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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
UNIVERSITY OF WISCONSIN MEDICAL
FOUNDATION INC
Employer identification number
39-1824445
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) ACCESS COMMUNITY HEALTH CENTER
2202 PARK STREET
MADISON,WI53713 		39-1391134 501(C)(3) 731,497       SUPPORT FUNCTIONS OF THE ORGANIZATION
(2) AMERICAN FAMILY CHILDREN'S HOSPITAL
600 HIGHLAND AVENUE
MADISON,WI53792 		39-1835630 501(C)(3) 8,425       SUPPORT FUNCTIONS OF THE ORGANIZATION
(3) AMERICAN HEART ASSOCIATION INC
2850 DAIRY DRIVE STE 300
MADISON,WI53718 		13-5613797 501(C)(3) 9,000       SUPPORT FUNCTIONS OF THE ORGANIZATION
(4) FRIENDS OF THE UW HOSPITALS AND CLINICS
301 S WESTFIELD ROAD STE 250
MADISON,WI53717 		51-0137187 501(C)(3) 87,800       SUPPORT FUNCTIONS OF THE ORGANIZATION
(5) HEALTHY CLASSROOMS FOUNDATION
PO BOX 260199
MADISON,WI537265336 		26-3490947 501(C)(3) 6,000       SUPPORT FUNCTIONS OF THE ORGANIZATION
(6) JUVENILE DIABETES RESEARCH FOUNDATION
434 S YELLOWSTONE DRIVE STE 201
MADISON,WI53719 		23-1907729 501(C)(3) 7,500       SUPPORT FUNCTIONS OF THE ORGANIZATION
(7) MEDICAL STUDENTS FOR CHOICE
PO BOX 40935
PHILADELPHIA,PA19107 		20-5263777 501(C)(3) 5,000       SUPPORT FUNCTIONS OF THE ORGANIZATION
(8) NATIONAL ALLIANCE ON MENTAL ILLNESS
3803 N FAIRFAX DRIVE STE 100
ARLINGTON,VA22203 		43-1201653 501(C)(3) 10,000       SUPPORT FUNCTIONS OF THE ORGANIZATION
(9) ORTHOPAEDIC RESEARCH AND EDUCATION FOUNDATION
6300 N RIVER ROAD STE 700
ROSEMONT,IL60019 		36-6009467 501(C)(3) 30,000       SUPPORT FUNCTIONS OF THE ORGANIZATION
(10) UNIVERSITY HEALTH CARE INC
301 S WESTFIELD ROAD STE 250
MADISON,WI53717 		39-1446049 501(C)(3) 2,067,449       SUPPORT FOR CONTRACT MANAGEMENT
(11) UNIVERSITY OF WISCONSIN FOUNDATION
1848 UNIVERSITY AVENUE
MADISON,WI53708 		39-0743975 501(C)(3) 26,218,372       RESEARCH SUPPORT
(12) UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
600 HIGHLAND AVENUE
MADISON,WI53792 		39-1835630 501(C)(3) 5,000       SUPPORT FUNCTIONS OF THE ORGANIZATION
(13) UW HOUSE STAFF ASSOCIATION
PO BOX 45373
MADISON,WI53744 		54-0162532 501(C)(3) 11,000       SUPPORT FUNCTIONS OF THE ORGANIZATION
(14) UW SCHOOL OF MEDICINE AND PUBLIC HEALTH
750 HIGHLAND AVENUE
MADISON,WI53705 		39-6006492 STATE OF WISCONSIN 35,439,686       SUPPORT FUNCTIONS OF THE MEDICAL SCHOOL
(15) WISCONSIN ALLIANCE FOR WOMEN'S HEALTH
PO BOX 1726
MADISON,WI53701 		80-0287566 501(C)(3) 5,000       SUPPORT FUNCTIONS OF THE ORGANIZATION
(16) WISCONSIN TECHNOLOGY INNOVATION INNITIATIVE
301 S BEDFORD STREET SUITE 1
MADISON,WI53713 		45-5205182 501(C)(3) 50,000       SUPPORT FUNCTIONS OF THE ORGANIZATION
(17) WISCONSIN WOMEN'S HEALTH FOUNDATION
2503 TODD DRIVE
MADISON,WI53713 		39-1900678 501(C)(3) 6,500       SUPPORT FUNCTIONS OF THE ORGANIZATION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
17
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2017
Page 2

Schedule I (Form 990) 2017
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE GRANT SCHEDULE FOR UW SCHOOL OF MEDICINE IS BASED ON A 3 YEAR AGREEMENT AT A FIXED AMOUNT. UWMF MAKES A CONTRIBUTION TO UW FOUNDATION FOR R&D OF 2.5% OF PROFESSIONAL REVENUES WHICH IS PART OF ITS BYLAWS. A MONTHLY RECONCILIATION IS PERFORMED BY REVIEWING THE PROFESSIONAL REVENUES AND PERFORMING THE CALCULATION FOR R&D. THE DISCREPANCIES ARE GIVEN TO THE DEPARTMENTS FOR REVIEW AND FUNDS ARE ADJUSTED ON THE FOLLOWING MONTH'S TRANSFER. THE FIXED AMOUNTS ARE REVIEWED MONTHLY TO CONFIRM TRANSFERS TO CONTRACTS AND BUDGET. ANY DISCREPANCIES ARE ADJUSTED IN THE FOLLOWING MONTH. UNIVERSITY HEALTHCARE INC. SUPPORT IS BASED ON THEIR ANNUAL BUDGET.
Schedule I (Form 990) 2017



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