2018-11-02T13:07:23-05:00 2017-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2017-01-01 161395906 UNITED MEDICAL ASSOCIATES PC UNIT 6077623603 4401 VESTAL PARKWAY EAST VESTAL NY 13850 ALAN MILLER MD PRESIDENT 6077623603 2018-10-09 1 ANGELA M FRANCO P00589741 3154463600 2018-10-09 24.39.85.114 2018-10-09 13:04:07 ED P 7E9C33F7C5CD1DA8693DD78F29AF2560BCFF7C5D 2B26D0CF862F5C09AB62214FFDF324E4AA0177DB 2017 2018-06-14 16:35:46Z ALAN MILLER MD 4401 VESTAL PARKWAY EAST VESTAL NY 13850 115553846 0 X WWW.NYUHS.ORG X 1991 NY UNITED MEDICAL ASSOCIATES PC IS A BROOME COUNTY BASED NOT-FOR-PROFIT PHYSICIAN GROUP PRACTICE UMA PROVIDES THE HIGHEST QUALITY OF HEALTH CARE AND MEDICAL SERVICES TO 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. 11 0 413 0 0 0 0 0 105815748 115435720 2760 0 399060 118126 106217568 115553846 0 0 0 0 85672961 97853843 0 0 0 29554911 31282161 115227872 129136004 -9010304 -13582158 14559326 13606528 47453762 59845203 -32894436 -46238675 X THE MISSION OF UHS MEDICAL GROUP 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. 0 0 124156036 115553846 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. UMA, PC PROVIDES A WIDE RANGE OF PROFESSIONAL SERVICES IN THE PRIMARY AND SPECIALTY CARE AREA. UMA PHYSICIANS SUPPORT TWENTY-TWO FAMILY PRACTICES, FIVE INTERNAL MEDICINE CLINICS, FIVE PEDIATRICS CLINICS, TWO SCHOOL BASED HEALTH CLINICS, AND FIVE 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/NEURODIAGNOSTIC CENTER, NEURO CRITICAL CARE, GERIATRIC MEDICINE, HOSPITALISTS, INFECTIOUS DISEASE, PULMONOLOGY, WOMENS' (GYN) SERVICES, RADIATION ONCOLOGY, GASTROENTEROLOGY, MEDICAL ONCOLOGY, NEUROSURGERY, AND PAIN MANAGEMENT. TOTAL PATIENT SERVICED BY UMA PHYSICIANS AT YEAR END 2017 TOTALED 823,161. 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, UHS CHENANGO MEMORIAL, 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 TWENTY-FOUR LEVEL 3 MEDICAL HOME SITES THAT HAVE RECEIVED NCQA PATIENT CENTERED MEDICAL HOME RECOGNITION. (6) UHS HOSPITALS HAS BEEN DESIGNATED A MEDICAID HEALTH HOME BY NEW YORK STATE. UMA USES MEDICAL HOME PRINCIPALS WITH ENHANCED CARE COORDINATION AND ITS INFRASTRUCTURE TO CARE FOR THE MOST COMPLEX AND EXPENSIVE MEDICAID PATIENTS.(7) UMA PROVIDERS SERVE ON VARIOUS BOARDS OF HEALTH AND AS DIRECTORS FOR EMERGENCY SERVICE AGENCIES INCLUDING AMBULANCE SQUADS AS WELL AS VARIOUS CAMP PROGRAMS. (8) UMA PROVIDERS PROMOTE COMMUNITY EDUCATION THROUGH A LOCAL TELEVISION STATION IN A "DOCS ON CALL" SERIES. (9) 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. (10) 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. (11) 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 RATE OF HOSPITALIZATIONS FOR FALL RELATED INJURIES IS STEADILY DECLINING IN BROOME COUNTY. THE CDC IS PREPARING TO PUBLISH THESE FINDINGS. (12) UMA PROVIDERS ARE ACTIVELY ENGAGED IN IMPROVING THE HEALTH OF OUR PATIENTS. TO FACILITATE THIS, WE HAVE A DIRECTOR OF POPULATION HEALTH POSITION AND HAVE ADDED WELLNESS COORDINATORS OR SOCIAL WORKERS AT EACH OF OUR SITES. CARE MANAGEMENT PATHWAYS HAVE BEEN DEVELOPED TO ASSIST IN DIABETES AND HYPERTENSION MANAGEMENT AND TO INCREASE THE NUMBER OF PATIENTS GETTING BREAST AND COLON CANCER SCREENING. 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) $20,264,314 (2) ACCEPTED ASSIGNMENT FROM THE MEDICAID PROGRAM (VALUE OF THE DIFFERENCE BETWEEN ESTABLISHED CHARGE AND FEE SCHEDULE) $2,308,800 (3) WROTE OFF THE BALANCES FOR THE UNCOMPENSATED PATIENT CARE $787,237 (4) REAL ESTATE TAX PAYMENTS MADE $80,263. TOTAL COMMUNITY BENEFIT WAS $23,440,614. 124156036 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 39 0 1 413 1 0 0 0 0 0 0 0 0 0 0 X 11 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 LEONARD ANDERSON MD CHAIRMAN 57.00 X X 582140 0 39234 ROBERT AUERBACH MD VICE CHAIRMAN 57.00 X X 279728 0 29685 HENDA BOUALI MD TRUSTEE 57.00 X 312360 0 38373 AMR SHADY MD TREASURER 57.00 X X 338117 0 18728 STEPHEN GOMEZ MD TRUSTEE 57.00 X 609786 0 30660 MICHAEL FARRELL MD TRUSTEE 57.00 X 582830 0 39074 FRANK EDER MD TRUSTEE 57.00 X 366047 0 38686 NAZIF CHOWDHURY MD SECRETARY 57.00 X X 357998 0 38210 RYAN LITTLE TRUSTEE 57.00 X 217599 0 33948 STANLEY FOX TRUSTEE 57.00 X 182350 0 31924 MOHAMMAD QUASEM MD TRUSTEE 57.00 X 757597 0 30858 ALAN MILLER MD PRESIDENT 55.00 X 503936 0 33060 JOSEPH CERRA SR VP PHYSICIAN PRACTICE M 55.00 X 367080 0 30189 WADIH DIAB MD ASSOCIATE MEDICAL DIRECTOR 55.00 X 276615 0 26279 DAVID KWIATKOWSKI MD MEDICAL DIRECTOR 55.00 X 339995 0 33060 FRANK FLOYD MD ASSOCIATE MEDICAL DIRECTOR 55.00 X 310396 0 32799 JOHN GIANNONE MD ASSOCIATE MEDICAL DIRECTOR 55.00 X 308938 0 19132 HISHAM KASHOU MD CARDIOLOGIST 55.00 X 1136099 0 34716 LAWRENCE WIESNER MD ORTHOPEDIST 55.00 X 1165569 0 39333 MATTHEW BENNETT MD ORTHOPEDIST 55.00 X 898426 0 39133 DAVID GALLAGHER MD ORTHOPEDIST 55.00 X 871410 0 27153 KHALID SETHI MD NEUROSURGEON 55.00 X 2025098 0 39333 DENNIS PERENYI MD SECRETARY,FORMER 55.00 X 225375 0 29864 13015489 0 753431 260 1 1 1 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 TEMPORARY SVCS 2177649 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 303845547 TEMPORARY SVCS 510778 CHUKWUDI OKONMAH MD 660 SHREWSBURY DR CLARKSTON MI 48348 PHYSICIAN SERVICES 495383 STUART H STILES MD 705 MURRAY HILL RD VESTAL NY 13850 PHYSICIAN SERVICES 417899 BINGHAMTON GASTROENTEROLOGY ASSOC 40 MITCHELL AVE BINGHAMTON NY 13903 PHYSICIAN SERVICES 416105 13 CONTRACTED SERVICE FEE 561499 75298522 75298522 NET PATIENT SERVICE RE 621110 40137198 40137198 115435720 OTHER INCOME 900099 116166 116166 MEANINGFUL USE FUNDING 900099 1960 1960 118126 115553846 115553846 0 0 X 6840141 6126629 713512 77397315 77397315 3735428 3735428 6190723 6026615 164108 3690236 3690236 -12294 -12294 3124 3124 16912577 16912577 6191 6191 2306620 2306620 10491 10491 1886710 1886710 104598 104598 14070 14070 541704 541704 2401872 2336693 65179 MANAGEMENT FEE 3754412 258947 3495465 BAD DEBT 2384061 2384061 CME 629664 629664 OTHER LEASES 300661 300661 37700 37700 129136004 124156036 4979968 0 2760844 1771187 7340001 6321743 791817 875815 3666664 4637783 14559326 13606528 29078266 41549629 18375496 18295574 47453762 59845203 X 900 67 0 0 -32895336 -46238742 -32894436 -46238675 14559326 13606528 X -13582158 -829 238748 X X 0 1 X 0 0 X X 3 UNITED HEALTH SERVICES HOSPITALS 161165049 3 1 0 0 CHENANGO MEMORIAL HOSPITAL 150532180 3 1 0 0 DELAWARE VALLEY HOSPITAL 150524324 3 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV SECTION B LINE 1 UNITED MEDICAL ASSOCIATES, PC (UMA) WAS RECOGNIZED IN ITS DETERMINATION LETTER FROM THE IRS ON JANUARY 28, 1998 AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3). THE RATIONALE STATES, UMA MEETS THE REQUIREMENTS OF FEDERAL TAX EXEMPTION BECAUSE UMA'S STRUCTURAL AND FINANCIAL COMPONENTS ARE, IN FACT, CONTROLLED BY UHS HOSPITALS (UHSH), WHICH IS RECOGNIZED AS EXEMPT UNDER SECTION 501(C)(3) OF THE CODE. IN ESSENCE, THROUGH THE TERMS OF THE BYLAWS, SERVICE AGREEMENT (MA), HOSPITAL PROFESSIONAL SERVICE AGREEMENT (HSA), AND SHAREHOLDER AGREEMENT (SA), UHSH ACTS AS UMA'S COMMUNITY BOARD OF DIRECTORS AND UHSH RETAINS ULTIMATE CONTROL OVER UMA'S ACTIVITIES AND FINANCES. CONVERSELY, NEITHER CHENANGO MEMORIAL HOSPITAL (CMH) NOR DELEWARE VALLEY HOSPITAL (DVH) POSSESS CONTROLLING INFLUENCE OVER UMA. ALTHOUGH, UMA IS RESPONSIVE TO THE NEEDS AND DEMANDS OF UHSH, CMH, AND DVH AS WELL AS BEING AN INTEGRAL PART IN THEIR OPERATIONS. FURTHERMORE, UMA OPERATES AS A DIRECT PROVIDER OF MEDICAL SERVICES TO THE COMMUNITY. UMA PROVIDES NON-DISCRIMINATORY SERVICES TO MEDICARE BENEFICIARIES AND MEDICAID RECIPIENTS. UMA ALSO PROVIDES SERVICES TO THE INDIGENT AND HAS A SLIDING FEE SCALE FOR PATIENTS WHO ARE UNABLE TO PAY THEIR CHARGES IN FULL. 0 457B OTHER LONG TERM ASSET 4637783 4637783 457B LIABILITY 4637783 ACCR PENSION CONTRIBUTION DB PLAN 11077439 UHSH NOTE ST 217459 UHSH NOTE LT 2065865 NOTE PAYABLE PTO LIABILITY ST 65150 NOTE PAYABLE PTO LIABILITY LT 231878 18295574 X 115553846 0 115553846 0 115553846 129136004 0 129136004 0 129136004 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, 2017 AND 2016, 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 2014 THROUGH 2017. X X X X X 0 0 0 0 0 1 1 0 0 LEONARD ANDERSON MD CHAIRMAN 582140 0 0 0 0 0 12690 0 26544 0 621374 0 0 0 ROBERT AUERBACH MD VICE CHAIRMAN 240049 0 39679 0 0 0 12690 0 16995 0 309413 0 0 0 HENDA BOUALI MD TRUSTEE 312360 0 0 0 0 0 12690 0 25683 0 350733 0 0 0 AMR SHADY MD TREASURER 276489 0 61628 0 0 0 12690 0 6038 0 356845 0 0 0 STEPHEN GOMEZ MD TRUSTEE 477062 0 132724 0 0 0 12690 0 17970 0 640446 0 0 0 MICHAEL FARRELL MD TRUSTEE 493373 0 89457 0 0 0 12690 0 26384 0 621904 0 0 0 FRANK EDER MD TRUSTEE 355872 0 10175 0 0 0 12690 0 25996 0 404733 0 0 0 NAZIF CHOWDHURY MD SECRETARY 323100 0 34898 0 0 0 12690 0 25520 0 396208 0 0 0 RYAN LITTLE TRUSTEE 184040 0 33559 0 0 0 10420 0 23528 0 251547 0 0 0 STANLEY FOX TRUSTEE 182350 0 0 0 0 0 8732 0 23192 0 214274 0 0 0 MOHAMMAD QUASEM MD TRUSTEE 687261 0 70336 0 0 0 12690 0 18168 0 788455 0 0 0 ALAN MILLER MD PRESIDENT 433110 0 70826 0 0 0 12690 0 20370 0 536996 0 0 0 JOSEPH CERRA SR VP PHYSICIAN PRACTICE M 317357 0 49723 0 0 0 16740 0 13449 0 397269 0 0 0 WADIH DIAB MD ASSOCIATE MEDICAL DIRECTOR 276615 0 0 0 0 0 12690 0 13589 0 302894 0 0 0 DAVID KWIATKOWSKI MD MEDICAL DIRECTOR 339995 0 0 0 0 0 12690 0 20370 0 373055 0 0 0 FRANK FLOYD MD ASSOCIATE MEDICAL DIRECTOR 310396 0 0 0 0 0 12690 0 20109 0 343195 0 0 0 JOHN GIANNONE MD ASSOCIATE MEDICAL DIRECTOR 308938 0 0 0 0 0 12690 0 6442 0 328070 0 0 0 HISHAM KASHOU MD CARDIOLOGIST 1131499 0 4600 0 0 0 12690 0 22026 0 1170815 0 0 0 LAWRENCE WIESNER MD ORTHOPEDIST 919790 0 245779 0 0 0 12690 0 26643 0 1204902 0 0 0 MATTHEW BENNETT MD ORTHOPEDIST 571416 0 327010 0 0 0 12690 0 26443 0 937559 0 0 0 DAVID GALLAGHER MD ORTHOPEDIST 777135 0 94275 0 0 0 12690 0 14463 0 898563 0 0 0 KHALID SETHI MD NEUROSURGEON 317572 0 1707526 0 0 0 12690 0 26643 0 2064431 0 0 0 DENNIS PERENYI MD SECRETARY,FORMER 223375 0 2000 0 0 0 10792 0 19072 0 255239 0 0 0 PART I, LINE 6 THE 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 THE UNITED HEALTH SERVICES SYSTEM. A PORTION OF THE 2017 INCENTIVE COMPENSATION PAYMENTS WERE ATTRIBUTABLE TO MEETING THE COMBINED NET INCOME, PATIENT SAFETY, AND QUALITY GOALS. PART VII, LINE 5: UNRELATED PARTY DETAIL INDIVIDUAL: JOSEPH CERRA, SENIOR 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 = $253,886 TTHC = $31,736 PHC = $31,736 OTHER COMPENSATION: UHS, INC = $39,778 TTHC = $4,972 PHC = $4,972 NON-TAXABLE BENEFITS: UHS, INC = $10,759 TTHC = $1,345 PHC = $1,345 PENSION: UHS, INC = $13,392 TTHC = $1,674 PHC = $1,674 FORM 990, PART VI, SECTION A, LINE 6 THE ISSUANCE OF MEMBERSHIP SHARES TO PHYSICIAN MEMBERS IS FOR PURPOSES OF VOTING RIGHTS ONLY. THE COMPANY'S MEMBERSHIP SHARES ARE $1 PAR VALUE AND THERE ARE 1,000 SHARES AUTHORIZED FOR ISSUANCE. THE COMPANY HAD 67 AND 71 MEMBERSHIP SHARES ISSUED AND OUTSTANDING AT DECEMBER 31, 2017 AND 2016, RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 7A THE ISSUANCE OF MEMBERSHIP SHARES TO PHYSICIAN MEMBERS IS FOR PURPOSES OF VOTING RIGHTS ONLY. THE COMPANY'S MEMBERSHIP SHARES ARE $1 PAR VALUE AND THERE ARE 1,000 SHARES AUTHORIZED FOR ISSUANCE. THE COMPANY HAD 67 AND 71 MEMBERSHIP SHARES ISSUED AND OUTSTANDING AT DECEMBER 31, 2017 AND 2016, RESPECTIVELY. FORM 990, PART VI, SECTION B, LINE 11B THE PREPARATON 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 WERE REVIEWED BY THE ORGANIZATION'S PUBLIC ACCOUNTANTS, PRESIDENT, AND SENIOR VICE PRESIDENT OF PHYSICIAN PRACTICE MANAGEMENT. DUE TO THE TIMING OF THE SCHEDULED BOARD MEETINGS, A COMPLETE COPY OF THE 2017 FORM 990 WAS NOT ABLE TO BE PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO THE IRS FILING DEADLINE. THE GOVERNING BODY IS AWARE OF THE FILING AND A COPY OF THE 2017 FORM 990 WILL BE AVAILABLE FOR THEIR REVIEW. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATION PURPOSES. 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 UHSH PROVIDER COMPENSATION COMMITTEE 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 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN FEES (SUB CONTRACT): PROGRAM SERVICE EXPENSES 5,117,190. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,117,190. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 11,795,387. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,795,387. FORM 990, PART XI, LINE 9: PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS 238,748. FORM 990 PART XII, LINE 2C NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE YEAR. THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT.