uwhca board of directors june 22, 2017, 1:30 - 4:30 pm harting … · 2017-06-21 · pablo sanchez,...

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UWHCA Board of Directors

June 22, 2017, 1:30 - 4:30 PM

Harting Mullins Board Room, HSLC 4201

Please Note Location Change

Meeting Minutes

Medical Staff Membership and Clinical Privileges

Resolution - Departments of Radiology and Medicine TransferRequest to UWF

Attachment - Department of Radiology Letter to Request Transferof Funds

UWMF / Departments of Radiology and Medicine Transfer Request toUWF

Attachment - Minutes from May 25, 2017

Attachment - Medical Staff Membership and Clinical Privileges

1:30 PM IIII. . Consent AgendaConsent AgendaDr. Robert Golden

Approval

1:30 PM IVIV. . UWHCA Election of OfficersUWHCA Election of OfficersDr. Robert Golden

Approval

1:45 PM VIVI. . UW Health Patient Safety and Quality Committee - Unit Report (Trauma LifeUW Health Patient Safety and Quality Committee - Unit Report (Trauma LifeSupport Center)Support Center)Ms. Jen Hankwitz

Informational

2:00 PM VIIVII. . UW Health Financial MattersUW Health Financial MattersMr. Robert Flannery

Informational/Discussion

1:30 PM II. . Call to Order of Board MeetingCall to Order of Board MeetingDr. Robert Golden

Attachment - Department of Medicine Letter to Request Transfer ofFunds

1:30 PM IIIIII. . Resolution of Gratitude for Service of Mr. Andrew PetersenResolution of Gratitude for Service of Mr. Andrew PetersenDr. Robert Golden

Approval

Resolution - UWHCA Election of Officers

1:35 PM VV. . Review of UWHCA Board CommitteesReview of UWHCA Board CommitteesMs. Kelly Wilson(Will approve UWHCA Committee Membership during July 2017 meeting)

Discussion

Presentation - TLC Unit Report

Attachment - UW Health Consolidated Financial Report

2:10 PM VIIIVIII. . Closed SessionClosed Session

UWHCA Board of Directors - June 22, 2017UWHCA Board of Directors - June 22, 2017

AgendaAgenda

Page 4

Page 8

8

Page 30

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Page 34

Page 36

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4:25 PM XX. . ACTION: Approval of UW Health FY18 Operating and Capital BudgetACTION: Approval of UW Health FY18 Operating and Capital BudgetDr. Robert Golden(Motion to approve the UW Health FY18 Operating and Capital Budget asdiscussed in closed session)

Approval

XIIXII. . FYI Attachment - HSLC 4201 Room Location - Harting Mullins Board RoomFYI Attachment - HSLC 4201 Room Location - Harting Mullins Board Room

Motion to enter into closed session pursuant to Wisconsin Statutes section19.85(1)(e), for the discussion of the following confidential strategic matters,which for competitive reasons require a closed session: discussion of UWHealth/UnityPoint Health-Meriter Co-Branding, property option, financialand FY18 budgetary matters and UWHCA Board Survey results; pursuantto Wisconsin Statutes section 146.38, for the review of the Patient Safetyand Quality Committee report; and pursuant to Wisconsin Statutes section19.85(1)(g), to confer with legal counsel regarding these and other matters.

4:25 PM IXIX. . Return To Open SessionReturn To Open Session

Resolution - UWHCA FY18 Operating and Capital Budget

4:30 PM XIXI. . AdjournAdjourn

Attachment - 4th Floor HSLC Room Locations

Page 59

Page 61

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Attachment

Open Session Meeting Minutes

May 25, 2017

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UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY Minutes of Board of Directors Meeting

Open Session

May 25, 2017, 1:30 PM HSLC 4201

UWHCA BOARD MEMBERS PRESENT: Dean Robert Golden (Chair), David Ward (Vice Chair), Chancellor Rebecca Blank,

Dr. Thomas Grist, Regent Tim Higgins, Andrew Hitt, John Litscher, Regent Janice Mueller, Regent Drew Petersen, Lisa Reardon (via phone), Pablo Sanchez, Gary Wolter

UWHCA BOARD MEMBERS EXCUSED: Rep. Mark Born, Michael Heifetz, Senator Luther Olsen, Dean Linda Scott BOARD EXECUTIVE COMMITTEE (Non-Voting): Dr. Alan Kaplan, Dr. Jon Matsumura, Dr. Richard Page UW HEALTH STAFF: PRESENT: Robert Flannery, Patti Meyer, Jay Robaidek, Jodi Vitello, Tina Whitehorse, Kelly

Wilson (Secretary) 1. Call to Order

Chair Robert Golden called the open session of the Board of Directors meeting to order at 1:30 p.m. Roll call was taken and a quorum was present.

