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UNIVERSITY MEDICAL GROUP: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY MEDICAL GROUP (EIN 93-0608012)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-03-10
IRS object ID
201420699349300377
Schema version
2012v2.3
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)
Timestamp2014-03-10T14:21:57-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11918 Eighth Avenue Suite 2900AddressLine1
CitySeattleCity
StateWAState
ZIP Code98101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930608012EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY MEDICAL GROUPBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JOHN KULAWIECInCareOfName
Name ControlUNIVNameControl
Phone5034948423Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11706 NW 24TH AVENUEAddressLine1
Address Line2Suite 29166AddressLine2
CityPORTLANDCity
StateORState
ZIP Code97296ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS M HECKLERName
TitleCOOTitle
Phone2069134000Phone
Date Signed2014-02-18DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2069134000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTOM HECKLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11706 NW 24TH AVENUE 29166AddressLine1
CityPORTLANDCity
StateORState
ZIP Code97296ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15423956GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionUNIVERSITY MEDICAL GROUP (UMG) IS ORGANIZED AND AT ALL TIMES WILL BE OPERATED FOR THE BENEFIT OF OREGON HEALTH & SCIENCE UNIVERSITY (OHSU) TO PROVIDE ADMINISTRATIVE AND MANAGEMENT SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees187TotalNbrEmployees
Total Nbr Volunteers1TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15867986ProgramServiceRevenuePriorYear
Program Service Revenue CY15419898ProgramServiceRevenueCY
Investment Income Prior Year3597InvestmentIncomePriorYear
Investment Income Current Year4058InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year15871583TotalRevenuePriorYear
Total Revenue Current Year15423956TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11784593SalariesEtcPriorYear
Salaries Etc Current Year10024426SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3075013OtherExpensePriorYear
Other Expenses Current Year4367116OtherExpensesCurrentYear
Total Expenses Prior Year14859606TotalExpensesPriorYear
Total Expenses Current Year14391542TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1011977RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1032414RevenuesLessExpensesCY
Total Assets BOY6707768TotalAssetsBOY
Total Assets EOY8807936TotalAssetsEOY
Total Liabilities BOY1855268TotalLiabilitiesBOY
Total Liabilities EOY2923022TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4852500NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5884914NetAssetsOrFundBalancesEOY
Mission DescriptionTHE SOLE PURPOSE OF UNIVERSITY MEDICAL GROUP IS TO PROVIDE A VARIETY OF ADMINISTRATIVE AND MANAGEMENT SERVICES TO OREGON HEALTH & SCIENCE UNIVERSITY FACULTY PRACTICE PLAN. THESE SERVICES INCLUDE BILLING, COLLECTION, HUMAN RESOURCES, PAYROLL, AND ACCOUNTING SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense14344612Expense
Grants0Grants
Revenue15419898Revenue
DescriptionUNIVERSITY 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 1,356 OHSU CLINICIANS DURING FY 2013.Description
Total Program Service Expense14344612TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees187NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN KULAWIECNamePerson
Telephone Number5034948423TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11706 NW 24TH AVENUE 29166AddressLine1
CityPORTLANDCity
StateORState
ZIP Code97296ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MARK A RICHARDSON MD
DIRECTOR - CHAIRMAN0.350.0X081999939454
PAUL FLINT MD
DIRECTOR0.350.0X056316638459
JOHN HUNTER MD
DIRECTOR0.350.0X065177047249
CHARLES THOMASMD
DIRECTOR0.350.0X070223243986
JOAQUIN CIGARROAMD
DIRECTOR0.350.0X032759455207
THOMAS YACKEL
DIRECTOR0.350.0X024801151807
AARON CAUGHEY
DIRECTOR0.350.0X051958246707
THOMAS M HECKLER
CHIEF EXECUTIVE OFFICER4.040.03302535156651139X
MATTHEW L NAVIGATO
CHIEF OPERATING OFFICER25.025.02039173797724067X
BOBBIE CLAWSON
COMPLIANCE OFFICER40.00.0158091017918X
JENNIFER NORRISH
OPERATIONS MANAGER40.00.0132090014577X
JESSICA JOHNSON
OPERATIONS MANAGER40.00.0136021015316X
BARBARA DUNCAN
INFORMATION SERVICES MANAGER40.00.0121384013514X
TAMMY BICKLE
ASSISTANT DIRECTOR40.00.0118993014214X
ANNE NEDROW MD
FORMER DIRECTOR0.350.0013971621693X
MARK NICHOLS MD
FORMER DIRECTOR0.350.0027480724227X
STACY NICHOLSON MD
FORMER DIRECTOR0.350.0039058541198X
JOHN SAULTZ MD
FORMER DIRECTOR0.350.0029729647233X
JEFFREY KOH
FORMER DIRECTOR0.350.0034205446268X
DAVID WILSON
FORMER DIRECTOR0.350.0052002898116X
KIM BURCHIEL MD
FORMER DIRECTOR0.350.0072130756334X
FieldValueIRS element (for citing)
Total Reportable Comp From Org903521TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6907690TotalReportableCompFrmRltdOrgs
Total Other Compensation808683TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NCO Financial System
500 N Franklin TurnpikeRAMSEYNJ07446CUSTOMER SERVICE611855
Dynalectric Company
5711 SW Hood AvePORTLANDOR97239Electrical Services143483
SmithCFI
620 NE 19th AvePORTLANDOR97232MOVING SERVICES134427
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BILLING FEES3391101489042414890424
GRANTS & REIMBURSEMENTS339110529474529474
FieldValueIRS element (for citing)
Total Program Service Revenue15419898TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4058TotalRevenueColumn
Exclusion$4,058ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15423956TotalRevenueColumn
Related Or Exempt Function Income15419898RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,058ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total227451Total
Program Services194426ProgramServices
Management And General33025ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7142586Total
Program Services7142586ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total435526Total
Program Services431563ProgramServices
Management And General3963ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1538354Total
Program Services1531461ProgramServices
Management And General6893ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total680509Total
Program Services677460ProgramServices
Management And General3049ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total61426Total
Program Services61426ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total89900Total
Program Services89900ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total683114Total
Program Services683114ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total201361Total
Program Services201361ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total503151Total
Program Services503151ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total37929Total
Program Services37929ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8693Total
Program Services8693ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total130773Total
Program Services130773ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total28047Total
Program Services28047ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DATA PROCESSING13671581367158
TRAINING2775727757
PRINTING, POSTAGE, SUPPLIES293868293868
COMMUNICATIONS120467120467

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total813472Total
Program Services813472ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14391542Total
Program Services14344612ProgramServices
Management And General46930ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2376139BOY
EOY3427080EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2361580BOY
EOY3211303EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1486290BOY
EOY1453598EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY146705BOY
EOY148866EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2028526LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1461437LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY337054BOY
EOY567089EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6707768BOY
EOY8807936EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1811402BOY
EOY1568129EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY43866BOY
EOY1354893EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1855268BOY
EOY2923022EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4852500BOY
EOY5884914EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4852500BOY
EOY5884914EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6707768BOY
EOY8807936EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1032414ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1OREGON HEALTH & SCIENCE UNIVERSITYBusinessNameLine1
FieldValueIRS element (for citing)
EIN931176109EIN
Type Of Organization06TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Amount$14,260,769Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts14260769SumOfAmounts
General ExplanationTOTAL FUNCTIONAL EXPENSES FORM 990 PART IX $14,391,542 DEPRECIATION FORM 990 PART IX LINE 22 $ (130,773) ------------ TOTAL SUPPORT PROVIDED TO OREGON HEALTH AND SCIENCE UNIV $14,260,769GeneralExplanation
General ExplanationUNIVERSITY MEDICAL GROUP IS ORGANIZED AND OPERATED TO PROVIDE ADMINISTRATIVE AND MANAGEMENT SERVICES TO OREGON HEALTH & SCIENCE UNIVERSITY. TOTAL SUPPORT OF $14,260,769 CONSISTS OF VARIOUS EXPENSES PAID ON BEHALF OF OREGON HEALTH & SCIENCE UNIVERSITY. SEE FORM 990, PART IX FOR ADDITIONAL DETAIL.GeneralExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis226414OtherCostOrOtherBasis
Depreciation15095Depreciation
Book Value211319BookValue
FieldValueIRS element (for citing)
EquipmentEquipment

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1802112OtherCostOrOtherBasis
Depreciation1446342Depreciation
Book Value355770BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings567089TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$1,222,743
DEFERRED RENT OBLIGATION$132,150
FieldValueIRS element (for citing)
Total Of Amounts1354893TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt15423956TotRevenueEtcAuditedFinclStmt
Revenue Subtotal15423956RevenueSubtotal
Total Revenue Per Form99015423956TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14391542TotExpensesEtcAuditedFinclStmt
Expenses Subtotal14391542ExpensesSubtotal
Total Expenses Per Form99014391542TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARK A RICHARDSON MD
DIRECTOR - CHAIRMAN069620801144310936003780001654085945300
ANNE NEDROW MD
FORMER DIRECTOR013510601100450002169300016140900
MARK NICHOLS MD
FORMER DIRECTOR0266182000862502139802829029903400
STACY NICHOLSON MD
FORMER DIRECTOR03721260800001045904000001198043178300
PAUL FLINT MD
DIRECTOR045456602000008860003000008459060162500
KIM BURCHIEL MD
FORMER DIRECTOR069860701250001020005000006334077764100
JOHN SAULTZ MD
FORMER DIRECTOR02679360200000936004604201191034452900
THOMAS M HECKLER
CHIEF EXECUTIVE OFFICER3302529596604660009000396337800093763698839874200
MATTHEW L NAVIGATO
CHIEF OPERATING OFFICER163151379773199508771023418649002273353862600
BOBBIE CLAWSON
COMPLIANCE OFFICER1493200008771017918000176009000
JESSICA JOHNSON
OPERATIONS MANAGER11725501037808388015316000151337000
JOHN HUNTER MD
DIRECTOR062141602015401020003780009449069901900
JEFFREY KOH
FORMER DIRECTOR0331654020001020004500001268038832200
DAVID WILSON
FORMER DIRECTOR0481137025000013891079849018267061814400
CHARLES THOMASMD
DIRECTOR066703202500001020003500008986074621800
JOAQUIN CIGARROAMD
DIRECTOR030216201500001043205000005207038280100
THOMAS YACKEL
DIRECTOR02200820203440758504956602241029981800
AARON CAUGHEY
DIRECTOR047126803875009564033950012757056628900

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCompensation from Unrelated OrganizationsIdentifier
Return ReferenceSchedule J, Part IIReturnReference
ExplanationA portion of Thomas M. Heckler's base compensation and deferred compensation are paid by an unrelated organization, 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 an unrelated organization, Oregon Health & Science University (OHSUF). 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROCESS TO REVIEW FORM 990FORM 990, PART VI, LINE 11BAN OUTSIDE ACCOUNTING FIRM PREPARED THE FEDERAL FORM 990. THE CONTROLLER AND THE 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.
PROCESS TO DETERMINE COMPENSATIONFORM 990, PART VI, LINE 15A & 15BTHE COMPENSATION FOR THE UNIVERSITY MEDICAL GROUP COO IS BASED UPON DATA DERIVED FROM THE AMERICAN ASSOCIATION OF MEDICAL COLLEGES (AAMC) - APPD ANNUAL SALARY SURVEY USING DATA FOR COMPARABLE POSITIONS AND SIZED ORGANIZATIONS. A PERFORMANCE EVALUATION ALONG WITH THE AAMC ANNUAL SALARY SURVEY, WAS USED TO DETERMINE BASE COMPENSATION. FORMULAIC COMPONENTS WERE USED TO DEFINE THE BONUS AMOUNT BASED UPON THE ROLLUP OF VARIOUS REVENUE CYCLE PERFORMANCE GOALS. THE CEO PRESENTED THE PERFORMANCE EVALUATION, BONUS GOAL RESULTS AND A BASE COMPENSATION & BONUS PROPOSAL TO THE DEAN OF THE OHSU SCHOOL OF MEDICINE FOR APPROVAL. THE COMPENSATION FOR THE UNIVERSITY MEDICAL GROUP CEO, WHO ALSO HOLDS THE POSITION OF OHSU SENIOR ASSOCIATED DEAN, IS BASED ON TIME ALLOCATED TO EFFORTS DEVOTED TO THE UNIVERSITY MEDICAL GROUP REVENUE CYCLE. AS OF JANUARY 2009, IT WAS DETERMINED THAT THIS EFFORT REPRESENTED APPROXIMATELY 10% OF TOTAL TIME SPENT. COMPENSATION FROM UNIVERSITY MEDICAL GROUP REMAINS FIXED BASED UPON THIS PERCENTAGE OF HIS OHSU BASE COMPENSATION AT THAT TIME.
OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLEFORM 990, PART VI, LINE 19WHILE 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1OREGON HEALTH & SCIENCE UNIVERSITYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13181 SW SAM JACKSON PARK ROADAddressLine1
CityPORTLANDCity
StateORState
ZIP Code97239ZIPCode
FieldValueIRS element (for citing)
EIN931176109EIN
Primary ActivitiesHOSP & UNIV.PrimaryActivities
Legal Domicile StateORLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg