2014-11-10T14:30:35-06:00 2013-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2013-01-01 161395906 UNITED MEDICAL ASSOCIATES PC UNIT 6077623603 20 MITCHELL AVE BINGHAMTON NY 13903 ALAN MILLER MD PRESIDENT 6077623603 2014-10-31 1 ANGELA M FRANCO P00589741 3154463600 2013 2015-11-30 17:44:51Z ALAN MILLER MD 33-57 HARRISON STREET JOHNSON CITY NY 13790 75520215 0 X WWW.UHS.NET X 1991 NY UNITED MEDICAL ASSOCIATES PC IS A BROOME COUNTY BASED ** SEE SCHEDULE O FOR CONTINUATION ** NOT-FOR-PROFIT PHYSICIAN GROUP PRACTICE WHICH PROVIDES THE HIGHEST QUALITY OF HEALTH CARE AND MEDICAL SERVICES TO ALL RESIDENTS OF THE SOUTHERN TIER AND SURROUNDING AREAS. UNITED MEDICAL ASSOCIATES UNIQUELY SERVICES THE MEDICAL PRACTICE NEEDS OF THE UHS HEALTHCARE SYSTEM. OUR MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY PROVIDING EASILY ACCESSIBLE PHYSICIAN SERVICES, SUPPORT FOR TEACHING, MEETING THE REQUIREMENTS NECESSARY FOR RESEARCH AND MEDICAL ADMINISTRATION AND BY PARTICIPATING IN AN INTEGRATED CONTINUUM OF CARE THAT IMPROVES THE PATIENT'S EXPERIENCE AND THE QUALITY OF THE HEALTH SERVICES OUTCOME. 9 0 282 0 0 0 0 0 70581309 75116076 9078 2765 391318 401374 70981705 75520215 0 0 0 0 53638933 59296098 0 0 0 19936961 19198954 73575894 78495052 -2594189 -2974837 13149338 12886947 25043635 24419208 -11894297 -11532261 X UNITED MEDICAL ASSOCIATES PC IS A BROOME COUNTY BASED NOT-FOR-PROFIT PHYSICIAN GROUP PRACTICE WHICH PROVIDES THE HIGHEST QUALITY OF HEALTHCARE AND MEDICAL SERVICES TO ALL RESIDENTS OF THE SOUTHERN TIER AND SURROUNDING AREAS. *** SEE SCHEDULE O FOR CONTINUATION *** UNITED MEDICAL ASSOCIATES UNIQUELY SERVICES THE MEDICAL PRACTICE NEEDS OF THE UHS HEALTHCARE SYSTEM. OUR MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY PROVIDING EASILY ACCESSIBLE PHYSICIAN SERVICES, PROVIDING SUPPORT FOR TEACHING, MEETING THE REQUIREMENTS NECESSARY FOR RESEARCH AND MEDICAL ADMINISTRATION AND BY PARTICIPATING IN AN INTEGRATED CONTINUUM OF CARE THAT IMPROVES THE PATIENT'S EXPERIENCE AND THE QUALITY OF THE HEALTH SERVICES OUTCOME. 0 0 74697302 75517450 UNITED MEDICAL ASSOCIATES, PC(UMA) PERFORMS MEDICAL SERVICES, EDUCATION AND RESEARCH ACTIVITIES IN A VARIETY OF SETTINGS, ADDING TO THE BENEFIT OF THE COMMUNITY AND ENHANCING THE HEALTH STATUS OF ITS PATIENTS. UNITED MEDICAL ASSOCIATES, PC PROVIDES A WIDE RANGE OF PROFESSIONAL SERVICES IN THE PRIMARY AND SPECIALTY CARE AREA. UMA PHYSICIANS SUPPORT FIFTEEN FAMILY PRACTICES, FIVE INTERNAL MEDICINE CLINICS, FOUR PEDIATRICS CLINICS, TWO