Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UNIVERSITY MEDICAL ASSOCIATES AT SYRACUSE INC
Employer identification number
16-1450994
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
1,042,165
888,688
1,930,853
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
788,653
531,625
2,335,284
2,234,462
2,384,607
8,274,631
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
1,830,818
1,420,313
2,335,284
2,234,462
2,384,607
10,205,484
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
987,051
987,051
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
987,051
987,051
8
Public Support (Subtract line 7c from line 6.)
9,218,433
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
1,830,818
1,420,313
2,335,284
2,234,462
2,384,607
10,205,484
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
108,712
122,973
88,819
8,488
11,166
340,158
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
108,712
122,973
88,819
8,488
11,166
340,158
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
1,939,530
1,543,286
2,424,103
2,242,950
2,395,773
10,545,642
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
87.410 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
75.170 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
3.230 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
3.180 %
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UNIVERSITY MEDICAL ASSOCIATES AT SYRACUSE INC
Employer identification number
16-1450994
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
UNIVERSITY MEDICAL ASSICIATES AT SYRACUSE, INC. WAS FORMED AS A NOT-FOR-PROFIT ORGANIZATION WHOSE MEMBERS, PURSUANT TO A PROVISION OF THE ORGANIZATION'S GOVERNING DOCUMENTS, HAVE THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 IS REVIEWED BY THE (JOINT DEAN'S ADVISORY GROUP AND THE) UMAS FINANCE AND BUDGET COMMITTEE AS PART OF THE ANNUAL REGULATORY FINANCIAL REVIEW WHICH INCLUDES THE AUDIT OF THE FINANCIAL STATEMENT.
FORM 990, PART VI, SECTION B, LINE 12C
THERE IS AN ANNUAL AUDIT OF THE FINANCIAL STATEMENTS PERFORMED. IF A NON-DISCLOSED CONFLICT OF INTEREST IS DISCOVERED THROUGH AUDIT, IT IS BROUGHT TO MANAGEMENT'S ATTENTION. THE INDEPENDENT AUDITOR AND UMAS DEPT. OF INTERNAL AUDIT WILL RESPOND TO ANY COMPLAINT REGARDING CONFLICT OF INTEREST. IN ADDITION, THE COMPLIANCE OFFICER FOR FACULTY PRACTICE REVIEWS COTRACTS AND DOCUMENTS FOR A NUMBER OF COMPLIANCE ISSUES INCLUDING CONFLICT OF INTEREST
FORM 990, PART VI, SECTION B, LINE 15
EACH YEAR THE ADMINISTRATIVE DIRECTOR MEETS WITH THE ELECTED OFFICERS OF THE EXECUTIVE COMMITTEE TO REVIEW SALARIES AND ANNUAL RAISES OF THE CENTRAL OFFICE PERSONNEL. GUIDELINES AND STRUCTURE OF THE UPSTATE MEDICAL UNIVERSITY HUMAN RESOURCES DEPARTMENT ARE FOLLOWED WHICH TYPICALLY SPECIFY THE ANNUAL COST OF LIVING INCREASE AND MERIT RAISE RANGE. THERE IS ALSO A PROCESS FOR INCREASED COMPENSATION BASED ON ADDITIONAL DUTIES AND RESPONSIBILITIES AND INTERNAL/EXTERNAL PARITY AND MARKET COMPETITIVENESS. THE ADMINISTRATIVE DIRECTOR'S SALARY IS DETERMINED BY THE EXECUTIVE COMMITTEE BASED ON THIS PROCESS. THE DIRECTORS SERVE THE UMAS BOARD WITHOUT COMPENSATION. UMAS AND GOVERNING BOARD HAVE NEITHER INVOLVEMENT NOR AUTHORITY REGARDING CHAIR COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19
FINANCIAL STATEMENTS ARE PROVIDED BY UMAS TO THE STATE UNIVERSITY OF NEW YORK (SUNY) IN ALBANY WHO DISTRIBUTE THEM AT THEIR DISCRETION. GOVERNING DOCUMENTS AND POLICIES, INCLUDING THE CONFLICT OF INTEREST POLICY, WILL BE PROVIDED UPON REQUEST BY SUNY. THESE DOCUMENTS AND POLICIES CAN BE REQUESTED BY THE OFFICE OF THE STATE COMPTROLLER (OSC) WHO MAY FURTHER DISTRIBUTE THEM AT THEIR DISCRETION.
UMAS HAS NOT CHANGED EITHER ITS OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT PROCESS, OR SELECTION OF AN INDEPENDENT ACCOUNTANT PROCESS, DURING THE YEAR.
RELATIONSHIP BETWEEN UMAS AND MSG'S/LLP'S:
UPSTATE MEDICAL UNIVERSITY IS ONE OF FOUR HEALTH SCIENCES CENTERS OF THE STATE UNIVERSITY OF NEW YORK (SUNY). THE FACULTY PRACTICE PLAN OF UPSTATE MEDICAL UNIVERSITY IS ORGANIZED AS A DEPARTMENTALLY BASED FEDERATED PLAN. THERE ARE 18 COLLEGE OF MEDICINE CLINICAL DEPARTMENTS, EACH MANAGED BY IT'S RESPECTIVE CHAIR PERSON. THE CHAIRS AND CLINICAL FACULTY OF THE 18 DEPARTMENTS PRACTICE MEDICINE WITHIN THEIR RESPECTIVE SPECIALTIES AND DEPARTMENTAL MEDICAL SERVICE GROUP (MSG). EACH CHAIR IS RESPONSIBLE FOR THE BUSINESS AND OPERATIONS OF THEIR CLINICAL PRACTICE, CALLED THE MEDICAL SERVICE GROUP OR MSG. EACH MSG HAS ITS OWN GOVERNANCE THAT IS ALSO RELATED TO THE CORPORATE STRUCTURE OF THE MSG (LLP OR FACULTY PRACTICE CORPORATION). BASED ON THE SUNY BOARD OF TRUSTEES POLICIES (ARTICLE XVI), THE GOVERNING BOARD OF THE FACULTY PRACTICE PLAN IS RESPONSIBLE FOR THE OVERSIGHT AND GOVERNANCE OF THE PRACTICE PLAN. UNIVERSITY MEDICAL ASSOCIATES OF SYRACUSE (UMAS), INC. WAS CREATED IN 1993 AS A PARALLEL LEGAL ENTITY TO ENABLE THE GOVERNING BOARD TO ENGAGE IN BUSINESS TRANSACTIONS REGARDING THE PRACTICE PLAN. THE MEMBERS OF UMAS ARE THE ELECTED REPRESENTATIVES OF THE 18 CLINICAL DEPARTMENT PRACTICES. FOR THE MOST PART, THEY ARE THE CHAIRS OF THE DEPARTMENTS WITHIN THE COLLEGE OF MEDICINE. EACH MSG HAS ONE REPRESENTATIVE TO UMAS AND THE GOVERNING BOARD WHILE ITS INTERNAL GOVERNANCE WOULD INCLUDE MULTIPLE DIRECTORS BASED ON THE SIZE AND MAKE UP OF THE GROUP. UMAS SERVES AS THE COLLABORATIVE MECHANISM TO INTEGRATE AND UNITE THE 18 MSGS. DECISIONS WHICH IMPACT THE PRACTICE PLAN ARE MADE AT THE BOARD MEETINGS AND THE MSG'S WORK TOGETHER TO EXECUTE SUCH DECISIONS. THE CENTRAL OFFICE OF UMAS WORKS CLOSELY WITH THE DEPARTMENTAL CHAIRS AND BUSINESS MANAGERS, ETC. TO ACHIEVE STANDARDIZATION AND OVERSIGHT. EACH MSG BILLS UNDER ITS OWN TAX IDENTIFICATION. UMAS IS FINANCIALLY FUNDED BY THE CONTRIBUTION OR SELF ASSESSMENT OF 1% OF THE CLINICAL RECEIPT REVENUE BY AND OF THE MSG'S. FACULTY AND STAFF OF THE CLINICAL MSG WORK WITH THE CHAIR OF THAT DEPARTMENT TO SUPPORT THE PRACTICE ACTIVITIES, ETC. UPSTATE MEDICAL UNIVERSITY IS A TYPICALLY COMPLEX ORGANIZATION WITHIN WHICH UMAS RELATES TO OTHER PARTS AND ORGANIZATIONS OF THE UNIVERSITY. THE PHYSICIANS ARE ALL FACULTY OF THE COLLEGE OF MEDICINE; THE RESEARCH FOUNDATION OF THE STATE OF NEW YORK SERVES THE PURPOSE OF MANAGING GRANT FUNDING AND ADMINISTRATIVE FUNCTIONS USED BY THE CLINICAL FACULTY. MANY OF THE STAFF WORKING WITH THE PRACTICE PLANS IS EMPLOYED THROUGH THE RESEARCH FOUNDATION. IN ADDITION, MEDBEST MEDICAL MANAGEMENT, A MEMBER CORPORATION, WAS CREATED BY UNIVERSITY HOSPITAL AND UMAS TO PROVIDE BILLING AND OTHER PRACTICE MANAGEMENT SERVICES FOR THE MSG'S. UNIVERSITY MEDICAL ASSOCIATES AT SYRACUSE (UMAS) DOES NOT HAVE ANY OWNERSHIP RIGHTS OF THIS ORGANIZATION BUT DOES HAVE A 50% VOTING INTEREST AS A MEMBER OF THE CORPORATION.
THE 990 IS REVIEWED BY THE UMAS FINANCE AND BUDGET COMMITTEE AS PART OF THE ANNUAL REGULATORY FINANCIAL REVIEW WHICH INCLUDES THE FINANCIAL STATEMENT AUDIT.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.