2. ACTION: Approval of UWHCA Consent Agenda

Chair Golden stated a revised resolution was posted to the portal regarding UW Health Liaisons to the UPH-M Board of Directors and UPH-M Liaisons to the UWHCA Board of Directors. Hard copies were available. Having no questions, Mr. Pablo Sanchez moved approval of the items on the consent agenda, including: UWHCA March 23, 2017 Open Session Minutes; Medical Staff Membership and Clinical Privileges; Resolution approving Department of Ophthalmology and Visual Sciences Request to Transfer Funds [Resolution 17-024]; Resolution approving UWMF Department Compensation Plans [Resolution 17-025]; Resolution approving UW Health Liaisons to the UPH-M Board of Directors and UPH-M Liaisons to the UWHCA Board of Directors [Resolution 17-026]; Resolution naming UW Health ACO Board Director [Resolution 17-027]; Mr. Andrew Hitt seconded the motion; it passed unanimously.

3. Spinraza Update

Mr. Jay Robaidek provided an update to previous board discussions regarding Spinraza. UW Health has worked with commercial payors and WI State Medicaid to discuss reimbursement resulting in a break-even amount. UW Health has created a process to review criteria and protocol to provide to patients when pharmaceutical orphan drugs are introduced to the market/UW Health system. The clinical team has identified the first six patients, it is anticipated that the first patient will be treated in June 2017. Mr. Robaidek stated the management contract team will ensure cost estimates stay aligned. The board questioned protocol for patients not covered by Medicaid. Mr. Robaidek stated if a patient meets criteria and does not have coverage, UW Health has been told by the pharmaceutical company that they will provide the drug to the patient at no charge.

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4. UW Health Financial Matters

UW Health FY17 Consolidated Financial Review – YTD April 30, 2017

Mr. Flannery reviewed the FY17 Consolidated Financial statements for period ending April 30, 2017. He reported UW Health enterprise operating margin of 2.3% compared to budget of 3.2%. Enterprise-wide results continue to show strong volume, although the payor mix continues to shift resulting in declining revenue totals. Higher than budgeted medical materials and supplies are resulting in a negative impact on operating expenses. Year-to-date operating income including academic support was below budget by 27%. Due to strong returns in non-operating income at 140.2% above budget, net income was above budget at 21.2%. UWHC FY18 Hospital Rate Increase Mr. Flannery presented the recommendation of the UWHCA Finance Committee for approval of a 5.0% prices increase effective July 1, 2018 (FY18) for UWHC facilities. He noted this is a ‘list price’ increase reviewing factors driving the recommendation including inflation in salaries, benefits, pharmaceuticals and supplies, and modest rate increases from governmental payors. He noted few payors have any connection to charges, but the charges remain a focus of public interest due to increased deductibles and co-insurance rates. He reviewed a comparison of list prices compared to peers showing UWHC in the middle. Members discussed the increase, with recognition of the higher acuity patients seen at UWHC, a 5% increase is reasonable.

Chair Golden presented the Resolution for approval of the UWHCA FY18 Hospital Rate Increase; a motion was made by Mr. Hitt to approve the Resolution, which motion was seconded by Regent Drew Petersen. The motion was unanimously approved by voice vote. [Resolution 17-028]

5. Closed Session

There being no other matters for the open session, Chair Golden proposed to take the meeting into closed session pursuant to Wisconsin Statutes section 19.85(1)(e), for the discussion of the following confidential strategic matters, which for competitive reasons require a closed session: discussion of UW Health/UnityPoint Health-Meriter Partnership, UW Health Strategic Planning, financial and FY18 budgetary matters, Unity Health Insurance and Madison Metropolitan School District (MMSD) negotiations, and the American Health Care Act; pursuant to Wisconsin Statutes section 146.38, for the review of the Patient Safety and Quality Committee report; pursuant to Wisconsin Statutes section 19.85(1)(c), for performance evaluation of UW Health CEO; and pursuant to Wisconsin Statutes section 19.85(1)(g), to confer with legal counsel regarding these and other matters.

