF WISCONSIN PROVIDES TUITION ASSISTANCE TO MEDICAL STUDENTS WHO ARE WISCONSIN RESIDENTS.
Schedule E (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
The Medical College of Wisconsin Inc
Employer identification number
39-0806261
Identifier
Return Reference
Explanation
FORM 990, PART I & III, LINE 1 - CONTINUED
TO DISCOVER AND TRANSLATE NEW KNOWLEDGE IN THE BIOMEDICAL SCIENCES; TO PROVIDE CUTTING-EDGE, INTERDISCIPLINARY AND COMPASSIONATE CLINICAL CARE OF THE HIGHEST QUALITY; AND TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. FORM 990, PART III, LINE 4A - CONTINUED The College works with national and international medical specialty societies and community hospitals to accredit approximately 230 continuing medical education activities annually for physicians and other health professionals. The College is developing innovative, community-based medical education programs in Northeast and Central Wisconsin to increase the physician workforce in these regions and communities throughout Wisconsin. The program will feature an immersive education model, in which medical students receive their medical education and training directly in these Wisconsin regions. Target dates for first class of students: 2015 in Green Bay and 2016 in Central Wisconsin. FOR 990, PART III, LINE 4B - CONTINUED The College's research enterprise is focused on strategic, prioritized areas of research involving interdisciplinary collaboration among scientists and physicians with the goal of rapidly translating discoveries into advances for patient care. In FY2013, College faculty conducted more than 2,100 research studies, including clinical trials, and reported 40 new discoveries and inventions to the College's Office of Technology Development. The portfolio consists of approximately 200 technologies covered by more than 250 pending and issued U.S. and foreign patents. FORM 990, PART III, LINE 4C - CONTINUED Medical College of Wisconsin providers, physician assistants, nurse practitioners and other health care practitioners care for more than 430,000 patients, representing more than 1.6 million patient visits. The College has a policy of providing health care services without charge, or at amounts less than established rates, to patients who are unable to pay and who meet certain eligibility criteria established in the College's community care policy. In FY2013, the estimated direct and indirect costs incurred by the College to provide services under the College's community care policy were $5.9 million. Medical College of Wisconsin physicians and practitioners see patients at three major affiliates - Froedtert Hospital, Children's Hospital of Wisconsin, and the Zablocki VA Medical Center - and many other hospitals and clinics in eastern Wisconsin. FORM 990, PART III, LINE 4D Public and Community Health - The Medical College of Wisconsin invests significantly in expanding its community engagement mission to improve the health of communites of Wisconsin and beyond. More than 350 diverse community groups partner with more than 150 College faculty in more than 20 departments and centers to advance public and community health in the metro Milwaukee area and throughout Wisconsin. Building partnerships between the College and communities is a strategic priority as the College strives to have the greatest impact on Wisconsin's critical health needs. FORM 990, PART VI, LINE 1A THE COLLEGE'S BOARD OF TRUSTEES CONTAINS AN EXECUTIVE COMMITTEE WHICH IS ELECTED BY THE BOARD AND CONSISTS OF NOT LESS THAN THE NINE TRUSTEES WHO ARE THE CHAIRS OF THE OTHER BOARD COMMITTEES (ONE OF WHOM IS THE CHAIRMAN) AND THE PRESIDENT. THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE, WHEN THE BOARD OF TRUSTEES IS NOT IN SESSION, ALL THE POWERS OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE COLLEGE. FORM 990, PART VI, LINE 2 Mary Ellen Stanek and Edward Zore, trustees, are on the board of The Northwestern Mutual Life Insurance Company. Mary Ellen Stanek, Curt Culver and Gale Klappa, trustees, are on the board of Wisconsin Energy Corporation. Gale Klappa is Chairman, President and CEO of Wisconsin Energy Corporation. Mary Ellen Stanek and Owen Sullivan, trustees, are on the board of Journal Communications, Inc. Elizabeth Brenner, trustee, is Executive Vice President of Journal Communications, Inc. Mary Ellen Stanek and Curt Culver, trustees, are on the board of West Bend Mutual Insurance Company. Cory Nettles, trustee, is on the board of Baird Funds, Inc., a division of Robert W. Baird & Co., Inc. Mary Ellen Stanek, trustee, is Managing Director and Director of Asset Management of Robert W. Baird & Co., Inc. and President of Baird Funds, Inc. John Byrnes and Ted Kellner, trustees, are on the board of Mason Wells, Inc. John Byrnes is Executive Chairman of the Board and President of Mason Wells, Inc. Edward Zore, trustee, is on the board of ManpowerGroup. Owen Sullivan, trustee, was Executive Vice President of ManpowerGroup until April 2013. Philip Flynn and Jay Williams, trustees, are on the board of Associated Banc-Corp. Philip Flynn is President and CEO of Associated Banc-Corp. FORM 990, PART VI, LINE 7A TWO OF THE TRUSTEES OF THE COLLEGE ARE APPOINTED BY THE GOVERNOR OF THE STATE OF WISCONSIN, AFTER THE ADVICE AND CONSENT OF THE STATE SENATE. THE BALANCE OF THE TRUSTEES ARE ELECTED BY MAJORITY VOTE OF ALL TRUSTEES.
FORM 990, PART VI, LINE 11B
THE FORM 990 WAS PREPARED WITH THE ASSISTANCE OF PRICEWATERHOUSECOOPERS, THE COLLEGE'S EXTERNAL TAX PREPARERS, AND A FINAL DRAFT WAS REVIEWED BY THE CONTROLLER AND THE CHIEF FINANCIAL OFFICER. AN OVERVIEW OF THE FINAL DRAFT OF FORM 990 WAS PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES BY PRICEWATERHOUSECOOPERS AND SENIOR MANAGEMENT. A FINAL COPY OF FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, LINE 12C THE COLLEGE HAS A CONFLICT OF INTEREST POLICY WHICH REQUIRES EMPLOYEES AND BOARD MEMBERS TO REPORT ANNUALLY ON CONFLICTS OF INTEREST FOR THEMSELVES AND FAMILY MEMBERS. EMPLOYEE DISCLOSURE FORMS ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICE. IF THERE IS A POTENTIAL CONFLICT, THE EMPLOYEE MUST SUBMIT A WRITTEN REQUEST FOR APPROVAL TO THE CORPORATE COMPLIANCE OFFICE BEFORE UNDERTAKING THE ACTIVITY. THE CORPORATE COMPLIANCE OFFICE DETERMINES IF THE ACTIVITY COMPLIES WITH COLLEGE POLICIES AND/OR WHETHER A POTENTIAL CONFLICT OF INTEREST EXISTS. DURING REVIEW OF THE PROPOSED ACTIVITY, THE CORPORATE COMPLIANCE OFFICE MAY SEEK GUIDANCE FROM EXECUTIVE LEADERSHIP OR THE GENERAL COUNSEL'S OFFICE AS DEEMED NECESSARY. WRITTEN APPROVAL OR DISAPPROVAL IS THEN PROVIDED. THE COLLEGE'S GENERAL COUNSEL AND THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES REVIEW THE DISCLOSURE FORMS IF THEY RELATE TO A BOARD MEMBER. DISCLOSED CONFLICTS BECOME A MATTER OF BOARD RECORD THROUGH THE DISCLOSURE FORM. ANY CONFLICTS MUST ALSO BE DISCLOSED WHEN THE INTEREST BECOMES A MATTER OF BOARD OR BOARD COMMITTEE ACTION. IF A CONFLICT OF INTEREST ARISES FOR A MEMBER OF THE BOARD OF TRUSTEES WHILE THE BOARD OR ITS COMMITTEES ARE CONSIDERING, AUTHORIZING, OR RATIFYING A CONTRACT OR OTHER MATTER, THE BOARD MEMBER MUST EXCLUDE HIMSELF/HERSELF FROM THE DELIBERATIONS AND VOTE AND THE MINUTES OF THE MEETING MUST REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, THE QUORUM SITUATION AND THE DETERMINATION THAT THE PROPOSED CONTRACT OR TRANSACTION IS FAIR AND REASONABLE TO THE COLLEGE. FORM 990, PART VI, LINES 15A & 15B THE COMPENSATION COMMITTEE ADOPTED A CHARTER, APPROVED BY THE BOARD OF TRUSTEES, TO MONITOR AND COMPLY WITH THE COMPENSATION FOR, AND TRANSACTIONS WITH, CERTAIN OFFICERS. THIS CHARTER IS ACTIVELY MONITORED BY THE GENERAL COUNSEL, THE CORPORATE COMPLIANCE OFFICE AND THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES IS MADE UP OF AT LEAST THREE MEMBERS OF THE BOARD WHO MEET THE FOLLOWING QUALIFICATIONS: 1) NOT AN EMPLOYEE OF THE COLLEGE; 2) DOES NOT RECEIVE, DIRECTLY OR INDIRECTLY, FEES FROM THE COLLEGE FOR ACCOUNTING, CONSULTING, LEGAL SERVICES, INVESTMENT