2019-05-09T17:57:38-05:00 2018-06-30 KPMG LLP 1918 Eighth Avenue Suite 2900 Seattle WA 98101 990 2017-07-01 930608012 University Medical Group % JOHN KULAWIEC UNIV 5034948423 1400 SW 5th Avenue Suite 500 PORTLAND OR 97201 MATTHEW NAVIGATO COO 5034948423 2019-05-06 true Sue W Robinson P00560072 2069134000 167.68.102.5 91023620191295000002 2019-05-09 P 72DF07D6D6FC31831E72341C47D95D8DA6AC747E 7616599C0C3AAE9C4842A773B96329259C89F309 2017 2019-02-21 02:37:17Z X Anthony Masciotra 3181 SW SAM JACKSON RD PORTLAND OR 97239 18533255 false X N/A X 1998 OR UNIVERSITY MEDICAL GROUP IS ORGANIZED AND AT ALL TIMES WILL BE OPERATED FOR THE BENEFIT OF OREGON HEALTH & SCIENCE UNIVERSITY TO PROVIDE ADMINISTRATIVE AND MANAGEMENT SERVICES 9 0 171 1 0 0 0 16255533 18531616 2225 1639 0 0 16257758 18533255 0 0 0 0 10563390 12055616 0 0 0 5084329 5375008 15647719 17430624 610039 1102631 9820940 11028153 2928625 3033207 6892315 7994946 THE SOLE PURPOSE OF UNIVERSITY MEDICAL GROUP IS TO PROVIDE A VARIETY OF ADMINISTRATIVE AND MANAGEMENT SERVICES TO OREGON HEALTH & SCIENCE UNIVERSITY PRACTICE PLAN. false false 17430624 18531616 UNIVERSITY MEDICAL GROUP (UMG) IS ORGANIZED AND OPERATED EXCLUSIVELY TO SUPPORT THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC MISSIONS OF OREGON HEALTH & SCIENCE UNIVERSITY (OHSU). THE SOLE PURPOSE OF UMG IS TO PROVIDE A VARIETY OF SERVICES TO OHSU, INCLUDING PROFESSIONAL FEE BILLING AND COLLECTION AND REVENUE CYCLE MANAGEMENT. UMG PROVIDED BILLING AND COLLECTION SERVICES FOR 1,920 OHSU CLINICIANS DURING FY 2018. 17430624 true false false false false false false false false true false false false true false true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 7 0 true 171 true false false false false false false false false false false false false X 9 0 false false false false false false false true true false false true true true true true true false false false OR X JOHN KULAWIEC 5034948423 1400 SW 5TH AVENUE SUITE 500 PORTLAND OR 97201 Anderson Sharon Director - Chairman 0.3 50.0 X 0 626247 34420 Herzig Dan Director 0.3 50.0 X 0 435825 41147 Cohen Norm Director 0.3 50.0 X 0 191211 42206 Braner Dana Director 0.3 50.0 X 0 517921 32906 Selden Nate Director 0.3 50.0 X 0 1066612 54290 Ma John Director 0.3 50.0 X 0 675685 80737 Wilson David Director 0.3 50.0 X 0 772750 73356 Flynn Jessica Director 0.3 50.0 X 0 255257 15564 LaClair Catherine Director 0.3 50.0 X 0 284956 19790 Masciotra Anthony Chief Executive Officer 2.5 50.0 X 0 504664 38260 Navigato Matthew L Chief Operating Officer 25.0 25.0 X 123464 178666 28695 Bickle Tammy Director 50.0 0.0 X 158723 0 18963 Duncan Barbara Information Services Manager 40.0 0.0 X 144639 0 16158 Johnson Jessica Operations Manager 40.0 0.0 X 138897 0 15527 Searls Angela Human Resources Manager 40.0 0.0 X 137980 0 14537 Kulawiec John Controller 40.0 0.0 X 135865 0 15105 Hunter John Former Director 0.0 50.0 X 0 1076984 14625 Smith Tim Former Director 0.0 50.0 X 0 711636 84672 Leachman Sancy Former Director 0.0 50.0 X 0 585550 17847 Amling Christopher Former Director 0.0 50.0 X 0 630925 33111 Rugge Bruin Former Director 0.0 50.0 X 0 298126 37420 Hardman Joe Former Director 0.0 50.0 X 0 299178 38575 Halvorson Stephanie Former Director 0.0 50.0 X 0 196165 25829 Keepers George Former Director 0.0 50.0 X 0 429251 64379 Coakley Fergus Former Director 0.0 50.0 X 0 697147 29425 Zaman Atif Former Director 0.0 50.0 X 0 452542 