2024-05-14T12:59:27-05:00 2023-06-30 KPMG LLP 303 PEACHTREE ST STE 2000 ATLANTA GA 30308 990 2022-07-01 581581105 UNIVERSITY EXTENDED CARE INC % MARIE GAFFNEY UNIV 7067747710 1350 WALTON WAY AUGUSTA GA 30901 MARIE GAFFNEY VP CORPORATE FINANCE 4702716007 2024-05-13 true MARIE GAFFNEY 999009999 WHITNEY B HEBRON P01226647 4042223000 2024-05-13 2022 2023-04-26 12:10:37Z DR LILY HENSON 1350 WALTON WAY AUGUSTA GA 30901 22551939 false X HTTPS://WWW.PIEDMONT.ORG/ X 1984 GA PROVIDE COMPETENT AND COMPASSIONATE CARE TO MEET THE HEALTH CARE NEEDS OF THE ELDERLY AND DISABLED. 14 9 204 9 0 0 95854 0 15693648 22547799 19 0 1109920 4140 16899441 22551939 0 0 0 0 4426271 8542522 0 0 0 6746258 16744514 11172529 25287036 5726912 -2735097 55085924 62990331 3218996 3728640 51866928 59261691 X TO PROVIDE COMPETENT AND COMPASSIONATE CARE TO MEET THE HEALTH CARE NEEDS OF THE ELDERLY AND DISABLED. THE GOAL IS TO MAINTAIN THE PRESENT LEVEL OF FUNCTION IN THE PATIENT AND TRY TO IMPROVE THE ABILITY OF PATIENTS TO ASSIST WITH THE ROUTINE DAILY CARE IN A CONTROLLED SETTING. false false 21505259 22547799 University Extended Care ("PEC") owns two facilities. The Kentwood facility has 100 skilled nursing beds. The Westwood facility has 149 beds which includes an Alzheimer's unit and a wing designed for orthopedic and cardiac patient rehabilitation. The combined PEC facilities experienced an occupancy of 73.95%. System wide, resident days totaled 67,212. 21505259 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 12 0 true 204 true false false false false false false false false false false false false X 14 9 false false false false true true true true true false false false true true true true true true true false GA X MARIE GAFFNEY 4702716007 2727 PACES FERRY RD BLDG 2 STE 70 ATLANTA GA 30339 KEVIN BROWN BOARD MEMBER 1.0 54.0 X 0 3185079 423467 JAMES R DAVIS CEO (UNTIL 12/2022) 5.0 50.0 X X 0 1604305 24618 ELIZABETH LEDDY SECRETARY/CLO PHC 1.0 54.0 X 0 1389485 138711 CHARLES L BROWN MD BOARD MEMBER 1.0 54.0 X 0 1170962 138163 THOMAS ARNOLD TREASURER/CFO PHC 1.0 54.0 X 0 1173444 130741 DAVID A BELKOSKI CFO 5.0 50.0 X 0 831457 19233 ELIZABETH R GALLUP COO ACUTE CARE SERVICES 5.0 50.0 X 0 756341 24255 LILY J HENSON MD CEO (AS OF 1/2023) 5.0 50.0 X X 0 642511 92972 BARRY J JENKINS CMO 5.0 50.0 X 0 628797 11072 EDWARD L BURR CAO 5.0 50.0 X 0 409253 3926 DANIEL H BOONE MD BOARD MEMBER 2.0 50.0 X 0 298272 20568 SLOAN MAES DIRECTOR OF PEC 50.0 0.0 X 0 167759 11968 ERICA DUGGER ADMINISTRATOR 50.0 0.0 X 122549 0 13538 DAWN C BRUCE ADMINISTRATOR 50.0 0.0 X 83084 39185 3957 KATHY HOLTON LPN 50.0 0.0 X 110212 0 8974 JAMES C SHERMAN MD BOARD MEMBER 1.0 51.0 X 0 117698 0 PAULA SAMUELS LPN 50.0 0.0 X 103973 0 11135 HUGH L HAMILTON BOARD MEMBER/CHAIR 1.0 1.0 X X 0 0 0 EUGENE F MCMANUS BOARD MEMBER/VICE CHAIR 1.0 1.0 X 0 0 0 WILLIAM P DOUPE BOARD MEMBER 1.0 1.0 X 0 0 0 TERRY D ELAM BOARD MEMBER 1.0 1.0 X 0 0 0 LEVI W HILL IV BOARD MEMBER 1.0 1.0 X 0 0 0 SANFORD LOYD BOARD MEMBER 1.0 1.0 X 0 0 0 BECKY SMITH BOARD MEMBER 1.0 1.0 X 0 0 0 EDWARD TARVER BOARD MEMBER 1.0 1.0 X 0 0 0 REGINA HARRISON BOARD MEMBER/AST. SECRETARY 1.0 1.0 X 0 0 0 419818 12414548 1077298 3 false true false AEGIS THERAPIES PO BOX 936653 ATLANTA GA 311936653 THERAPY SERVICES 1717444 MORRISON HEALTHCARE 1350 WALTON WAY AUGUSTA