Mr. Sanchez moved to go into closed session; Regent Petersen seconded the motion; there was a unanimous roll call vote approving entering into closed session. The following members voted for the motion: Chair Golden, Vice Chair Ward, Chancellor Rebecca Blank, Dr. Thomas Grist, Regent Tim Higgins, Andrew Hitt, John Litscher, Regent Janice Mueller, Regent Drew Petersen, Lisa Reardon, Pablo Sanchez, and Gary Wolter.

6. ACTION: Approval of UW Health Strategic Plan

After returning to Open Session, a motion was made by Mr. Gary Wolter approving the UW Health Strategic Plan as discussed in closed session, which motion was seconded by Mr. Andrew Hitt. The motion was unanimously approved by voice vote. [Resolution 17-029]

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7. Adjournment

A motion was made by Senator Luther Olsen and seconded by Mr. Pablo Sanchez to adjourn the meeting. The meeting was adjourned in Open Session at 4:30 p.m.

Respectfully Submitted,

Kelly Wilson, Secretary

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Attachment

Medical Staff Membership and Clinical Privileges

June 22, 2017

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Resolution

Transfer Department of Radiology Reserves

andDepartment of Medicine

Reserves to UWF

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RESOLUTION OF THE BOARD OF DIRECTORS OF

UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY

Authorizing UWMF to Transfer Department of Radiology Reserves and Department of Medicine Reserves to UWF

June 22, 2017

WHEREAS, the Department of Radiology of the University of Wisconsin (“UW”)

School of Medicine and Public Health requested in a letter dated January 18, 2017 (attached) that the UW Medical Foundation (“UWMF”) transfer UWMF Department of Radiology reserve funds to the University of Wisconsin Foundation (“UW Foundation”) to support recruitment of a new Section Chief in Breast Imaging (the “Transaction”), and

WHEREAS, the Department of Medicine of the University of Wisconsin (“UW”) School

of Medicine and Public Health requested in a letter dated May 15, 2017 (attached) that the UW Medical Foundation (“UWMF”) transfer UWMF Department of Medicine reserve funds to the University of Wisconsin Foundation (“UW Foundation”) to support the Department of Medicine Discretionary Fund for Growth to support recruitment packages and retention of key researchers (the “Transaction”), and

WHEREAS, the Board of Directors of UWMF unanimously approved the Transaction

on June 21, 2017, and the Board of Directors of the University of Wisconsin Hospitals and Clinical Authority (“Authority Board”) desires to approve the Transaction pursuant to Section 4.3.2(a) of the Integration Agreement between the parties;

NOW, THEREFORE, BE IT RESOLVED, that the Transaction is hereby authorized

and approved, and UWMF is authorized and empowered to take all other actions necessary or appropriate to effectuate the Transaction.

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Attachment

Department of RadiologyTransfer Request to

UW Foundation

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Attachment

Department of Medicine Transfer Request to

UW Foundation

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Resolution

UWHCAElection of Officers

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Resolution of the Board of Directors of the University of Wisconsin Hospitals and Clinics Authority

June 22, 2017

The Board of Directors of the University of Wisconsin Hospitals and Clinics Authority elect the following officers for a term beginning July 1, 2017 and ending when their replacements are approved. CHAIR Gary Wolter VICE CHAIR Dean Robert Golden SECRETARY Kelly Wilson ASSISTANT SECRETARIES Elizabeth Bolt, Patricia Hutter, Mary Link

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UWHCA Board of Directors

(Patient Safety and Quality

Committee Report)Department/Clinic/Unit: Trauma Life Support Center

Team Members: Jen Hankwitz, NM; Andrea

Stapelman, Interim NM; Sara Schoen, CTL; Tammy

Mauel, CTL; Heidi Menaker, QSI

Date: June 22, 2017

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Overview of Clinical Area

Trauma Life Support Center (TLC)• 24 Bed Intensive Care Unit (ICU)

– Highly acute and diverse patient population

– Medical, surgical and trauma

• Approximately 130 staff members consisting of:

– Care Team Leaders

– Nurses

– Nursing Assistants

– Health Unit Coordinators

• 3 Medical teams and multiple consulting services

– 2 Critical Care Service

– 1 Surgical Critical Care

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Objectives

1. Demonstrate how standardized communication

structure is an essential component of

becoming a highly reliable organization

2. Demonstrate how huddles and leader standard

work:

1. Increase staff engagement

2. Improve a culture of safety

3. Improve quality

4. Provide a venue to work through whatever the unit’s

next challenge or new initiative may be!

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Background

• Transitions in TLC

• Unit leaders were challenged with

communication & change management

amongst a very large staff

• Sense of some disconnect between

organizational priorities, leader

expectations and staff work

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Current State

Staff CTL NM

Concerns not escalated until they were major

Concerns not escalateduntil they were major

Not aware of concerns until they were major

Didn’t receive important communication

Received some information but did not have a way to help disseminate

Provided information through venues that were not effectively received

Didn’t have information needed to prioritize multiple initiatives

Role was evolving, but unclear how to lead new initiatives

Challenged with managing communication of multiple competing priorities and initiatives

Unaware of others safety concerns and resolutions

Unaware of others safety concerns and resolutions

Managing safety was a reactive process after PSNs were submitted

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Staff does not have information needed to effectively make necessary changes on the unit

Tasks Changes/initiatives communicated by: Staff meetings Champion communicates one on oneStaff was communicated to, more one-directional

People Champions for key initiatives held the important informationCTL role in development and unclear how to help with communicationManager did not have a way to dialogue with all staff

Organization 3 day/week work schedulesLeaders not able to see all staff for communications other than monthly staff meetingsMultiple priorities and information venues

Environment Unpredictable24/7 operations with some staff only working nights – lots of disconnect between staff members and leaders

Tools & Technology

Ineffective communication tools: Email not reviewed timely

3 day/week schedules Not built into work

Bathroom in-services

Root Causes of the Problem

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Development of Standardized

Communication Structure

Key elements of the communication structure:Time Communication

06:45 – 07:00 CTL to CTL unit updates

07:00 – 07:05 Unit shift updates to oncoming RNs

07:05 – 07:20 Unit leader Stat Sheet Huddle - NM/CNS, CTL

07:20 – 07:30 Walking safety rounds – CTL, NA, HUC

08:00 System huddle

11:30 Midshift huddle led by CTLs

15:00 Walking safety rounds – CTL, NA, HUC

18:45 CTL to CTL unit updates

19:00 – 19:05 Unit shift updates to oncoming RNs

23:30 Midshift huddle led by CTLs

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Outcome Example

1. Improved bi-directional communication • Staff identified a compliance barrier to CHG bathing for surgical site infection prevention. CTLs involved in solution idea, NM assisted in logistics of report generation and then solution brought back to staff at the unit level.

2. Early intervention & problem solving • Central lines at risk for infection• Skin integrity concerns• Problem solve patient “too sick to turn”• Patient / family concerns

3. Staff have a voice, are more informed & engaged

Escalated safety concerns related to:• ER to TLC transfers • New process with blood verification and

documentation• Quad fuse

4. Quality improvement efforts remain active between meetings

Huddles used to:• Establish current state• Gather staff input• Disseminate micro-education

Results

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Lessons Learned

• Identifying a shared need among staff for

changes

• This takes time, and energy!

– Learning, testing

• Value of external coaching

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Next Steps

• Further refinement in TLC

• Interdisciplinary huddle

• Layer additional tools

– Kamishibai cards

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UW Health Financial Reports

FY17

Consolidated Financial Review

Preliminary Year to Date May 31, 2017

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UW Health YTD Operating Margin

May 31, 2017

* Combined total includes eliminations and the Academic support included as an operating expense. $90M Integration commitment is reflected in

other non-operating revenue.

** Combined HC/MF without eliminations, which ties to the Incentive Plan metric

3.0%

1.7%

2.6%

1.1%

2.3%

4.8%

0.7%

3.6%

1.1%

3.2%

6.0%

1.8%

4.8%

0.6%

4.0%

UWHCA UWMF Combined HC/MF ** SAHS /RDI Total *

Actual Budget Prior Year

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Selected Hospital Volume Statistics – YTD May 31, 2017

Swedish

American

Madison

Hospitals

(UWHC, TAC, and

AFCH)

3

-1.6%

1.2%

3.2%3.5%

2.6%

5.0%

-2.0%

0.0%

2.0%

4.0%

6.0%

Adult and peds admissions Clinic visits Surgeries

Versus budget Versus prior year

-3.6%

-0.9%

-3.7%-4.6%

4.9%

-3.0%

-6.0%

-4.0%

-2.0%

0.0%

2.0%

4.0%

6.0%

Adult and peds admissions Clinic visits Surgeries


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Hospital Volume – YTD May 31, 2017

4

YTD - May 31, 2017 Actual Budget

Variance

from

Budget Prior Year

Variance

from Prior

Year

UWHC (Includes UH, TAC, and AFCH)

Admissions 30,668 31,168 (500) 29,627 1,041

Clinic visits 614,983 607,434 7,549 599,195 15,788

Surgeries 34,374 33,294 1,080 32,728 1,646

SAHS

Admissions 15,289 15,863 (574) 16,031 (742)

Clinic visits 371,450 374,768 (3,318) 354,176 17,274

Surgeries 8,551 8,881 (330) 8,811 (260)

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UWMF wRVU’s through May 31, 2017

Work Relative Value Units (wRVUs) are a measure developed by CMS as part of the Medicare reimbursement formula for physician

services. wRVUs reflect the time, skill, training and intensity to provide a given service. For example, a surgical code will typically have

a higher value (and corresponding payment) than a routine appointment code. wRVUs are also used by UW Health and other practice

plans to measure provider productivity (volume). When payors determine payments based on RVU’s, they typically include two

additional RVU components to reflect the practice expense costs (technical) and malpractice insurance costs.

*Two fewer business days in July FY17 compared to July FY16

Specialty care wRVUs increased 5.3%

and Primary care wRVUs increased 1.1%YTD Variance

5

663 670

3,384 3,562

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

wRVUs FY16 wRVUs FY17

Tho

usa

nd

s

Primary Care

Specialty Care

1.4%

4.6%

0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

3.5%

4.0%

4.5%

5.0%

Versus budget

Versus prior year

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UW Health Primary Care Volumes

Clinic visits year over year are up by 5.4% while non face-to-face encounters are up by 2.6%. Clinical Physician

FTE are down by 0.7% and head count is down by 0.5% while number of active panels are up by 2.4%.

Note: Includes Fam Med (including Wingra ACHC), GIM & GPAM excluding Augusta & Eau Claire. Clinic visits are arrived or completed

appointments that include nurse only visits. Non face-to-face encounters include MyChart, Telephone and Refill encounters logged in

HealthLink. Other includes all provider types not listed as MD, DO, NP or PA. Clinical FTE APP and Head Count APP are updated every 6

months. Active Panel are for MD/DO faculty only.

Data source: Ambulatory Encounters dashboard and Panel Activity Report. of 61

Summary of Enterprise-Wide May 31, 2017 YTD Operating Results

Volume Margin

7

-2.3%

0.4%1.8%

0.7%

3.5% 3.3%

-4.0%

-2.0%

0.0%

2.0%

4.0%

Adult and PedsAdmissions Clinic Visits Surgeries


2.3%

3.2%

4.0%

Actual Budget Prior Year

Actual YTD Budget YTD Actual YTD Variance Vs.

May 2017 May 2017 May 2016 Budget

Operating Revenue 2,731.2$ 2,731.1$ 2,588.6$ 0.0%

Operating Expenses:

Salaries and fringe benefits 1,506.5 1,515.2 1,425.9 0.6% Medical materials and supplies 564.2 534.8 514.4 -5.5% Other expenses 537.0 528.8 487.7 -1.6%

Total Operating Expenses 2,607.8 2,578.8 2,428.0 -1.1%

Operating Income 123.4 152.3 160.5 -19.0%

Academic Advancement Support (non-operating) (59.4) (65.9) (55.8) 9.8%

Operating Income, before other non-operating 64.0 86.4 104.7 -26.0%

Nonoperating Income * 90.7 35.5 (79.1) 155.8%

Net Income 154.7$ 121.9$ 25.6$ 26.9%

*Includes Income Tax (Expense)

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Enterprise-Wide May 31, 2017 YTD Performance Ratios

8

Favorable

Direction FY 17

S&P "AA-"

Rated (1)

Moodys "Aa3"

Rated (2)

Operating Margin (including Academic Support) 2.3% 3.5% 3.7%

Total Margin 5.6% 6.4% 7.4%

Days Cash on Hand * (including Academic Support) 201 258 267

Days in Accounts Receivable ** 46 49 48

Long Term Debt to Capitalization 20.9% 31.4% 29.6%

Operating Cash Flow 9.1% 10.4% 10.0%

Cash-to-Debt 254.8% 180.9% 199.1%

* excludes provision for bad debt and retiree health insurance

** average for 11 months

(1) S&P's 2016 financial ratios based on 34 obligators rated "AA-" by S&P. Based on 2015 audited financials.

(2) Moody's 2015 financial ratios based on 43 "Aa3" rated hospitals. Based on 2014 audited financials.

Industry Comparisons

Healthcare System

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UW Health Days in AR

Year-to-Date May 31, 2017

9

Net Accounts

Receivable

Net Days

Revenue

Outstanding

Jun-16 347,508,061 44.3

Sep-16 367,630,637 46.0

Oct-16 378,415,858 47.1

Nov-16 394,802,197 48.7

Dec-16 395,246,906 48.8

Jan-17 367,414,562 45.8

Feb-17 369,119,715 45.7

Mar-17 361,733,961 44.5

Apr-17 364,352,081 44.9

May-17 361,305,177 45.9

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UW Health Non-Operating Revenue

Year-to-Date May 31, 2017(Amount in $$ Thousands)

10

Actual

Earned Investment Income 25,123,551

Equity in earnings of joint ventures 9,926,722

Unrealized gain (loss) on investments 48,303,495

Other, net * 7,358,678

Total revenues (expenses) 90,712,446

* includes Income Tax (Expense)

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UW Health Consolidating Balance Sheet

YTD May 31, 2017

11

UWHCA UWMF

Total UWHCA and

UWMF SAHS/RDI

UW Health

Consolidated

Cash & Investments

Unrestricted 964,419,985 291,552,414 1,255,972,399 279,646,656 1,535,619,055

Restricted by Trustee & Donors 10,939,450 - 10,939,450 - 10,939,450

Accounts Receivable 213,824,739 71,374,477 285,199,216 76,105,961 361,305,177

Property, Plant & Equipment, Net 767,217,696 70,538,659 837,756,355 316,610,221 1,154,366,576

Other Assets & Deferred Outflows of Resources 433,862,564 119,232,144 517,030,696 51,780,405 568,811,101

Total Assets & Deferred Outflows of Resources 2,390,264,434$ 552,697,694$ 2,906,898,116$ 724,143,243$ 3,631,041,359$

Current Liabilities 306,698,429 174,135,650 440,683,067 99,009,463 539,692,530

Long-term Debt & Deferred Inflows of Resources 675,940,257 67,390,000 743,330,257 142,031,072 885,361,329

Net Position

Unrestricted 1,397,263,660 311,172,044 1,712,522,704 472,805,007 2,185,327,711

Restricted 10,362,088 - 10,362,088 10,297,701 20,659,789

Total Liabilities, Deferred Inflows of Resources &

Net Position 2,390,264,434$ 552,697,694$ 2,906,898,116$ 724,143,243$ 3,631,041,359$

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UW Health Consolidating Income Statement

YTD May 31, 2017

12

UWHCA UWMF

Total UWHCA &

UWMF SAHS/RDI

UW Health

Consolidated

Net Patient Service Revenue (net of provision for bad

debts) 1,590,980,211 646,202,099 2,237,182,310 401,457,725 2,636,304,943

Other Revenues 25,124,134 5,965,531 31,089,665 63,765,477 94,855,142

Total Revenue 1,616,104,345 652,167,630 2,268,271,975 465,223,202 2,731,160,085

Operating Expenses:

