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UNIVERSITY MEDICAL GROUP: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY MEDICAL GROUP (EIN 93-0608012)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-09
IRS object ID
201811299349303451
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-09T17:40:03-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11918 Eighth Avenue Suite 2900AddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930608012EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1University Medical GroupBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JOHN KULAWIECInCareOfNm
Business Name ControlUNIVBusinessNameControlTxt
Phone5034948423PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11706 NW 24TH AVE 29166AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97296ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANTHONY MASCIOTRAPersonNm
Person TitleCEO, OPPPersonTitleTxt
Phone5034948423PhoneNum
Signature2018-05-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSUE W ROBISONPreparerPersonNm
PTINP00560072PTIN
Phone2069134000PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAnthony MasciotraPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11706 NW 24TH AVE 29166AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97296ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,257,758GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionUNIVERSITY MEDICAL GROUP IS ORGANIZED AND AT ALL TIMES WILL BE OPERATED FOR THE BENEFIT OF OREGON HEALTH & SCIENCE UNIVERSITY TO PROVIDE ADMINISTRATIVE AND MANAGEMENT SERVICESActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee169TotalEmployeeCnt
Total Volunteers1TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$15,850,941PYProgramServiceRevenueAmt
CY Program Service Revenue$16,255,533CYProgramServiceRevenueAmt
PY Investment Income$2,421PYInvestmentIncomeAmt
CY Investment Income$2,225CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$15,853,362PYTotalRevenueAmt
CY Total Revenue$16,257,758CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,605,063PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,563,390CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,713,699PYOtherExpensesAmt
CY Other Expenses$5,084,329CYOtherExpensesAmt
PY Total Expenses$15,318,762PYTotalExpensesAmt
CY Total Expenses$15,647,719CYTotalExpensesAmt
PY Revenues Less Expenses$534,600PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$610,039CYRevenuesLessExpensesAmt
Total Assets BOY$8,210,146TotalAssetsBOYAmt
Total Assets EOY$9,820,940TotalAssetsEOYAmt
Total Liabilities BOY$1,927,872TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,928,625TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,282,274NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,892,315NetAssetsOrFundBalancesEOYAmt
MissionTHE SOLE PURPOSE OF UNIVERSITY MEDICAL GROUP IS TO PROVIDE A VARIERTY OF ADMINISTRATIVE AND MANAGEMENT SERVICES TO OREGON HEALTH & SCIENCE UNIVERSITY FACULTY PRACTICE PLAN. THESE SERVICES INCLUDE BILLING, COLLECTION, HUMAN RESOURCES, PAYROLL, AND ACCOUNTING SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$15,637,912ExpenseAmt
Revenue$16,255,533RevenueAmt
DescUNIVERSITY 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 1,799 OHSU CLINICIANS DURING FY 2017.Desc
Total Program Service Expenses$15,637,912TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee169EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOHN KULAWIECPersonNm
Phone5034948423PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11706 NW 24TH AVEAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97296ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Hunter John
Director-Chairman0.350.0Yes (X)$0$841,914$39,383
Robertson Joseph
Director-Chairman0.350.0Yes (X)$0$1,575,504$62,379
Richardson Mark
Director-Chairman0.350.0Yes (X)$0$805,127$57,593
Smith Tim
Director0.350.0Yes (X)$0$916,833$68,344
Herzig Dan
Director0.350.0Yes (X)$0$431,119$40,194
Leachman Sancy
Director0.350.0Yes (X)$0$572,401$26,288
Anderson Sharon
Director0.350.0Yes (X)$0$482,526$31,800
Amling Christopher
Director0.350.0Yes (X)$0$548,851$36,515
Selden Nate