GA 30910 FOOD SERVICES 1272624 ON CALL STAFFING 4236 COLUMBIA RD MARTINEZ GA 30907 STAFFING SERVICES 285214 3 0 PATIENT SERVICE REVENUE 622110 22523230 22523230 OTHER OPERATING REVENUE 900099 24569 24569 22547799 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CAFETERIA SALES 722310 4140 4140 4140 22551939 22547799 0 4140 0 0 0 0 0 0 6401097 5488941 912156 48237 41363 6874 1640795 1406982 233813 452393 387927 64466 1605 1605 13381 13381 0 0 0 0 10910061 9355377 1554684 0 764459 655524 108935 35171 30159 5012 0 1476009 1265678 210331 2357 2021 336 0 0 0 0 203857 203857 670922 670922 BAD DEBT EXPENSE 540805 540805 0 DRUGS & MEDICAL SUPPLIES 975157 975157 HOSPITAL TAX 1050747 1050747 OTHER ADMINISTRATIVE EXPENSES 99983 85735 14248 25287036 21505259 3781777 0 13069393 13770863 0 0 0 0 1101528 999305 0 0 0 0 0 0 0 0 148839 254749 857775 119523 2574779 738252 0 0 0 0 0 0 0 0 38191385 47227162 55085924 62990331 3070289 3725938 0 0 138746 0 0 0 0 0 0 0 0 0 0 0 9961 2702 3218996 3728640 X 51866928 59261691 0 0 51866928 59261691 55085924 62990331 X -2735097 -1659912 11789772 X false true X true false X 0 0 0 0 16000 2067 13933 0 34500 4202 30298 0 754283 113254 641029 0 52992 0 52992 738252 DUE FROM UNIV HOSP MCDUFFIE 22920 DUE FROM UMG 3497427 DUE FROM UHS 43704147 DUE FROM UCA 2668 47227162 0 RESERVE UNCLAIMED PROPERTY 2702 2702 X SCHEDULE D, PART X, LINE 2: ASC 740 FOOTNOTE (FKA FIN 48) PHC ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF ASC 740, INCOME TAXES (ASC 740). UNDER THE REQUIREMENTS OF ASC 740, TAX-EXEMPT ORGANIZATIONS MAY BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS UNCERTAIN TAX EXPOSURE ITEMS. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AT JUNE 30, 2023 OR 2022. X true true false true false false false false false true false JAMES R DAVIS CEO (UNTIL 12/2022) 0 871554 0 323575 0 409176 0 0 0 0 0 1604305 0 0 DAVID A BELKOSKI CFO 0 520973 0 238280 0 72204 0 0 0 0 0 831457 0 0 LILY J HENSON MD CEO (AS OF 1/2023) 0 435927 0 152198 0 54386 0 0 0 8431 0 650942 0 0 ELIZABETH R GALLUP COO ACUTE CARE SERVICES 0 541643 0 174178 0 40520 0 0 0 0 0 756341 0 0 BARRY J JENKINS CMO 0 417855 0 160751 0 50191 0 0 0 0 0 628797 0 0 EDWARD L BURR CAO 0 75799 0 64890 0 268564 0 0 0 0 0 409253 0 0 THOMAS ARNOLD TREASURER/CFO PHC 0 640918 0 356487 0 176039 0 0 0 15644 0 1189088 0 96797 ELIZABETH LEDDY SECRETARY/CLO PHC 0 547780 0 295524 0 546181 0 0 0 20761 0 1410246 0 490447 KEVIN BROWN BOARD MEMBER 0 1586846 0 1024812 0 573421 0 0 0 21793 0 3206872 0 383374 CHARLES L BROWN MD BOARD MEMBER 0 657588 0 322611 0 190763 0 0 0 19989 0 1190951 0 99874 DANIEL H BOONE MD BOARD MEMBER 0 257830 0 13000 0 27442 0 0 0 0 0 298272 0 0 SLOAN MAES DIRECTOR OF PEC 0 149066 0 15402 0 3291 0 0 0 0 0 167759 0 0 Schedule J, Part I, Line 1A: Other Compensation Items Thomas Arnold, Elizabeth Leddy, Lily Henson, and Charles Brown received a discretionary spending account totaling $12,000, a fixed amount determined by their job level. Kevin Brown received a discretionary spending account totaling $37,700. This spending account was included in their taxable wages. Schedule J, Part I, Line 3: Compensation of the CEO/Executive Director The compensation for the president/CEO of UNIVERSITY EXTENDED CARE, INC. is set by the entity's parent, Piedmont Healthcare, Inc. Please