SCHOOL BASED HEALTH CLINICS, AND THREE WALK-IN CENTERS LOCATED THROUGHOUT A MULTI-COUNTY SERVICE AREA. THE SPECIALTY CARE CENTERS INCLUDE GENERAL SURGERY, BREAST SURGERY, UROLOGY, VASCULAR SURGERY, OB/GYN, CARDIOLOGY, CARDIOTHORACIC, CHIROPRACTIC, CONCUSSION CENTER, DIABETES MANAGEMENT, NEPHROLOGY, PHYSICAL MEDICINE, PLASTIC SURGERY, WOUND CARE, **SEE SCHEDULE O FOR CONTINUATION** OTOLARYNGOLOGY, RHUEMATOLOGY, PODIATRY, PATHOLOGY, EMERGENCY ROOM SERVICES, DERMATOLOGY, ORTHOPEDICS, SLEEP/NUERODIAGNOSTIC CENTER, NEURO CRITICAL CARE, GERIATRIC MEDICINE, HOSPITALISTS, INFECTIOUS DISEASE, PULMONOLOGY, WOMENS' (GYN) SERVICES, AND RADIATION ONCOLOGY. TOTAL PATIENT SERVICED BY UMA PHYSICIANS AT YEAR END 2013 TOTALED 582,831. THESE SERVICES ASSIST UMA IN FULFILLING ITS EXEMPT PURPOSE UNDER THE IRS CODE 501(C)(3). UMA IS INVOLVED IN COMMUNITY SERVICE BY BEING PART OF THE FOLLOWING ACTIVITIES: (1) UMA IS INVOLVED IN THE SOUTHERN TIER HEALTHY LIVING PARTNERSHIP WHICH IS A UNIQUE COLLABORATION OF GOVERNMENT AND COMMUNITY BASED SYSTEMS THAT PROMOTE HEALTHY LIVING THROUGH OUTREACH EDUCATION AND ACCESS TO SERVICES FOR THE PURPOSE OF REDUCING THE RISK OF CHRONIC DISEASE. THE NEW YORK STATE DEPARTMENT OF HEALTH AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) PROVIDES FUNDING FOR LOCAL COMMUNITY HEALTH CARE PRACTITIONERS TO PROVIDE CLINICAL BREAST EXAMS, MAMMOGRAMS, PAP TESTS, COLORECTAL SCREENING, AND LIMITED FOLLOW-UP. THESE SCREENING PROCEDURES ARE FOR THE INCOME ELIGIBLE WOMEN WHO ARE UNINSURED OR UNDER INSURED. (2) UMA PROVIDES FOR THE HEALTH MAINTENANCE OF THE ELDERLY POPULATION BY PARTICIPATING IN LECTURES TO THE UHS HOSPITALS MEMBERS FREE OF CHARGE. (3) UMA PROVIDES HEALTH MAINTENANCE BY PHYSICIAN PARTICIPATION IN LECTURE SERIES FOR THE STAY HEALTHY PROGRAMS AT UHS HOSPITALS. FOR EXAMPLE, INFORMATION IN MINIMALLY INVASIVE HIP REPLACEMENT SURGERY, PEDIATRICS, PODIATRY SCREENING, FOOT/ANKLE/KNEE CLINIC. (4) UMA PROVIDERS STAFF THE ARTICLE 28A CLINICS OPERATED BY UNITED HEALTH SERVICES HOSPITALS, CHENANGO MEMORIAL HOSPITAL AND DELAWARE VALLEY HOSPITAL. THESE FACILITIES PROVIDE HEALTH CARE SERVICES TO A LARGE MEDICAID POPULATION. (5) UHS HOSPITALS AND UMA HAVE IMPLEMENTED A PATIENT-CENTERED MEDICAL HOME PROGRAM. THE OVERALL GOAL IS TO INCREASE THE QUALITY AND IMPROVE HEALTH OUTCOMES FOR PERSONS ENROLLED IN NY MEDICAID. THE PATIENT-CENTERED MEDICAL HOME IS A PROACTIVE MODEL OF CARE THAT SEEKS TO STRENGTHEN THE PHYSICIAN-PATIENT RELATIONSHIP BY REPLACING REACTIVE, EPISODIC CARE BASED ON ILLNESS AND PATIENT COMPLAINTS WITH COORDINATED CARE AND A LONG-TERM HEALING RELATIONSHIP. UMA PHYSICIANS CURRENTLY STAFF SIXTEEN LEVEL 3, TWO LEVEL 2, AND ONE LEVEL 1 MEDICAL HOME SITES THAT HAVE RECEIVED NCQA PATIENT CENTERED MEDICAL HOME RECOGNITION. (6) UMA HAS BEEN DESIGNATED A MEDICAID HEALTH HOME BY NEW YORK STATE. THIS USES MEDICAL HOME PRINCIPALS WITH ENHANCED CARE COORDINATION AND IT INFRASTRUCTURE TO CARE FOR THE MOST COMPLEX AND EXPENSIVE MEDICAID PATIENTS.(7) UMA PROVIDERS CONTRIBUTE TO COMMUNITY EDUCATION BY PARTICIPATING IN THE SENATOR LIBOUS' PROACTIVE ON PROSTATE HEALTH CAMPAIGN NEWS CONFERENCE AND TOWN HALL TELECONFERENCE (8) UMA PROVIDERS SERVE ON VARIOUS BOARDS OF HEALTH AND AS DIRECTORS FOR EMERGENCY SERVICE AGENCIES INCLUDING AMBULANCE SQUADS AS WELL AS VARIOUS CAMP PROGRAMS (9) UMA PROVIDERS PROMOTE COMMUNITY EDUCATION THROUGH A LOCAL TELEVISION STATION IN A "DOC'S ON CALL" SERIES (10) UMA PROVIDERS ARE INVOLVED WITH PROFESSIONAL EDUCATION WHICH TAKES THE FORM OF ORGANIZING A HEMATOLOGY/HEMAPATHOLOGY TEACHING DAY. THIS INVOLVES UMA AND OTHER LOCAL AND REGIONAL STAFF, PHYSICIAN EXTENDERS AND PHYSICIANS. THIS PROGRAM IS HELD IN MARCH AND BRINGS TOGETHER LOCAL, REGIONAL, AND NATIONAL MEDICAL PROVIDERS TO LEARN ABOUT PERTINENT ISSUES RELATED TO THAT FIELD OF PRACTICE AND CARE. (11) UMA PROVIDERS ARE INVOLVED WITH PROFESSIONAL EDUCATION WHICH TAKES THE FORM OF ORGANIZING A CHRONIC KIDNEY DISEASE CONFERENCE TARGETING HEALTHCARE PROFESSIONALS (PHYSICIANS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, NURSES, DIETICIANS, SOCIAL WORKERS, AND DIALYSIS TECHNICIANS). THE CONFERENCE IS HELD ANNUALLY IN SEPTEMBER, LOCAL AND NATIONAL SPEAKERS PARTICIPATE IN EDUCATING THE HEALTHCARE COMMUNITY IN RECOGNITION AND MANAGEMENT OF CHRONIC KIDNEY DISEASE AND END-STAGE RENAL DISEASE. THIS PROGRAM IS COORDINATED BY THE PROVIDERS AND STAFF OF THE NEPHROLOGY DEPARTMENT. (12) UMA WAS CHOSEN BY THE CDC AND NY STATE DOH AS THE NATIONAL TEST SITE FOR THE STEADI PROGRAM. THIS IS A PROGRAM DONE JOINTLY BY UMA, THE BROOME COUNTY HEALTH DEPT, AND NEW YORK STATE DEPT OF HEALTH AND OVERSEEN BY THE CDC TO ASSESS THE IMPACT OF FALL RISK ASSESSMENT AND A COMMUNITY BASED INTERVENTION PROGRAM ON PREVENTION OF FALLS AND INJURIES IN OUR PATIENTS GREATER THAN 65 YEARS OLD. THIS PROGRAM HAS BEEN IMPLEMENTED TO DATE AT ALL OUR FAMILY PRACTICE AND INTERNAL MEDICINE SITES IN BROOME, TIOGA, AND CHENANGO COUNTIES. THE VALUE SERVICES PROVIDED TO THE COMMUNITY CAN BE CATALOGUED AS