2024-11-15T12:25:23-06:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 790 N WATER ST SUITE 2000 MILWAUKEE WI 53202 990 2023-01-01 396045649 WISCONSIN MEDICAL SOCIETY FOUNDATION INC WISC 6084423800 PO BOX 1109 MADISON WI 53701 MARK WESTOVER TREASURER 6084423800 2024-11-15 1 1 SHELBY NETZ CPA P01405265 4147775500 2024-11-12 2023 2024-10-15 13:58:12Z ELIZABETH RINGLE PO BOX 1109 MADISON WI 53701 1959266 0 X HTTPS://FOUNDATION.WISMED.ORG X 1955 WI TO ADVANCE THE HEALTH OF THE PEOPLE OF WISCONSIN BY SUPPORTING MEDICAL AND HEALTH EDUCATION. 17 17 0 338 0 0 350458 359761 109375 149566 29791 338835 0 -16586 489624 831576 326959 346181 0 0 248404 292058 0 0 88754 202995 209977 778358 848216 -288734 -16640 12590792 13866683 99723 106902 12491069 13759781 X TO ADVANCE THE HEALTH OF THE PEOPLE OF WISCONSIN BY SUPPORTING MEDICAL EDUCATION AND HEALTH INITIATIVES. 0 0 402285 246481 149566 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 $405,000 WERE AWARDED IN 2023 TO 41 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 SCHOLARSHIPS AWARDED FOR UNDER REPRESENTED MINORITIES. IN 2023, SUPERHERO OF MEDICINE SCHOLARHIPS WERE AWARDED TO 8 STUDENTS TO ACCESS TEST PREP RESOURCES FOR THE MCAT AND STEP 1 AND 2 EXAMS. IN 2023, 72 SCHOLARSHIPS WERE AWARDED TOTALING $212,785. 34949 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 437 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. 152129 99700 PUBLIC HEALTH:-GRANTS PROGRAMTHE FOUNDATION'S GRANTS PROGRAM IS ADMINISTERED THROUGH ITS GRANT COMMITTEE. APPLICATIONS ARE ACCEPTED AND GRANTS ARE AWARDED FOR COMMUNITY HEALTH EDUCATION AND RESEARCH INITIATIVES. GRANT RECIPIENTS ARE REQUIRED TO REPORT THEIR RESULTS AND USE OF THE GRANT FUNDS. IN 2023, THE FOUNDATION AWARDED 18 GRANTS FOR A TOTAL OF $72,200.-SUMMER FELLOWSHIP PROGRAMTHE FOUNDATION'S GRANT COMMITTEE ALSO ADMINSTERS ITS SUMMER FELLOWSHIP PROGRAM. THE PROGRAM OFFERS MEDICAL STUDENTS OPPORTUNITIES TO GAIN VALUABLE, HANDS-ON EXPERIENCE IN COMMUNITY HEALTH EDUCATION OR RESEARCH DURING MEDICAL SCHOOL. IN 2023, 7 FELLOWSHIPS WERE AWARDED TOTALING $27,500. 589363 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 12 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 17 0 0 1 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, EX OFFICIO - NON-VOTING DIRECTOR 1.00 39.00 X 0 324896 41602 KRISTOPHER ROUG CFO 1.00 39.00 X 0 123978 15591 ELIZABETH RINGLE EXECUTIVE DIRECTOR 40.00 X 107927 0 5427 JOSE ORTIZ MD PRESIDENT 1.00 X X 0 0 0 NOEL DEEP MD VICE PRESIDENT 1.00 X X 0 0 0 SARAH KROLICKI VICE PRESIDENT - PUBLIC HEALTH 1.00 X X 0 0 0 MARK WESTOVER TREASURER 1.00 X X 0 0 0 ALYSSA FLEISCHMAN MD DIRECTOR (THRU 4/2023) 1.00 X 0 0 0 AYANNA VASQUEZ MD DIRECTOR (AS OF 12/2023) 1.00 X 0 0 0 BUD CHUMBLEY MD DIRECTOR 1.00 X 0 0 0 CLARENCE CHOU MD DIRECTOR 1.00 X 0 0 0 DAVID K FALK MD DIRECTOR 1.00 X 0 0 0 GREIGORY DIMAILIG MD DIRECTOR (AS OF 4/2023) 1.00 X 0 0 0 HEATHER SCHMIDT DO DIRECTOR (AS OF 7/2023) 1.00 X 0 0 0 JACLYN GELLINGS MD DIRECTOR (THRU 7/2023) 1.00 X 0 0 0 JOEL CHARLES MD DIRECTOR 1.00 X 0 0 0 KYLE CASS MD DIRECTOR (THRU 4/2023) 1.00 X 0 0 0 LATISHA SMITH-CHASE MD DIRECTOR 1.00 X 0 0 0 MATIDA BOJANG DIRECTOR (AS OF 4/2023) 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 CYNTHIA HART MD EX-OFFICIO MEMBER (AS OF 4/2023) 1.00 X 0 0 0 DON LEE MD EX-OFFICIO MEMBER 1.00 X 0 0 0 WENDY MOLASKA MD EX-OFFICIO MEMBER (THRU 4/2023) 1.00 X 0 0 0 107927 448874 62620 1 0 1 0 0 76063 283698 359761 STUDENT LOAN 611710 149566 149566 149566 267464 267464 1166537 1086634 8532 79903 -8532 71371 71371 15938 76063 32524 -16586 -16586 831576 149566 0 322249 105896 105896 240285 240285 113354 65207 48147 134987 71932 63055 6438 3555 1248 1635 21043 11620 4080 5343 16236 8966 3148 4122 32136 32136 54613 54613 79451 45711 20150 13590 23485 23485 15143 3846 2887 8410 3798 2098 736 964 4109 2434 902 773 27455 3052 1604 22799 181 100 35 46 2130 1176 413 541 LESS: DIRECT FUND. EXPE -32524 -32524 848216 589363 170099 88754 528481 283046 3797 32171 2911335 3070049 1700 2500 0 0 263 0 8954384 10220048 10000 10000 180832 248869 12590792 13866683 36217 34128 63506 72774 99723 106902 X 2015176 2080411 10475893 11679370 12491069 13759781 12590792 13866683 X -16640 1210651 74701 X X 0 1 X 1 0 X 551872 361210 277760 350458 359761 1901061 551872 361210 277760 350458 359761 1901061 855564 1045497 190970 193423 209913 233771 267464 1095541 2996602 475100 0.34890 0.38640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 775769 2000 99546 40241 837074 932295 2000 -128482 30044 775769 868976 2000 96129 34810 932295 833066 2000 74283 40373 868976 717341 22000 109283 15558 833066 0.79000 0.21000 0 0 0 DUE TO WISCONSIN MEDICAL SOCIETY 35015 PPP LOAN 37759 72774 X 2103371 1210651 115757 1326408 776963 54613 54613 831576 834659 41056 41056 793603 54613 54613 848216 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 74,701. LOSS ON DISPOSAL OF ASSETS 8,532. DIRECT FUNDRAISING EVENT EXPENSES 32,524. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS 8,532. DIRECT FUNDRAISING EVENT EXPENSES 32,524. ANNUAL MEETING 92001 76063 15938 2117 22668 7739 92001 76063 15938 2117 22668 7739 32524 -16586 1 WISCONSIN MEDICAL SOCIETY INC 2920 MARKETPLACE DR STE 103 FITCHBURG WI 53719 390634758 501(C)(6) 6000 0 ADVANCE CARE PLANNING & ADVANCE DIRECTIVES NEXT DOOR FOUNDATION INC 2545 NORTH 29TH STREET MILWAUKEE WI 53210 391162969 501(C)(3) 5550 0 SUPPORT FOR HEALTH SERVICES FOR CHILDREN AND SPECIFICALLY LEAD SCREENING PROGRAM WISCONSIN SOCIETY OF ADDICTION MEDICINE 563 CARTER COURT SUITE B KIMBERLY WI 54136 391806177 501(C)(3) 5050 0 TO IMPLEMENT AN OVERDOSE RESPONSE PROTOCOL THAT COULD BE USED TO TRAIN OTHER ERS AROUND THE STATE 2 1 AMY HUNTER-WILSON, MD SCHOLARSHIP 4 2000 EDMUND J. AND ESTELLE D. WALKER SCHOLARSHIP 54 162000 HOUGHTON MED. STUDENT AWARD 2 2000 JEFFERSON COUNTY MEDICAL SOCIETY SCHOLARSHIP 1 3000 PRESIDENTIAL SCHOLAR 1 5000 ROBERT JASON GORE SCHOLARSHIP 1 5000 RUKMINI AND JOYCE VASUDEVAN 1 5000 SHEBOYGAN COUNTY MEDICAL SOCIETY 1 3000 VICTOR A. BAYLON, MD SCHOLARSHIP 1 3000 JOHN D. AND VIRGINIA RIESCH SCHOLARSHIP 1 3000 MARATHON COUNTY MEDICAL SOCIETY SCHOLARSHIP 1 3000 AMY HUNTER WILSON, MD SCHOLARSHIP 1 3000 FUTURE SUPERHERO OF MEDICINE 9 7785 FELLOWSHIPS 7 27500 CYRIL "KIM" HETSKO, MD LEADERSHIP TRAINEE AWARD 6 6000 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, EX OFFICIO - NON-VOTING D 0 324896 0 0 0 0 0 9900 0 31702 0 366498 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 A, LINE 4 COMPOSITION, QUALIFICATIONS, AND DUTIES OF VOTING MEMBERS: - COMPOSITION SHIFT: THE BOARD OF TRUSTEES NOW HAS A SLIGHTLY DIFFERENT STRUCTURE REGARDING THE NUMBER OF PHYSICIAN AND NON-PHYSICIAN MEMBERS: - UPDATED PHYSICIAN TRUSTEES REQUIREMENT TO RANGE FROM 7-10 PHYSICIAN TRUSTEES AND REQUIRES THE TRUSTEES OVERALL MUST BE A MAJORITY PHYSICIANS. - ELIMINATED THE REQUIREMENT FOR TRUSTEE CONFIRMATION BY THE WISCONSIN MEDICAL SOCIETY BOARD. ROLE OF MEMBERS IN GOVERNANCE: - SECRETARY ROLE UPDATE: THE SECRETARY MUST NOW BE A CURRENT VOTING TRUSTEE RATHER THAN THE ROLE BE EXCLUSIVELY HELD BY THE EXECUTIVE VICE PRESIDENT/CEO OF THE WISCONSIN MEDICAL SOCIETY. - VOTING AND QUORUM RULES: TO ACHIEVE QUORUM AT MEETINGS A MAJORITY OF SAID QUORUM MUST BE PHYSICIANS. AMENDMENTS TO ORGANIZING DOCUMENTS: - UPDATED BYLAWS INTRODUCED CLEARER TERMINOLOGY AND ADJUSTED THE STRUCTURE OF SEVERAL COMMITTEES. 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 74,701. 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 0 1 1 0 0 0 WISCONSIN MEDICAL SOCIETY INC P 102385 ACTUAL AMOUNT WISCONSIN MEDICAL SOCIETY INC O 264897 ACTUAL AMOUNT WISCONSIN MEDICAL SOCIETY INC B 59340 ACTUAL AMOUNT