Wisconsin Sleep Inc.

“Due to the management services agreement established between university of wisconsin medical foundation, inc. (uwmf) and wisconsin sleep, inc. We have answered yes to question # 3 on part vi section a. Uwmf is the management company within this agreement. Uwmf provides payroll services (through a paymaster agreement), human resources, patient billing and collections, accounts payable services, i/t 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 wisconsin sleep inc's board of directors and any clinical duties performed for uwmf. The compensation for these duties shall be reported in this section of the tax return. Lori zemlicka(administrative director) spends 81%, respectively, of her time carrying out the decision/direction of wisconsin sleep, inc's board of directors. Wisconsin sleep, inc incurred and paid $74,000, respectively, for her services. Wisconsin sleep, inc highest compensated employee(s) with $100,000 or more of compensation and benefits for services provided to wisconsin sleep, inc. Is patricia portz.”

“The organization has two equal members: university of wisconsin medical foundation and meriter hospital.”

“Each of the members elects three individuals to the board of directors (2 member employee directors and 1 public director per member).”

“Wisconsin sleep has no other committees beyond the governing body.”

“Key employees within the organization review the content of the form 990 which is then provided to the governing body for review.”

“Members of the board of directors must review and sign the conflict of interest policy on a yearly basis. Should a conflict arise, the interested party shall not participate in any discussions or vote related to this determination, except to the extent necessary to fully explain the financial interest and the manner in which the proposed transaction or arrangement to be discussed or acted upon by the board may or will bear upon or relate to the financial interest. A member of the board may direct that the interested person leave the meeting for all or part of the discussion of whether the financial interest creates a conflict of interest.”

“Compensation for the medical directors was arrived at through a medical director agreement and approval by the board. Compensation for the administrative director was arrived at through a written employment contract.”

“Governing documents, conflicts of interest policy, and financial statements are made available to the public upon request.”

“Compensation is paid via a leasing agreement with members of the organization.”

“Purch medical and non-med services: program service expenses 719,800. Management and general expenses 19,027. Fundraising expenses 0. Total expenses 738,827.”

“Distribution to members -500,000.”

“The board of directors is responsible for the selection of an independent accountant that audits the financial statements and for overseeing the audit of the financial statements. This process has not changed from the prior year.”