BANKING OR FINANCIAL ADVISORY SERVICES; AND 3) HAS NO IDENTIFIED CONFLICTS OF INTEREST WITH RESPECT TO ANY PROPOSED COMPENSATION TRANSACTION OR ARRANGEMENT. THE COMPENSATION COMMITTEE'S OVERSIGHT ROLE INCLUDES, BUT IS NOT LIMITED TO, ESTABLISHING AND REVIEWING THE COLLEGE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY, EVALUATING THE PERFORMANCE OF THE PRESIDENT, ACCEPTING THE PRESIDENT'S PERFORMANCE EVALUATIONS OF CERTAIN OFFICERS, DETERMINING COMPENSATION LEVELS BASED ON THESE PERFORMANCE REVIEWS, AND ENGAGING OUTSIDE ADVISORS TO PROVIDE OBJECTIVE AND IMPARTIAL COMPENSATION DATA AND TO EXPRESS AN OPINION ON TOTAL COMPENSATION REASONABLENESS. APPROVAL OF COMPENSATION DECISIONS FOR CERTAIN OFFICERS IS DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE AND REPORTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. COMPENSATION DECISIONS FOR ALL OTHER OFFICERS AND KEY EMPLOYEES ARE DETERMINED BY THE PRESIDENT, DEAN, OR SENIOR VICE PRESIDENT BASED ON PERFORMANCE ASSESSMENT AND BUDGETARY GUIDELINES, UTILIZING EXTERNAL COMPENSATION DATA FROM VARIOUS SOURCES INCLUDING THE ANNUAL ASSOCIATION OF AMERICAN MEDICAL COLLEGES SURVEY TO EVALUATE COMPARABILITY TO MARKET COMPENSATION TRENDS. FORM 990, PART VI, LINE 19 THE COLLEGE DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART VII, SECTION A Julia Uihlein and Allen Cowley, Jr., PhD, CHAIR OF PHYSIOLOGY, are compensated for their work at the Medical College of Wisconsin, Inc. as Professors, not for their roles as trustees. Michael Dunn, MD is compensated for his current role as a faculty member of the College, not for his former role as Dean and Executive Vice President. Ann Nattinger, MD and Robert Kliegman, MD are compensated as Professors/Physicians, not for their former roles as key employees. Kevin Kelly, MD, Robert Kliegman, MD, and James Tweddell, MD, are compensated for both their leadership role at the College and their physician role at Children's Specialty Group, Inc. (CSG), a related organization. Work hours related to their role at the College are reflected above the dotted line and work hours related to CSG are reflected below the dotted line. Mark Ruttum, MD, and John Thometz, MD, are compensated for their physician roles at CSG and their work hours are reflected below the dotted line. The College uses a standard 40 hour work week as a representation of a full-time employee. FORM 990, PART XI, LINE 9 UNREALIZED GAIN ON INTEREST RATE SWAP $ 7,602,941 CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS $ 169,039 INTERCOMPANY TRANSFER $(1,500,000) ------------ TOTAL $ 6,271,980
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.