see the Schedule O narrative for Form 990, Part VI, Section B, Line 15A & 15B for additional information. Schedule J, Part I, Line 4B: Supplemental compensation information The following individuals received payments from their supplemental executive retirement plans: Thomas Arnold: $96,797 Elizabeth Leddy: $490,447 Kevin Brown: $383,374 Charles Brown: $99,874 Lily Henson participated in a supplemental nonqualified retirement plan but did not receive a current year payment. The following individuals received a CAA redemption: James Davis: $339,489 Edward Burr: $7,000 These payments are included in the total reported on Form 990, Part VII as reportable compensation or other compensation, and have been included in the individuals' W-2. The following individuals received a Roth IUL payment: Dave Belkoski: $67,440 Elizabeth Gallup: $53,517 Barry Jenkins: $40,000 These payments are included in the total reported on Form 990, Part VII as reportable compensation or other compensation, and have been included in the individuals' W-2. Schedule J, Part I, Line 7: Non-fixed payments Certain employees participated in an "annual incentive plan" under which they received non-fixed bonus payments based on job level and several different performance metrics. FORM 990, PART VI, SECTION A, LINE 6: ORGANIZATION'S SOLE MEMBER UNIVERSITY HEALTH SERVICES, INC. (EIN: 58-1581103) IS THE SOLE MEMBER OF UNIVERSITY EXTENDED CARE, INC. ("PEC"). FORM 990, PART VI, SECTION A, LINE 7A: ELECTION OF GOVERNING BODY THE BOARD OF PIEDMONT HEALTHCARE, UNIVERSITY HEALTH SERVICES, INC.'S SOLE MEMBER, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF UNIVERSITY EXTENDED CARE, INC. FORM 990, PART VI, SEC A, LINE 7B: DECISIONS OF GOVERNING BODY UNIVERSITY EXTENDED CARE'S BOARD POLICIES AND DECISIONS MUST BE FILED, IMMEDIATELY AFTER ADOPTION, WITH THE SECRETARY OF THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS. SUCH POLICIES AND DECISIONS OF THE UNIVERSITY EXTENDED CARE BOARD OF DIRECTORS ARE NOT SUBJECT TO THE APPROVAL OF OR RATIFICATION BY THE PIEDMONT HEALTHCARE BOARD, BUT SHOULD THE NEED ARISE, THEY MAY BE RESCINDED BY THE PIEDMONT HEALTHCARE BOARD THROUGH A MAJORITY VOTE OF ITS DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B: 990 REVIEW PROCESS INFORMATION NEEDED TO PREPARE UNIVERSITY EXTENDED CARE'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT. THE INFORMATION IS REVIEWED BY UNIVERSITY EXTENDED CARE AND UNIVERSITY HEALTH SERVICES INC.'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE, INC.'S TAX DEPARTMENT AND SUBMITTED TO AN EXTERNAL TAX PREPARER FOR REVIEW. PRIOR TO FILING, COPIES OF FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE, INC., THE ORGANIZATION'S SOLE MEMBER, FOR BOARD REVIEW. FORM 990, PART VI, SEC B, LINE 12C: CONFLICT OF INTEREST POLICY COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY ORGANIZATION MANAGEMENT IN COORDINATION WITH PIEDMONT HEALTHCARE'S CHIEF COMPLIANCE OFFICER. ALL SENIOR LEADERS, BOARD MEMBERS, PHYSICIAN EMPLOYEES, NURSE PRACTITIONERS/PHYSICIAN ASSISTANTS AND EMPLOYEES AND NON-EMPLOYEES ENGAGED IN RESEARCH ARE REQUIRED TO ANNUALLY DISCLOSE ALL MATTERS WHICH COULD POTENTIALLY CONSTITUTE A CONFLICT OF INTEREST. MATTERS DISCLOSED UNDER THE POLICY MUST BE REVIEWED IN WRITING BY THE PIEDMONT HEALTHCARE CONFLICT OF INTEREST COMMITTEE IN ORDER TO DETERMINE WHETHER A CONFLICT EXISTS AND, IF SO, WHETHER TO ELIMINATE OR MANAGE THE CONFLICT. ALL BOARD MEMBERS AND EMPLOYEES OF UNIVERSITY EXTENDED CARE ARE PROVIDED TRAINING ON CONFLICT OF INTEREST ISSUES, INCLUDING REPORTING REQUIREMENTS, AT NEW EMPLOYEE ORIENTATION AND AT LEAST ANNUALLY THEREAFTER. NONCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY MUST BE REPORTED TO PIEDMONT HEALTHCARE'S chief compliance officer FOR INVESTIGATION, AND REMEDIAL STEPS MUST BE TAKEN AS APPROPRIATE UNDER THE PIEDMONT HEALTHCARE DISCIPLINARY POLICIES. Form 990, Part VI, Sec B, Line 15a, 15b: Executive Compensation Compensation for executives of UNIVERSITY EXTENDED CARE is set by the board of directors of Piedmont Healthcare, Inc. The Piedmont Healthcare, Inc., board of director's executive performance and compensation committee ("The Committee") is composed of at least three members of the PHC board of directors, serving terms of three years, and the majority of which are community directors who generally do not have conflicts of interest related to fulfillment of the duties as outlined below. The committee oversees executive performance and compensation on behalf of the PHC board, subject to the ultimate authority and oversight of the board. The committee also formulates policies and makes decisions in order to ensure a high level of executive performance. The committee is authorized to act on behalf of the PHC board as set out in its charter, and the committee is also charged with providing recommendations and periodic reports to the PHC board regarding executive performance and compensation. All decisions and comparability date are documented in the committee meeting minutes. Functions of the committee -Assess and implement policies regarding performance, compensation and benefits of the president/CEO and other executives as determined by the committee -Select an executive compensation consultant who reports to the committee -Annually review the President/CEO succession plan -Formulate and implement annual performance objectives for the President/CEO, and review and approve annually recommendations from the President/CEO relating to compensation, performance objectives, and succession plans for EVP executives -Annually assess President/CEO performance; If necessary, implement action plan with President/CEO input to improve his/her performance; adjust compensation as appropriate; the committee chair shall consult with the PHC governance committee chair and the PHC board chair and shall coordinate the annual performance review of the PHC president/CEO, unless the PHC board chair has a real or perceived conflict of interest, in which case the committee chair shall determine the proper review process -Review and approve long-term and short-term goals to be used in connection with EVP compensation programs as recommended by the President/CEO and validated by the compensation consultant -Periodically review compensation, if any, for the PHC board chair and all board chairs of the PHC subsidiaries -Establish other policies and procedures, and perform other tasks, related to executive performance and compensation, including but not limited to, approval of executive employment contracts and benefits -Periodically report significant decisions and any additional requested information to the PHC board. FORM 990, PART VI, SECTION C, LINE 19: DISCLOSURE OF DOCUMENTS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS SHOULD BE REQUESTED FROM PIEDMONT HEALTHCARE, INC.'S LEGAL COUNSEL. FORM 990, Part XI, LINE 9: RECONCILIATION OF NET ASSETS CHANGES IN UNRESTR. FUND ($ 83,450) Intercompany $11,873,222 ---------------------------------------------- TOTAL $11,789,772 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PHYSICIAN SUPPORT TOTAL FEES:60000 FORM 990 PART IX LINE 11G DESCRIPTION:SERVICE/MAINTAENANCE CONTRACTS TOTAL FEES:204776 FORM 990 PART IX LINE 11G DESCRIPTION:GENERAL CONTRACT LABOR TOTAL FEES:6118588 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASE SER/CONTRACT SERV TOTAL FEES:4526697 PIEDMONT HEALTHCARE INC 1800 HOWELL MILL RD STE 850 ATLANTA GA 30318 581503902 HC MANAGEMENT GA 501(c)(3) 12C, III-FI NA false PIEDMONT HOSPITAL Inc 1968 PEACHTREE ROAD NW ATLANTA GA 30309 580566213 HOSPITAL GA 501(c)(3) 3 PHC false FAYETTE COMMUNITY HOSPITAL INC 1255 HIGHWAY 54 WEST FAYETTEVILLE GA 30214 582232328 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT MOUNTAINSIDE HOSPITAL INC 1266 HIGHWAY 515 SOUTH JASPER GA 30143 352228583 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT NEWNAN HOSPITAL INC 745 POPLAR ROAD NEWNAN GA 30265 205077249 HOSPITAL GA 501(c)(3) 3 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false REGIONAL FIRSTCARE INC 1199 PRINCE AVENUE Athens GA 30606 582362733 URGENT CARE GA 501(c)(3) 12B, II PARMC false THE MEDICAL CENTER INC 707 CENTER STREET COLUMBUS GA 31901 581685139 HOSPITAL GA 501(C)(3) 3 CRHS false COLUMBUS REGIONAL HEALTHCARE SYSTEM INC 707 CENTER STREET COLUMBUS GA 31901 581719994 MANAGEMENT GA 501(C)(3) 12B, II PHC false COLUMBUS REGIONAL MEDICAL FOUNDATIONINC 707 CENTER STREET COLUMBUS GA 31901 581501642 FUNDRAISING GA 501(C)(3) 7 CRHS false HUGHSTON HOSPITAL INC 707 CENTER STREET COLUMBUS GA 31901 331216751 HOSPITAL GA 501(C)(3) 3 CRHS false PIEDMONT ROCKDALE HOSPITAL INC 1412 MILSTEAD AVE CONYERS GA 30012 300999841 HOSPITAL GA 501(C)(3) 3 PHC false PIEDMONT WALTON HOSPITAL INC 2151 WEST SPRING ST MONROE GA 30655 824194264 HOSPITAL GA 501(C)(3) 3 PHC false PIEDMONT HEART INSTITUTE INC 95 COLLIER ROAD NW STE 2045 ATLANTA GA 30309 263553500 HEALTHCARE GA 501(C)(3) 10 PHC false COLUMBUS AMBULATORY HEALTHCARE SERVICES 707 CENTER STREET COLUMBUS GA 31901 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HEALTHCARE GA NA C-CORP 0 0 false PIEDMONT HEART INSTITUTE PHYSICIANS INC 95 COLLIER RD NW STE 2045 ATLANTA GA 30309 260593850 HEALTHCARE GA NA C-CORP 0 0 false AMSTER MCRAE INSURANCE COMPANY SPC PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981734069 RELATED INSURANCE CJ NA C-CORP 0 0 false COLUMBUS HEALTHCARE RESOURCES PO BOX 790 COLUMBUS GA 31902 581717754 HEALTHCARE GA NA C-CORP 0 0 false COLUMBUS HEALTH SERVICES INC PO BOX 790 COLUMBUS GA 31902 581640939 HEALTHCARE GA NA C-CORP 0 0 false UNIVERSITY HEALTH RESOURCES INC 1350 WALTON WAY AUGUSTA GA 30901 581601372 HEALTHCARE GA NA C-CORP 0 0 false UNIVERSITY HOSPITAL AIKEN INC 1350 WALTON WAY AUGUSTA GA 30901 472713774 HOSPITAL SC NA C-CORP 0 0 false false false false true false false false false false false true false true false true true false false false