Director0.350.0Yes (X)$0$974,841$60,844
Rugge Bruin
Director0.350.0Yes (X)$0$289,205$34,137
Hardman Joe
Director0.350.0Yes (X)$0$213,599$31,161
Masciotra Anthony
Chief Executive OFFICER2.550.0$0$225,847$1,245Yes (X)
Heckler Thomas M
Former Chief Executive Officer4.040.0$23,661$155,175$2,839Yes (X)
Navigato Matthew L
Chief Operating Officer25.025.0$205,429$81,209$29,027Yes (X)
Bickle Tammy
Assistant Director50.00.0$164,015$0$19,598Yes (X)
Norrish Jennifer
Operations Manager40.00.0$149,959$0$15,946Yes (X)
Johnson Jessica
Operations Manager40.00.0$141,575$0$15,906Yes (X)
Duncan Barbara
Information Services Manager40.00.0$139,777$0$15,648Yes (X)
Searls Angela
Human Resources Manager40.00.0$132,849$0$14,059Yes (X)
Barnes Penelope
Former Director0.350.0$0$88,967$6,298Yes (X)
Halvorson Stephanie
Former Director0.350.0$0$206,700$26,622Yes (X)
Keepers George
Former Director0.350.0$0$435,248$60,128Yes (X)
Coakley Fergus
Former Director0.350.0$0$695,585$21,633Yes (X)
Zaman Atif
Former Director0.350.0$0$452,166$39,860Yes (X)
Balaji Seshadri
Former Director0.050.0$0$309,737$38,422Yes (X)
Kaufman John
Former Director0.050.0$0$547,625$77,134Yes (X)
Crawford Dennis
Former Director0.050.0$0$582,901$55,896Yes (X)
Flint Paul
Former Director0.050.0$0$557,214$33,436Yes (X)
Caughey Aaron
Former Director0.050.0$0$576,201$22,054Yes (X)
Yackel Thomas
Former Director0.050.0$0$79,301$0Yes (X)
Cigarroa Joaquin
Former Director0.050.0$0$627,872$57,638Yes (X)
Thomas Charles
Former Director0.050.0$0$591,111$41,590Yes (X)
Saultz John
Former Director0.050.0$0$240,358$27,405Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$957,265TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$14,105,137TotReportableCompRltdOrgAmt
Total Other Compensation$1,111,022TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EGS FINANCIAL CARE INC
500 N FRANKLIN TURNPIKERAMSEYNJ07446CUSTOMER SERVICE$781,062
TRIZETTO PROVIDER SOLUTIONS
3535 NW 58TH STREET SUITE 1010OKLAHOMA CITYOK73112CLAIMS PROCESSING$213,649
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BILLING FEES339110$15,946,872$15,946,872
GRANTS & REIMBURSEMENTS339110$308,661$308,661
FieldValueIRS element (for citing)
Total Program Service Revenue$16,255,533TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,225TotalRevenueColumnAmt
Exclusion$2,225ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,257,758TotalRevenueColumnAmt
Related Or Exempt Func Income$16,255,533RelatedOrExemptFuncIncomeAmt
Exclusion$2,225ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$247,342TotalAmt
Program Services$240,587ProgramServicesAmt
Management And General$6,755ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,370,932TotalAmt
Program Services$7,370,932ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$418,230TotalAmt
Program Services$417,419ProgramServicesAmt
Management And General$811ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,931,668TotalAmt
Program Services$1,929,955ProgramServicesAmt
Management And General$1,713ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$595,218TotalAmt
Program Services$594,690ProgramServicesAmt
Management And General$528ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,921TotalAmt
Program Services$10,921ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$93,590TotalAmt
Program Services$93,590ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,774,844TotalAmt
Program Services$1,774,844ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$155,587TotalAmt
Program Services$155,587ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$469,471TotalAmt
Program Services$469,471ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$39,271TotalAmt
Program Services$39,271ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,388TotalAmt
Program Services$15,388ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$116,697TotalAmt
Program Services$116,697ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$31,622TotalAmt
Program Services$31,622ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DATA PROCESSING$1,009,358$1,009,358
TRAINING$16,973$16,973
PRINTING, POSTAGE, SUPPLIES$252,353$252,353
COMMUNICATIONS$183,052$183,052