FOLLOWS: (1) UMA PROVIDERS ARE VERY MUCH INVOLVED IN MEDICAL AND PHARMACEUTICAL RESEARCH ACTIVITIES, WHICH ENHANCE THE FIELD OF KNOWLEDGE IN MEDICAL DISCIPLINES. THESE PROGRAMS ARE ALSO ABLE TO OFFER CARE TO PATIENTS WHO MAY BE UNABLE TO RECEIVE CARE UNDER NORMAL CIRCUMSTANCES. THIS RESEARCH ALSO HELPS PHYSICIANS TO KEEP UP TO DATE WITH NEW DEVELOPMENTS WITHIN THEIR DISCIPLINES AND OFFERS INCREASED OPPORTUNITIES FOR CROSS-EDUCATION ACTIVITIES FOR THEM (2) UMA PROVIDERS STAFF COMMUNITY BENEFIT PROGRAMS IN THE FORM OF EDUCATING STUDENT INTERNS FROM BROOME COMMUNITY COLLEGE, OTHER LOCAL TEACHING INSTITUTIONS AND THE ALBANY COLLEGE OF PHARMACY. THESE INDIVIDUALS ARE PLACED WITHIN THE PRACTICE SETTING TO RECEIVE THEIR PRACTICUM EXPERIENCE ALONG SIDE PHYSICIANS AND OTHER LIKE PROFESSIONALS IN THE DISCIPLINE THEY ARE SEEKING. (3) UMA PHYSICIANS PARTICIPATE IN THE HANDS-ON TRAINING OFFERED TO PHYSICIAN EXTENDERS SUCH AS NURSE PRACTITIONERS AND/OR PHYSICIAN ASSISTANTS. STUDENTS TYPICALLY ARE IDENTIFIED FROM PROGRAMS WITHIN A 100 MILE RADIUS OF BINGHAMTON, NEW YORK. FINANCIALLY MEASURED COMMUNITY SERVICES - IN ADDITION TO THE ABOVE BENEFITS, UMA PROVIDED THE FOLLOWING BENEFITS TO THE COMMUNITY: (1) ACCEPTED ASSIGNMENTS FROM THE MEDICARE PROGRAM (VALUE OF THE DIFFERENCE BETWEEN ESTABLISHED CHARGE AND FEE SCHEDULE) $8,504,024 (2) ACCEPTED ASSIGNMENT FROM THE MEDICAID PROGRAM (VALUE OF THE DIFFERENCE BETWEEN ESTABLISHED CHARGE AND FEE SCHEDULE) $1,543,515 (3) WROTE OFF THE BALANCES FOR THE UNCOMPENSATED PATIENT CARE $176,188 (4) REAL ESTATE TAX PAYMENTS MADE $67,031. TOTAL COMMUNITY BENEFIT WAS $10,290,758. 74697302 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 32 0 1 282 1 0 0 0 0 0 0 0 0 0 0 0 X 9 0 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X LORRE A JOHNS 6077623603 20 MITCHELL AVE BINGHAMTON NY 13903 PETER LOFASO MD CHAIRMAN 55.00 X X 190817 0 21245 LEONARD ANDERSON MD TREASURER 55.00 X X 536942 0 35141 MICHAEL FARRELL MD DIRECTOR 55.00 X 423617 0 35141 ROGER SCOTT MD VICE CHAIRMAN 55.00 X X 336535 0 35271 AMR SHADY MD SECRETARY 55.00 X 289977 0 19160 MOHAMMAD QUASEM MD DIRECTOR 55.00 X 573153 0 29820 ROBERT AUERBACH MD DIRECTOR 55.00 X 207474 0 30901 HENDA BOUALI MD DIRECTOR 55.00 X 345892 0 35271 STEPHEN GOMEZ MD DIRECTOR 55.00 X 421002 0 30154 ALAN MILLER MD PRESIDENT 55.00 X 457140 0 35271 JOSEPH CERRA VP PHYSICIAN PRACTICE MGMT 39.00 16.00 X 289693 0 27339 DAVID KWIATKOWSKI MD ASSOCIATE MEDICAL DIRECTOR 55.00 X 299126 0 30154 JOHN GIANNONE MD ASSOCIATE MEDICAL DIRECTOR 55.00 X 219614 0 16132 FRANK FLOYD MD ASSOCIATE MEDICAL DIRECTOR 55.00 X 272291 0 30025 WADIH DIAB MD ASSOCIATE MEDICAL DIRECTOR 55.00 X 288936 0 25299 HISHAM KASHOU MD CARDIOLOGIST 40.00 X 1030505 0 35271 LAWRENCE WIESNER MD ORTHOPEDIST 40.00 X 876340 0 35271 RASHID HAQ MD ONCOLOGIST 40.00 X 741444 0 35271 MARK BRENNAN MD VASCULAR SURGEON 40.00 X 665714 0 35271 MAHMOOD BUTT MD HOSPITALIST 40.00 X 636694 0 35271 SRIRAM NIRGUDKAR MD DIRECTOR, FORMER 40.00 X 266275 0 30154 JOAN ADLER MD DIRECTOR, FORMER 40.00 X 227697 0 28490 DENNIS PERENYI MD SECRETARY, FORMER 40.00 X 360143 0 30154 FRANK EDER MD SECRETARY, FORMER 40.00 X 318519 0 35271 10275540 0 736748 170 1 1 1 DRAYER PHYSICAL THERAPY 8205 PRESIDENTS DRIVE HUMMELSTOWN PA 17036 PHYSICAL THERAPY SVCS 720000 PHYTEL PROACTIVE PATIENT CARE 11511 LUNA ROAD SUITE 600 DALLAS TX 75234 PATIENT REMINDER SYSTEM 336212 STUART H STILES MD 705 MURRAY HILL RD VESTAL NY 13850 PHYSICIAN SERVICES 302001 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 TEMPORARY SVCS 179782 SRINIVASA PRASAD MD 2636 PURDUE DR VESTAL NY 13850 PHYSICIAN SERVICES 172196 5 CONTRACTED SERVICE FEE 561499 49438057 49438057 NET PATIENT SERVICE RE 621110 25678019 25678019 75116076 2765 2765 OTHER INCOME 900099 278778 278778 MEANINGFUL USE FUNDING 900099 122596 122596 401374 75520215 75517450 0 2765 5271498 4548707 722791 44821549 44821549 2818616 2818616 3999721 3999721 2384714 2384714 259506 259506 30350 30350 6664960 6664960 11882 11882 1406430 1406430 1464 1464 908656 908656 48694 48694 23817 23817 329004 329004 2532119 2532119 BAD DEBT 3218195 3218195 MANAGEMENT FEE 2873800 127845 2745955 CME 546128 546128 DEBT SERVICE FEE RENTAL 320604 320604 23345 23345 78495052 74697302 3797750 0 3825386 6608819 6882880 2992091 720199 868734 1720873 2417303 13149338 12886947 7895268 9657912 17148367 14761296 25043635 24419208 X 900 900 0 0 -11895197 -11533161 -11894297 -11532261 13149338 12886947 X -2974837 3336873 X X 0 1 X 1 0 X X X 0 0 0 UNITED HEALTH SERVICES HOSPITALS 161165049 3 1 1 1 0 STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER 223285708 3 1 1 1 0 2 0 PART 1 LINE 11(H) SUPPORTED ORGANIZATION: ONE OF THE PURPOSES OF UNITED MEDICAL ASSOCIATES, PC IS TO ENCOURAGE AND SUPPORT PHYSICIANS WHO ARE ENGAGED IN THE PRACTICE OF MEDICINE, TO PROVIDE DURING THE COURSE OF TREATING THE CORPORATION'S PATIENTS, TEACHING SERVICES TO PHYSICIANS WHO ARE IN POST-GRADUATE TRAINING PROGRAMS AT BINGHAMTON GENERAL HOSPITAL AND/OR WILSON MEMORIAL HOSPITAL REGIONAL MEDICAL CENTER OF UNITED HEALTH SERVICES HOSPITALS, INC AND THE JOHNSON CITY FAMILY CARE CENTER, TO MEDICAL STUDENTS OF THE STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER AT SYRACUSE AND TO ALLIED HEALTH PROFESSIONALS IN TRAINING PROGRAMS AT BINGHAMTON GENERAL HOSPITAL AND/OR WILSON MEMORIAL HOSPITAL REGIONAL MEDICAL CENTER OF UNITED HEALTH SERVICE HOSPITALS, INC. PROVIDED IN EACH CASE THAT THE SPONSORING INSTITUTION AT WHICH TEACHING SERVICES ARE FURNISHED HAS RECEIVED ALL APPROVALS REQUIRED BY APPLICABLE LAWS AND REGULATIONS. 0 A/R OTHER CONTRACTED SVCS RECEIVABLE 6500 457B OTHER LONG TERM ASSET 2364303 LT PHYSICIAN RECEIVABLES 46500 2417303 457B LIABILITY 2364303 ACCR PENSION CONTRIBUTION 7524153 ACCR PENSION LT 618145 CONTRACTUAL RETIREMENT PR 569867 UHSH NOTE ST 217459 UHSH NOTE LT 2935703 UMA PTO LIABILITY ST 54981 UMA PTO LIABILITY LT 476685 14761296 X 75520215 0 75520215 0 75520215 78495052 0 78495052 0 78495052 PART X, LINE 2: THE FINANCIAL STATEMENTS DO NOT GIVE CONSIDERATION FOR FEDERAL AND STATE INCOME TAXES AS THE COMPANY IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANZIATION DESCRIBED IN 501(C)(3). AS OF DECEMBER 31, 2013 AND 2012, THE COMPANY DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2010 THROUGH 2013. X X X X X 0 1 0 0 0 1 1 0 0 PETER LOFASO MD CHAIRMAN 182267 0 0 0 8550 0 11626 0 9619 0 212062 0 0 0 LEONARD ANDERSON MD TREASURER 497628 0 5654 0 33660 0 15537 0 19604 0 572083 0 0 0 MICHAEL FARRELL MD DIRECTOR 393040 0 0 0 30577 0 15537 0 19604 0 458758 0 0 0 ROGER SCOTT MD VICE CHAIRMAN 249995 0 20000 0 66540 0 15537 0 19734 0 371806 0 0 0 AMR SHADY MD SECRETARY 238268 0 9022 0 42687 0 15537 0 3623 0 309137 0 0 0 MOHAMMAD QUASEM MD DIRECTOR 493431 0 9063 0 70659 0 15537 0 14283 0 602973 0 0 0 ROBERT AUERBACH MD DIRECTOR 131994 0 6637 0 68843 0 12641 0 18260 0 238375 0 0 0 HENDA BOUALI MD DIRECTOR 235948 0 5457 0 104487 0 15537 0 19734 0 381163 0 0 0 STEPHEN GOMEZ MD DIRECTOR 367526 0 0 0 53476 0 15537 0 14617 0 451156 0 0 0 ALAN MILLER MD PRESIDENT 384680 0 0 0 72460 0 15537 0 19734 0 492411 0 0 0 JOSEPH CERRA VP PHYSICIAN PRACTICE MGMT 245774 0 43919 0 0 0 16320 0 11019 0 317032 0 0 0 DAVID KWIATKOWSKI MD ASSOCIATE MEDICAL DIRECTOR 286312 0 0 0 12814 0 15537 0 14617 0 329280 0 0 0 JOHN GIANNONE MD ASSOCIATE MEDICAL DIRECTOR 131900 0 8736 0 78978 0 13381 0 2751 0 235746 0 0 0 FRANK FLOYD MD ASSOCIATE MEDICAL DIRECTOR 262701 0 9590 0 0 0 15537 0 14488 0 302316 0 0 0 WADIH DIAB MD ASSOCIATE MEDICAL DIRECTOR 166271 0 0 