38649 Balaji Seshadri Former Director 0.0 50.0 X 0 350491 36890 Kaufman John Former Director 0.0 50.0 X 0 519327 79876 Crawford Dennis Former Director 0.0 50.0 X 0 565912 55620 Flint Paul Former Director 0.0 50.0 X 0 563322 41183 Caughey Aaron Former Director 0.0 50.0 X 0 545968 35214 Yackel Thomas Former Director 0.0 50.0 X 0 278624 4050 Cigarroa Joaquin Former Director 0.0 50.0 X 0 439339 72628 Thomas Charles Former Director 0.0 50.0 X 0 570118 44555 839568 14720399 1296209 14 true true false EGS FINANCIAL CARE INC 500 N FRANKLIN TURNPIKE RAMSEY NJ 07446 CALL CENTER 853096 TRIZETTO PROVIDER SOLUTIONS 3535 NW 58TH STREET SUITE 1010 OKLAHOMA CITY OK 73112 CLAIMS PROCESSING 182802 2 0 BILLING FEES 339110 17219274 17219274 GRANTS & REIMBURSEMENTS 339110 1312342 1312342 18531616 1639 1639 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18533255 18531616 1639 0 0 0 0 21900 21900 0 8529637 8529637 388599 388599 2472907 2472907 642573 642573 0 34150 34150 97050 97050 0 0 0 1932347 1932347 0 187728 187728 0 0 498415 498415 29315 29315 0 10640 10640 0 0 118806 118806 31467 31467 0 0 DATA PROCESSING 1005284 1005284 TRAINING 12844 12844 PRINTING, POSTAGE, SUPPLIES 279012 279012 COMMUNICATIONS 163575 163575 974375 974375 17430624 17430624 0 0 5674521 7643111 2017687 1019326 0 0 1780820 2135129 0 0 0 0 0 0 0 0 54955 54824 1535795 1360032 292957 175763 0 0 0 0 0 0 0 0 0 0 9820940 11028153 1351683 1534964 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1576942 1498243 2928625 3033207 X 6892315 7994946 0 0 0 0 6892315 7994946 9820940 11028153 1102631 X false true X true false X X 1 OREGON HEALTH & SCIENCE UNIVERSITY 931176109 6 true 17311819 0 1 17311819 true false false false false false false false false false false false false false false true false Amount of Support SEE SCHEDULE O, STATEMENT 1 SCHEDULE A, PART I, LINE 11H, COLUMN VII TOTAL FUNCTIONAL EXPENSES FORM 990 PART IX $17,430,624 DEPRECIATION FORM 990 PART IX LINE 22 $ (118,806) ------------ TOTAL SUPPORT PROVIDED TO OHSU $17,311,819 DESCRIPTION OF SUPPORT SEE SCHEDULE O, STATEMENT 2 SCHEDULE A, PART I, LINE 11H, COLUMN VII UNIVERSITY MEDICAL GROUP IS ORGANIZED AND OPERATED TO PROVIDE ADMINISTRATIVE AND MANAGEMENT SERVICES TO OREGON HEALTH & SCIENCE UNIVERSITY. TOTAL SUPPORT OF $17,311,819 CONSISTS OF VARIOUS EXPENSES PAID ON BEHALF OF OREGON HEALTH & SCIENCE UNIVERSITY. SEE FORM 990, PART IX FOR ADDITIONAL DETAIL. 226414 196225 30189 1309381 1163807 145574 175763 0 DUE TO AFFILIATES 1429190 DEFERRED LEASE OBLIGATION 69053 1498243 18533255 18533255 18533255 17430624 17430624 17430624 X X X false false false false false false false false false Anderson Sharon Director - Chairman 602105 20000 4142 32400 2020 660667 Herzig Dan Director 418430 0 17395 37800 3347 476972 Cohen Norm Director 184658 1037 5516 38337 3869 233417 Braner Dana Director 457190 50000 10731 30802 2104 550827 Selden Nate Director 1029962 20000 16650 54000 290 1120902 Ma John Director 639035 20000 16650 54000 26737 756422 Wilson David Director 733883 30000 8867 46440 26916 846106 Flynn Jessica Director 237611 9774 7872 15004 560 270821 LaClair Catherine Director 282476 0 2480 16200 3590 304746 Masciotra Anthony Chief Executive Officer 390402 101023 13239 32400 5860 542924 Navigato Matthew L Chief Operating Officer 118667 171323 0 0 4797 7343 14240 13555 900 137704 193121 Bickle Tammy Director 147317 0 10705 0 701 0 18963 0 0 177686 0 Duncan