Salaries & Benefits 711,849,632 467,379,759 1,272,805,097 233,725,274 1,506,530,371

Supplies, Drugs and Other Expenses 749,670,975 123,562,741 779,658,010 197,984,804 975,307,722

Interest 17,283,918 452,998 17,736,916 2,968,568 20,705,484

Depreciation 72,667,526 7,063,806 79,731,332 25,496,405 105,227,737

Total Operating Expenses 1,551,472,051 598,459,304 2,149,931,355 460,175,051 2,607,771,314

Operating Income 64,632,294 53,708,326 118,340,620 5,048,151 123,388,771

Academic Advancement Support (non-operating) (16,923,500) (42,493,135) (59,416,635) - (59,416,635)

Income Before Other Other Non-Operating Activity 47,708,794 11,215,191 58,923,985 5,048,151 63,972,136

Total Non-operating Revenue and Income Tax Expense 50,161,185 25,631,208 75,792,393 14,920,053 90,712,446

Net Income 97,869,979 36,846,399 134,716,378 19,968,204 154,684,582

Elimination Entries are not displayed by are part of the Consolidated Numbers

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UW Health Financial Structure

Affiliation Agreement

University of Wisconsin Hospitals and Clinics Authority

University of Wisconsin Medical Foundation

Regional Division, Inc.1

Swedish American Health System

Equity-BasedJoint Ventures

Majority-Owned Non-Consolidated

Ventures

Non-Consolidated Joint Ventures

University HospitalAmerican Family Childrens Hospital

The American CenterAmbulatory Clinics

InnTowner, LLC

Faculty Practice Plan17 Clinical Departments

Ambulatory Clinics

SA Hospital RockfordSA Hospital Belvidere

SA Medical GroupRegional Cancer Center

SA Home HealthOther Entities

University Health Care, Inc.2

Unity/GHP Insurance Companies

Madison Surgery CenterWisconsin Dialysis

Chartwell EnterprisesGenerations

UW Health ACO

UWH Rehabilitation HospitalMadison United Linen

Madison EnvironmentalTransformations Surgery Center

Wisconsin SleepMadison Medical Center

1 Includes minority investments in UW Cancer Center Johnson Creek and AboutHealth

2 Includes Health Professionals of Wisconsin and eCare of Wisconsin

These entities were integrated on July 1, 2015.

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Resolution

UW Health FY18 Operating and Capital Budget

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RESOLUTION OF THE BOARD OF DIRECTORS OF

UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY

Approving Capital and Operating Budget for FY 2018

June 22, 2017

WHEREAS, the Finance Committee of the Board of Directors of the University of Wisconsin Hospitals and Clinics Authority (“UWHCA”) has reviewed the UWHCA Capital and Operating Budget for FY 2018 as prepared by management and has recommended its approval to the UWHCA Board of Directors (“Authority Board”); and

WHEREAS, the Authority Board has reviewed the Capital and Operating

Budget for FY 2018 as presented by management.

NOW THEREFORE BE IT RESOLVED THAT, the Authority Board approves the FY 2018 Capital and Operating Budget as presented by management in its UW Health FY18 Budget.

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4201 42

1242

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4250

4287

4256

4218

4289

4221

4223

4225

4229

4231

4233

4235

4237

4241

4243

4245

4246

4248

4257

4236

4230 A

4240 A

4240 B

4230 B

4230 C

4227

4252

4253

4267

4260

4261

4262

4263

4265

4266

4268

4276

4275

4274

4281

4282

4283

4286

4285

4291

4296

A

4296

B

4296

C

4295

4292

4293

4284

4360

4362

4186

4182

4298

4290

4108

4104

4150

C42

70G

4270

C42

70A

4270

B42

70H

4270

D

4270

I42

70E

4270

J42

70F

D E F

4150

G

H I J

4150

K

L M N

4150

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4150

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4150

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4150

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B

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s

4220

4110 A

4110 B

4110 C

of 61

uwhca board of directors june 22, 2017, 1:30 - 4:30 pm harting … · 2017-06-21 · pablo sanchez,...

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