0 122665 0 15537 0 9762 0 314235 0 0 0 HISHAM KASHOU MD CARDIOLOGIST 905767 0 0 0 124738 0 15537 0 19734 0 1065776 0 0 0 LAWRENCE WIESNER MD ORTHOPEDIST 770857 0 17371 0 88112 0 15537 0 19734 0 911611 0 0 0 RASHID HAQ MD ONCOLOGIST 687598 0 0 0 53846 0 15537 0 19734 0 776715 0 0 0 MARK BRENNAN MD VASCULAR SURGEON 568736 0 0 0 96978 0 15537 0 19734 0 700985 0 0 0 MAHMOOD BUTT MD HOSPITALIST 202267 0 162147 0 272280 0 15537 0 19734 0 671965 0 0 0 SRIRAM NIRGUDKAR MD DIRECTOR, FORMER 230609 0 6460 0 29206 0 15537 0 14617 0 296429 0 0 0 JOAN ADLER MD DIRECTOR, FORMER 179068 0 2318 0 46311 0 13873 0 14617 0 256187 0 0 0 DENNIS PERENYI MD SECRETARY, FORMER 310003 0 13759 0 36381 0 15537 0 14617 0 390297 0 0 0 FRANK EDER MD SECRETARY, FORMER 255707 0 4427 0 58385 0 15537 0 19734 0 353790 0 0 0 PART I, LINE 4B DR. ALAN MILLER PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PART I, LINE 6 THE UNITED HEALTH SERVICES HOSPITALS EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, MARKET GROWTH AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF UNITED HEALTH SERVICES HOSPITALS AND UNITED MEDICAL ASSOCIATES, PC, THE TWO LARGEST AFFILIATES OF THE UNITED HEALTH SERVICES HEALTHCARE SYSTEM. A PORTION OF THE 2013 INCENTIVE COMPENSATION PAYMENT WAS ATTRIBUTABLE TO THE TWO COMPANIES MEETING THE COMBINED NET INCOME GOALS. PART VII, LINE 5: UNRELATED PARTY DETAIL INDIVIDUAL: JOSEPH CERRA, VICE PRESIDENT PHYSICIAN PRACTICE MGMT COMPENSATION RECEIVED FROM UNRELATED ORGANIZATIONS: UNITED HEALTH SERVICES, INC (UHS,INC), TWIN TIER HOME HEALTH CARE (TTHC) AND PROFESSIONAL HOME CARE (PHC) BASE COMPENSATION: UHS, INC = $196,620 TTHC = $24,577 PHC = $24,577 OTHER COMPENSATION: UHS, INC = $35,135 TTHC = $4,392 PHC = $4,392 NON-TAXABLE BENEFITS: UHS, INC = $8,815 TTHC = $1,102 PHC = $1,102 PENSION: UHS, INC = $16,320 PART VII, LINE 5: UNRELATED PARTY DETAIL INDIVIDUAL: RASHID HAQ, MD COMPENSATION RECEIVED FROM UNRELATED ORGANIZATION: UNITED HEALTH SERVICES HOSPITALS AS MEDICAL DIRECTOR OF CYBERKNIFE SURGERY BASE COMPENSATION: UHSH = $46,152 SRIRAM NIRGUDKAR MD DIRECTOR, FORMER 172128 UMA LEASES OFFICE SPACE FROM DR NIRGUDKAR 0 DINA FARRELL MD SPOUSE OF DIRECTOR, DR. MICHAEL FARRELL 304233 COMPENSATION (WAGES) 0 LILIANA LOFASO MD SPOUSE OF CHAIRMAN, DR. PETER LOFASO 311708 COMPENSATION (WAGES) 0 JENNIFER CERRA DAUGHTER OF OFFICER, JOSEPH CERRA 72526 COMPENSATION (WAGES) 0 SCHEDULE L PART IV FORM 990, PART VI, SECTION A, LINE 6 THE ISSUANCE OF MEMBERSHIP SHARES TO PHYSICIAN MEMBERS IS FOR PURPOSE OF VOTING RIGHTS ONLY THROUGH DECEMBER 31, 2013. 