Barbara Information Services Manager 126505 0 8142 0 9992 0 16158 0 0 160797 0 Johnson Jessica Operations Manager 121097 0 8294 0 9506 0 15527 0 0 154424 0 Searls Angela Human Resources Manager 120366 0 775 0 16839 0 14537 0 0 152517 0 Kulawiec John Controller 125098 0 775 0 9992 0 15105 0 0 150970 0 Hunter John Former Director 892966 164352 19666 0 14625 1091609 Smith Tim Former Director 693309 0 18327 54000 30672 796308 Leachman Sancy Former Director 536215 32685 16650 17847 0 603397 Amling Christopher Former Director 600194 20000 10731 28647 4464 664036 Rugge Bruin Former Director 281476 0 16650 32400 5020 335546 Hardman Joe Former Director 282528 0 16650 37800 775 337753 Halvorson Stephanie Former Director 179235 0 16930 21993 3836 221994 Keepers George Former Director 396238 20000 13013 59684 4695 493630 Coakley Fergus Former Director 660497 20000 16650 17847 11578 726572 Zaman Atif Former Director 434892 1000 16650 37800 849 491191 Balaji Seshadri Former Director 333841 0 16650 32400 4490 387381 Kaufman John Former Director 481240 23440 14647 71658 8218 599203 Crawford Dennis Former Director 549183 0 16729 47358 8262 621532 Flint Paul Former Director 530357 20000 12965 32400 8783 604505 Caughey Aaron Former Director 504330 30000 11638 17957 17257 581182 Yackel Thomas Former Director 273906 0 4718 0 4050 282674 Cigarroa Joaquin Former Director 395701 26200 17438 54000 18628 511967 Thomas Charles Former Director 549228 20000 890 37800 6755 614673 Form Sch J Part II A PORTION OF MATTHEW L. NAVIGATO'S BASE COMPENSATION AND DEFERRED COMPENSATION ARE PAID BY OREGON HEALTH & SCIENCE UNIVERSITY (OHSU). OHSU AND UNIVERSITY MEDICAL GROUP HAVE A SHARED SERVICE AGREEMENT WHEREBY UNIVERSITY MEDICAL GROUP PROVIDES OHSU WITH MANAGEMENT, STAFFING AND OTHER SERVICES. MR NAVIGATO'S BASE COMPENSATION AND DEFERRED COMPENSATION ARE INCLUDED IN THE SHARED SERVICES AGREEMENT FEE THAT OHSU PAYS TO UNIVERSITY MEDICAL GROUP. PROCESS TO REVIEW FORM 990 FORM 990, PART VI, LINE 11B AN OUTSIDE ACCOUTING FIRM PREPARED THE FEDERAL FORM 990. THE CONTROLLER AND CHIEF EXECUTIVE OFFICER (CEO) OF UNIVERSITY MEDICAL GROUP (UMG) REVIEW THE FORM 990. THE CEO REPORTS THE ORGANIZATION'S OPERATING AND FINANCIAL RESULTS TO THE UMG BOARD OF DIRECTORS. THE FEDERAL FORM 990 IS ALSO PROVIDED TO THE UMG BOARD OF DIRECTORS PRIOR TO FILING. CONFLICT OF INTEREST DISCLOSURE FORM 990, PART VI, LINE 12C AN INSTITUTIONAL CONFLICT OF INTEREST (ICOI) MAY EXIST WHEN UMG BOARD OF DIRECTOR MEMBERS OR EXECUTIVES HAVE EXTERNAL RELATIONSHIPS OR FINANCIAL INTEREST (HEREINAFTER DEFINED AS SIGNIFICANT FINANCIAL INTERESTS) IN A COMPANY OR ORGANIZATION THAT HAS SIGNIFICANT BUSINESS TRANSACTIONS WITH THE ORGANIZATION. THESE DUAL RELATIONSHIPS MAY INTERFERE, OR APPEAR TO INTERFERE, WITH THE OBLIGATION TO ACT IN THE ORGANIZATION'S BEST INTEREST. BECAUSE THE APPEARANCE OF A CONFLICT MAY BE AS DAMAGING TO THE PUBLIC TRUST AS AN ACTUAL CONFLICT, POTENTIAL CONFLICTS MUST BE DISCLOSED, EVALUATED, AND MANAGED WITH THE SAME THOROUGHNESS AS ACTUAL CONFLICTS. THE INTEGRITY PROGRAM OVERSIGHT COUNCIL (IPOC) IS THE BOARD-DESIGNATED BODY TO REVIEW POTENTIAL ICOI'S AS DESCRIBED ABOVE. POTENTIAL ICOI'S WILL BE IDENTIFIED THROUGH THE EXECUTIVE AND BOARD MEMBER CONFLICT OF INTEREST DISCLOSURES AND OTHER SOURCES. THIS POLICY APPLIES TO ALL UMG BOARD OF DIRECTORS MEMBERS AND UMG EXECUTIVES. UMG BOARD OF DIRECTORS MEMBERS AND UMG EXECUTIVES SHALL DISCLOSE TO THE IPOC ANNUALLY, ON A FORM APPROVED BY THE IPOC, RELATIONSHIPS AND CIRCUMSTANCES THAT COULD, TO THE BEST OF THE EXECUTIVE'S KNOWLEGE, POSE A POTENTIAL OR ACTUAL CONFLICT OF INTEREST UNDER THIS POLICY. IF THE IPOC BELIEVES A DISCLOSURE POSES A POTENTIAL OR ACTUAL CONFLICT, IT SHALL INDICATE TO THE UMG BOARD OF DIRECTORS MEMBER OR UMG EXECUTIVE HOW TO DISPOSE OF OR MANAGE THE CONFLICT. DISCLOSURES ARE DUE ANNUALLY. IF THE RESPONSES TO ANY OF THE QUESTIONS CHANGE DURING THE YEAR, THE DISCLOSURE FORM MUST BE REVISED AND RESUBMITTED. ANY REAL OR APPARENT ICOI MUST BE REVIEWED BY THE IPOC, WHICH MAY IMPOSE MANAGEMENT CONDITIONS INCLUDING, BUT NOT LIMITED TO: A. ENSURING THAT INSTITUTIONAL FINANCIAL INTERESTS AND INVESTMENTS ARE BEING MANAGED BY INDIVIDUALS/DEPARTMENTS THAT ARE NOT INVOLVED IN PURCHASING, PROCUREMENT, CONTRACTING, RESEARCH, OR OTHER OPERATIONS DECISIONS AND OVERSIGHT; B. REQUIRING PUBLIC DISCLOSURE OF THE INSTITUTIONAL COI IN PUBLICATIONS, PRESENTATIONS, OR OTHER PUBLIC ANNOUNCEMENTS; C. IMPOSING AN ESCROW PERIOD FOR REALIZING A FINANCIAL GAIN (CASHING OUT); D. DIVESTING THE FINANCIAL INTEREST; E. REASSIGNING, REMOVING, OR OTHERWISE MAKING A FIREWALL FOR EXECUTIVES WHO MAY BE CONFLICTED OR PERCEIVED AS NOT HAVING "CLEAN HANDS" FOR ANY BUSINESS DECISIONS OR ACTIVITIES INVOLVING ANY ENTITY WITH WHICH THE EXECUTIVE HAS A SIGNIFICANT FINANCIAL INTEREST; F. NOTIFICATION TO A DONOR THAT GIFTS TO UMG WILL NOT BE TAKEN INTO ACCOUNT FOR FUTURE BUSINESS RELATIONSHIPS, OR REFUSAL OR RETURN OF GIFTS, ENTERTAINMENT, OR OTHER PREREQUISITES FROM AN ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH UMG OR IN WHICH UMG AND/OR AN EXECUTIVE HAS AN INVESTMENT; AND/OR G. OTHER MANAGEMENT PLANS THAT THE IPOC MAY DESIGN. ICOI MANAGEMENT IS IN ADDITION TO ANY MANAGEMENT THAT MIGHT APPLY FOR INDIVIDUAL CONFLICTS OF INTEREST. PROCESS TO DETERMINE COMPENSATION Form 990, Part VI, Line 15A & 15B The compensation for the University Medical Group COO, also serving as the OHSU Director of Enterprise Revenue Cycle, was derived by data gathered from an engagement with Sullivan Cotter and Associates. With this data, the UMG CEO and OHSU Hospital CFO determined the base pay level. For incentive compensation, formulaic components consistent with the OHSU Management Incentive Program (MIP) were used to define the bonus amount based upon the rollup of various revenue cycle performance goals across both UMG and OHSU. The CEO and Hospital CFO presented the performance evaluation, bonus goal results and a base compensation & bonus proposal to the Dean of the OHSU School of Medicine and the OHSU Executive Vice President for their collective approval. The compensation for the University Medical Group CEO, also serving as the Sr. Associate Dean, Clinical Practice for the School of Medicine, was derived by data gathered primarily from two compensation survey sources: Gallagher Integrated National HealthCare Leadership Compensation Survey and Mercer/COTH (Council of Teaching Hospitals) Healthcare System and Hospital Survey. The Dean of OHSU School of Medicine ultimately determined base pay level. For incentive compensation, this position was deemed eligible for the OHSU University Incentive Plan, which consists of three components for award determination: Achievement of a minimum Financial Threshold, Individual Leadership, and Individual Performance Goals. Financial performance