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$915,202TotalAmt
Program Services$915,202ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,647,719TotalAmt
Program Services$15,637,912ProgramServicesAmt
Management And General$9,807ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,039,148BOYAmt
EOY$5,674,521EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,116,644BOYAmt
EOY$2,017,687EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,692,810BOYAmt
EOY$1,780,820EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$60,680BOYAmt
EOY$54,955EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,645,563LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,352,606LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$300,864BOYAmt
EOY$292,957EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,210,146BOYAmt
EOY$9,820,940EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,401,444BOYAmt
EOY$1,351,683EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$526,428BOYAmt
EOY$1,576,942EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,927,872BOYAmt
EOY$2,928,625EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,282,274BOYAmt
EOY$6,892,315EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,282,274BOYAmt
EOY$6,892,315EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,210,146BOYAmt
EOY$9,820,940EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$610,039ReconcilationRevenueExpnssAmt
Prior Period Adjustments$2PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1OREGON HEALTH & SCIENCE UNIVERSITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN931176109EIN
Organization Type6OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$15,531,022SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$15,531,022SupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Amount of SupportSEE SCHEDULE O, STATEMENT 1 SCHEDULE A, PART I, LINE 11H, COLUMN VII TOTAL FUNCTIONAL EXPENSES FORM 990 PART IX $15,647,719 DEPRECIATION FORM 990 PART IX LINE 22 $ (116,697) ------------ TOTAL SUPPORT PROVIDED TO OHSU $15,531,022
DESCRIPTION OF SUPPORTSEE 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 $15,531,022 CONSISTS OF VARIOUS EXPENSES PAID ON BEHALF OF OREGON HEALTH & SCIENCE UNIVERSITY. SEE FORM 990, PART IX FOR ADDITIONAL DETAIL.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$226,414OtherCostOrOtherBasisAmt
Depreciation$159,999DepreciationAmt
Book Value$66,415BookValueAmt
FieldValueIRS element (for citing)
EquipmentEquipmentGrp

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,419,149OtherCostOrOtherBasisAmt
Depreciation$1,192,607DepreciationAmt
Book Value$226,542BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$292,957TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$1,445,772
DEFERRED LEASE OBLIGATION$131,170
FieldValueIRS element (for citing)
Total Liability$1,576,942TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$16,257,758TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$16,257,758RevenueSubtotalAmt
Total Revenue Per Form990$16,257,758TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,647,719TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$15,647,719ExpensesSubtotalAmt
Total Expenses Per Form990$15,647,719TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (32 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Hunter John
Director-Chairman$0$807,073$0$20,000$0$14,841$0$33,231$0$6,152$0$881,297$0$0
Robertson Joseph
Director-Chairman$0$1,220,602$0$294,154$0$60,748$0$53,000$0$9,379$0$1,637,883$0$0
Richardson Mark
Director-Chairman$0$795,281$0$0$9,846$0$53,000$0$4,593$0$862,720$0$0
Smith Tim
Director$0$900,515$0$0$16,318$0$53,000$0$15,344$0$985,177$0$0
Herzig Dan
Director$0$412,597$0$0$18,522$0$37,100$0$3,094$0$471,313$0$0
Leachman Sancy
Director$0$519,726$0$37,834$0$14,841$0$17,517$0$8,771$0$598,689$0$0
Anderson Sharon
Director$0$458,384$0$20,000$0$4,142$0$31,800$0$0$0$514,326$0$0
Amling Christopher
Director$0$517,088$0$20,000$0$11,763$0$28,117$0$8,398$0$585,366$0$0
Selden Nate
Director$0$950,000$0$10,000$0$14,841$0$53,000$0$7,844$0$1,035,685$0$0
Rugge Bruin
Director$0$266,990$0$6,839$0$15,376$0$31,800$0$2,337$0$323,342$0$0