900 SHARES WERE ISSUED WITH 100 ADDITIONAL SHARES AUTHORIZED FOR FUTURE ISSUANCE. FORM 990, PART VI, SECTION A, LINE 7A THE ISSUANCE OF MEMBERSHIP SHARES TO PHYSICIAN MEMBERS IS FOR PURPOSE OF VOTING RIGHTS ONLY THROUGH DECEMBER 31, 2013. 900 SHARES WERE ISSUED WITH 100 ADDITIONAL SHARES AUTHORIZED FOR FUTURE ISSUANCE. FORM 990, PART VI, SECTION B, LINE 11 THE PREPARATION OF THE FILING IS THE RESPONSIBILITY OF THE BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 TO MANAGEMENT. THE FINANCE DIVISION PREPARED THE 990 FORMS WHICH WAS REVIEWED BY THE ORGANIZATION'S PUBLIC ACCOUNTANTS, PRESIDENT AND VP OF PHYSICIAN PRACTICE MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE PRESIDENT, BOARD CHAIRMAN AND AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A: THE UMA BOARD OF DIRECTORS EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL COMPENSATION CONSULTING FIRM, SULLIVAN COTTER & ASSOCIATES, TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE PRESIDENT. THIS ANNUAL REPORT FOCUSES ON TWO KEY AREAS: (1) THE COMPETITIVENESS OF THE PRESIDENT'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS THE NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTHCARE SYSTEMS (BASED ON "TOTAL REVENUE" METRICS) AND (2) A "REASONABLE ASSESSMENT" CONSISTENT WITH US TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF THE PRESIDENT'S CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THAT CALENDAR YEAR. LINE 15B: THE UMA BOARD OF DIRECTORS, UMA COMPENSATION COMMITTEE, AND THE UHS FINANCE UMA COMPENSATION SUBCOMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL COMPENSATION CONSULTING FIRM, INTEGRATED HEALTHCARE STRATEGIES (IHS), FOR THE PURPOSES OF DETERMINING AND EVALUATING PHYSICIAN AND ADVANCED PRACTICE PROVIDERS COMPENSATION THAT IS REPRESENTATIVE OF FAIR MARKET VALUE AND IS COMMERCIALLY REASONABLE. INTEGRATED HEALTHCARE STRATEGIES IS AN INDEPENDENT VALUATION EXPERT AS DEFINED UNDER SECTION 53.4958-1(D)(4)(III)(C) OF THE TREASURY REGULATIONS. THE DATA FROM THIS REPORT ASSISTS THE ORGANIZATION IN DETERMINING THE APPROPRIATENESS OF ALL PHYSICIAN AND ADVANCED PRACTICE PROVIDER TOTAL COMPENSATION AND THE NEED FOR ANY ADJUSTMENTS FOR THE CALENDAR YEAR. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES GOVERING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS 3,336,873. FORM 990, PART XII, LINE 2C THERE WERE NO CHANGES TO THE ORGANIZATIONS FINANCIAL STATEMENT AUDIT OVERSIGHT OR SELECTION PROCESS.