is confirmed by OHSUs CFO and Leadership and Individual Performance is reviewed and confirmed by the Dean of OHSU School of Medicine. OTHER ORGANIZATION DOCUMENTS PUBLCLY AVAILABLE FORM 990, PART VI, LINE 19 WHILE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, UNIVERSITY MEDICAL GROUP WILL PROVIDE THESE DOCUMENTS UPON REQUEST. STATEMENT 1 SEE SCHEDULE O, STATEMENT 1 SCHEDULE A, PART I, LINE 11H, COLUMN VII TOTAL FUNCTIONAL EXPENSES FORM 990 PART IX $17,430,624 DEPRECIATION FORM 990 PART IX LINE 22 $ (118,806) ------------ TOTAL SUPPORT PROVIDED TO OHSU $17,311,819 STATEMENT 2 DESCRIPTION OF SUPPORT SCHEDULE A, PART I, LINE 11H, COLUMN VII UNIVERSITY MEDICAL GROUP IS ORGANIZED AND OPERATED TO PROVIDE ADMINISTRATIVE AND MANAGEMENT SERVICES TO OREGON HEALTH & SCIENCE UNIVERSITY. TOTAL SUPPORT OF $17,311,819 CONSISTS OF VARIOUS EXPENSES PAID ON BEHALF OF OREGON HEALTH & SCIENCE UNIVERSITY. SEE FORM 990, PART IX FOR ADDITIONAL DETAIL. WHISTLEBLOWER POLICY Commitment We are committed to fostering a climate of integrity and high ethical standards, which are reflected in our policies and procedures. We provide an environment where people are encouraged to ask questions and report concerns without retribution or retaliation. Protection Against Retaliation: UMG will not retaliate in any way against an employee because the employee has made a good faith complaint pursuant to this Policy, or because an employee has reported harassing or discriminatory conduct directed at others, or has participated in an investigation of such conduct, nor will UMG permit any other employee to do so. Any employee who is found to have retaliated against another employee in violation of this Policy will be subject to disciplinary action up to and including termination of employment. Responsive Action: Misconduct constituting harassment, discrimination or retaliation will be dealt with promptly and appropriately. Responsive action may include, for example, training, referral to counseling, monitoring of the offender and/or disciplinary action such as warning, reprimand, withholding of a promotion or pay increase, reduction of wages, demotion, reassignment, temporary suspension without pay or termination, as UMG believes appropriate under the circumstances. UMG will not tolerate any unlawful retaliation against anyone who makes a complaint in good faith or cooperates in an investigation in good faith. Any employee learning of an improper disclosure of confidential information shall report immediately to one of the following individuals: A. Their supervisor/manager B. Human Resources C. Executive Management to include the Compliance Officer, COO, and/or CEO. D. The OHSU Integrity Hotline, 877-733-8313. Reports can be made anonymously. FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL & CONSULTING FEES TOTAL FEES:18725 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICE FEES TOTAL FEES:246875 FORM 990 PART IX LINE 11G DESCRIPTION:RETIRMENT PLAN MGMT FEES TOTAL FEES:350 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED ADMINISTRATIVE SVCS TOTAL FEES:1666017 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL MOVING SERVICES TOTAL FEES:380 OREGON HEALTH & SCIENCE UNIVERSITY 3181 SW SAM JACKSON PARK ROAD PORTLAND OR 97239 931176109 HOSP & UNIV. OR NA false NONE NONE false false false false true false false false false false false true false false true true true false false