Hardman Joe
Director$0$195,758$0$3,000$0$14,841$0$27,840$0$3,321$0$244,760$0$0
Barnes Penelope
Former Director$0$85,140$0$0$3,827$0$5,362$0$936$0$95,265$0$0
Halvorson Stephanie
Former Director$0$186,091$0$0$20,609$0$23,023$0$3,599$0$233,322$0$0
Keepers George
Former Director$0$393,250$0$30,000$0$11,998$0$52,435$0$7,693$0$495,376$0$0
Coakley Fergus
Former Director$0$640,744$0$40,000$0$14,841$0$17,517$0$4,116$0$717,218$0$0
Zaman Atif
Former Director$0$406,650$0$30,668$0$14,848$0$37,100$0$2,760$0$492,026$0$0
Balaji Seshadri
Former Director$0$293,889$0$0$15,848$0$31,800$0$6,622$0$348,159$0$0
Kaufman John
Former Director$0$485,350$0$50,000$0$12,275$0$70,331$0$6,803$0$624,759$0$0
Crawford Dennis
Former Director$0$568,005$0$0$14,896$0$46,481$0$9,415$0$638,797$0$0
Flint Paul
Former Director$0$514,876$0$30,000$0$12,338$0$31,800$0$1,636$0$590,650$0$0
Caughey Aaron
Former Director$0$535,005$0$30,000$0$11,196$0$17,517$0$4,537$0$598,255$0$0
Yackel Thomas
Former Director$0$64,699$0$14,552$0$50$0$0$0$0$0$79,301$0$0
Cigarroa Joaquin
Former Director$0$430,824$0$181,487$0$15,561$0$53,000$0$4,638$0$685,510$0$0
Thomas Charles
Former Director$0$559,113$0$20,000$0$11,998$0$37,100$0$4,490$0$632,701$0$0
Saultz John
Former Director$0$239,828$0$250$0$280$0$24,002$0$3,403$0$267,763$0$0
Masciotra Anthony
Chief Executive OFFICER$0$183,063$0$33,000$0$9,784$0$0$0$1,245$0$227,092$0$0
Heckler Thomas M
Former Chief Executive Officer$23,661$64,189$90,950$36$2,839$0$0$0$26,500$155,175$0$0
Navigato Matthew L
Chief Operating Officer$176,589$72,872$19,465$8,337$9,375$23,526$5,368$0$133$228,955$86,710$0$0
Bickle Tammy
Assistant Director$144,811$18,505$699$19,598$0$0$0$183,613$0$0$0
Norrish Jennifer
Operations Manager$121,367$11,521$17,071$15,946$0$0$0$165,905$0$0$0
Johnson Jessica
Operations Manager$120,557$11,991$9,027$15,906$0$0$0$157,481$0$0$0
Duncan Barbara
Information Services Manager$118,734$11,668$9,375$15,648$0$0$0$155,425$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm Sch J Part IIFormAndLineReferenceDesc
ExplanationA PORTION OF THOMAS M. HECKLER'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. HECKLER'S BASE COMPENSATION AND DEFERRED COMPENSATION ARE INCLUDED IN THE SHARED SERVICES AGREEMENT FEE THAT OHSU PAYS TO UNIVERSITY MEDICAL GROUP. 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Process to Review Form 990FORM 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 DisclosureFORM 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 COMPENSATIONForm 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 PUBLICLY AVAILABLEFORM 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 1AMOUNT OF SUPPORT SCHEDULE A, PART I, LINE 11H, COLUMN VII TOTAL FUNCTIONAL EXPENSES FORM 990 PART IX $15,647,719 DEPRECIATION FORM 990 PART IX $ (116,697) ------------- TOTAL SUPPORT PROVIDED TO OHSU $15,531,022
STATEMENT 2DESCRIPTION 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 $15,531,022 CONSISTS OF VARIOUS EXPENSES PAID ON BEHALF OF OREGON HEALTH & SCIENCE UNIVERSITY. SEE FORM 990, PART IX FOR ADDITIONAL DETAIL.
WHISTLEBLOWER POLICYCommitment 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 11GDESCRIPTION:PROF. & CONSULTING FEES TOTAL FEES:400
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION SERVICE FEES TOTAL FEES:218398
FORM 990 PART IX LINE 11GDESCRIPTION:TEMPORARY EMPLOYMENT FEES TOTAL FEES:3847
FORM 990 PART IX LINE 11GDESCRIPTION:RETIREMENT PLAN MGNT FEES TOTAL FEES:350
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:4704
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED ADMINISTRATIVE SVCS TOTAL FEES:1545219
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL MOVING SERVICES TOTAL FEES:1926

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1OREGON HEALTH & SCIENCE UNIVERSITYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13181 SW SAM JACKSON PARK ROADAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97239ZIPCd
FieldValueIRS element (for citing)
EIN931176109EIN
Primary ActivitiesHOSP & UNIV.PrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NONEBusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NONEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd