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UNIVERSITY HEALTH INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY HEALTH INC (EIN 58-1581102)
Tax period
2022-01-01 to 2022-02-28
Filed
2023-05-15
IRS object ID
202331359349305263
Schema version
2022v5.0
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)
Return2023-05-15T10:26:27-05:00ReturnTs
Tax Period End2022-02-28TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN570381582PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ELLIOTT DAVIS LLCPLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 EAST MOREHEAD STREET SUITE 700AddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581581102EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNIVBusinessNameControlTxt
Phone7068282406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID A BELKOSKIPersonNm
Person TitleCFOPersonTitleTxt
Phone7068282406PhoneNum
Signature2023-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVIDPersonFirstNm
Person LastBELKOSKIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJANICE A RATICAPreparerPersonNm
PTINP00358837PTIN
Phone7043338881PhoneNum
Preparation2023-05-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd
Principal OfficerJAMES DAVISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,079,232GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UNIVERSITYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionPRIMARY FUNCTIONS ARE THE COORDINATION AND DELIVERY OF HEALTH CARE RESOURCES AND SERVICES, HEALTH CARE EDUCATION FOR THE HOSPITAL SERVICE AREA, LONG RANGE ANALYSIS OF HEALTH CARE NEEDS AND DEVELOPMENT OF PROGRAMS, AND ARRANGING FOR FINANCING OF HEALTH CARE PROGRAMS.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$93,197,088PYProgramServiceRevenueAmt
CY Program Service Revenue$15,013,372CYProgramServiceRevenueAmt
PY Investment Income$71,801PYInvestmentIncomeAmt
CY Investment Income$788CYInvestmentIncomeAmt
PY Other Revenue$618,546PYOtherRevenueAmt
CY Other Revenue$60,415CYOtherRevenueAmt
PY Total Revenue$93,887,435PYTotalRevenueAmt
CY Total Revenue$15,074,575CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$94,096,219PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,748,338CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$28,441,043PYOtherExpensesAmt
CY Other Expenses$5,278,540CYOtherExpensesAmt
PY Total Expenses$122,537,262PYTotalExpensesAmt
CY Total Expenses$21,026,878CYTotalExpensesAmt
PY Revenues Less Expenses-$28,649,827PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,952,303CYRevenuesLessExpensesAmt
Total Assets BOY$79,627,857TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$33,363,670TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$46,264,187NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
MissionPRIMARY FUNCTIONS ARE THE COORDINATION AND DELIVERY OF HEALTH CARE RESOURCES AND SERVICES, HEALTH CARE EDUCATION FOR THE HOSPITAL SERVICE AREA, LONG RANGE ANALYSIS OF HEALTH CARE NEEDS AND DEVELOPMENT OF PROGRAMS, AND ARRANGING FOR FINANCING OF HEALTH CARE PROGRAMS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$19,040,179ExpenseAmt
Revenue$15,013,372RevenueAmt
DescUNIVERSITY HEALTH CARE PHYSICIANS, A SINGLE-MEMBER LIMITED LIABILITY COMPANY OF UHI, WAS CREATED TO ENHANCE THE COORDINATION AND DELIVERY OF HEALTH CARE SERVICES FOR PRIMARY CARE, INCLUDING INTERNAL AND FAMILY MEDICINE, ONCOLOGY, VASCULAR AND CT SURGERY, AND CARDIOLOGY.Desc
Total Program Service Expenses$19,040,179TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate OperationsYes (1)TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID A BELKOSKI EXEC VPCFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7067747710PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JAMES R DAVIS
UHCS PRESIDENT & CEO5.0035.00Yes (X)Yes (X)$0$310,982$6,570
DANIEL H BOONE MD
BOARD MEMBER40.00Yes (X)$56,120$0$4,015
JAMES C SHERMAN MD
BOARD MEMBER1.0024.00Yes (X)$0$18,462$0
SANFORD LOYD
BOARD MEMBER1.00Yes (X)$0$0$0
TERRY D ELAM
BOARD MEMBER1.00Yes (X)$0$0$0
LEVI W HILL IV
BOARD MEMBER1.00Yes (X)$0$0$0
WILLIAM P DOUPE
BOARD MEMBER1.00Yes (X)$0$0$0
EDWARD TARVER
BOARD MEMBER1.00Yes (X)$0$0$0
BECKY SMITH
BOARD MEMBER1.00Yes (X)$0$0$0
HUGH L HAMILTON
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
EUGENE F MCMANUS
VICE CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
DAVID A BELKOSKI
UHCS CFO5.0035.00Yes (X)$0$159,023$2,961
ELIZABETH R GALLUP
COO5.0035.00Yes (X)$0$156,310$5,341
EDWARD L BURR
CAO5.0035.00Yes (X)$0$138,879$3,719
BARRY J JENKINS
CMO5.0035.00Yes (X)$0$129,344$2,262
MAC BOWMAN MD
CMO40.00$285,493$0$3,883Yes (X)
SANTOSH VARKEY
PHYSICIAN40.00$397,586$0$3,570Yes (X)
HOUMAN S TAMADDON
PHYSICIAN40.00$330,934$0$5,988Yes (X)
GREGORY M OETTING
PHYSICIAN40.00$270,320$0$7,563Yes (X)
TIMOTHY HUNTER
PHYSICIAN40.00$146,842$0$4,176Yes (X)
JONATHAN TUTTLE
PHYSICIAN40.00$115,882$0$5,313Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,603,177TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$913,000TotReportableCompRltdOrgAmt
Total Other Compensation$55,361TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AMN WORKFORCE SOLUTIONS
PO BOX 744869ATLANTAGA303744869PURCHASED SERVICES - BILLING$278,420
COMPHEALTH
PO BOX 972651DALLASTX753972651PURCHASED SERVICES - LOCUMS (SHORT TERM$157,453
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHYSICIAN FEES621110$12,790,124$12,790,124
HOSPITAL SERVICES812900$2,223,248$2,223,248
FieldValueIRS element (for citing)
Total Program Service Revenue$15,013,372TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,445TotalRevenueColumnAmt
Exclusion$5,445ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$849RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$849RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$849TotalRevenueColumnAmt
Exclusion$849ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$4,657OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$4,657OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,657TotalRevenueColumnAmt
Related Or Exempt Func Income-$4,657RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business812900BusinessCd
Total Revenue Column$59,566TotalRevenueColumnAmt
Related Or Exempt Func Income$59,566RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$59,566OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,074,575TotalRevenueColumnAmt
Related Or Exempt Func Income$15,068,281RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,294ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,135,595TotalAmt
Program Services$12,371,185ProgramServicesAmt
Management And General$764,410ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$170,866TotalAmt
Program Services$165,740ProgramServicesAmt
Management And General$5,126ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,677,023TotalAmt
Program Services$1,415,230ProgramServicesAmt
Management And General$261,793ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$764,854TotalAmt
Program Services$726,611ProgramServicesAmt
Management And General$38,243ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$156,714TotalAmt
Management And General$156,714ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,159,632TotalAmt
Program Services$1,566,742ProgramServicesAmt
Management And General$592,890ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$55TotalAmt
Management And General$55ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$61,705TotalAmt
Program Services$17,832ProgramServicesAmt
Management And General$43,873ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$353,320TotalAmt
Program Services$315,390ProgramServicesAmt
Management And General$37,930ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$899,211TotalAmt
Program Services$875,081ProgramServicesAmt
Management And General$24,130ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$269,177TotalAmt
Program Services$255,888ProgramServicesAmt
Management And General$13,289ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$456,519TotalAmt
Program Services$429,535ProgramServicesAmt
Management And General$26,984ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MED SURG SUPPLIES$667,114$666,973$141
DUES, FEES & MEMBERSHIP$80,159$75,372$4,787
GENERAL SUPPLIES$67,308$64,250$3,058
REPAIRS & MAINTENACE$46,812$46,783$29

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$60,814TotalAmt
Program Services$47,567ProgramServicesAmt
Management And General$13,247ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,026,878TotalAmt
Program Services$19,040,179ProgramServicesAmt
Management And General$1,986,699ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,201,150BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,944,830BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$236,879BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,826,276BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$14,173,789BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$41,244,933BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$79,627,857BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,824,773BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,538,897BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,363,670BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$46,264,187BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,264,187BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$79,627,857BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,952,303ReconcilationRevenueExpnssAmt
Prior Period Adjustments$903,883PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$41,215,767OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$1,572,691CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$1,572,691TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$78,634,532CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$85,434,260CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$85,457,297CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,197,088CurrentTaxYearMinus1YearAmt
Current Tax Year$15,013,372CurrentTaxYearAmt
Total$357,736,549TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$78,634,532CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$85,434,260CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,029,988CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,197,088CurrentTaxYearMinus1YearAmt
Current Tax Year$15,013,372CurrentTaxYearAmt
Total$359,309,240TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$359,309,240PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$45,408,693CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$67,225,628CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$10,441,764CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$81,986CurrentTaxYearMinus1YearAmt
Current Tax Year$1,637CurrentTaxYearAmt
Total-$32,175,076TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$45,408,693CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$67,225,628CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$10,441,764CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$81,986CurrentTaxYearMinus1YearAmt
Current Tax Year$1,637CurrentTaxYearAmt
Total-$32,175,076TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,110,116CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$847,401CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,152,323CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$608,361CurrentTaxYearMinus1YearAmt
Current Tax Year$59,566CurrentTaxYearAmt
Total$3,777,767TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$125,153,341CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,056,033CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$77,740,547CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,887,435CurrentTaxYearMinus1YearAmt
Current Tax Year$15,074,575CurrentTaxYearAmt
Total$330,911,931TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, SHORT YEAR EXPLANATION:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS FILING A FINAL RETURN FOR THE ACCOUNTING PERIOD OF 01/01/22 TO 02/28/22.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING FOR INCOME TAXES - THE PARENT, UHS, THE FOUNDATION, ARCOA, AND UNIVERSITY EXTENDED CARE, INC. ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. UNIVERSITY HEALTH RESOURCES, INC. IS A TAXABLE ENTITY AND FILES A CORPORATE TAX RETURN. UHCP IS ORGANIZED UNDER GEORGIA LAW AND THE INTERNAL REVENUE CODE AS A LIMITED LIABILITY COMPANY (LLC). THE MEMBERS OF AN LLC REPORT TAXABLE INCOME OR LOSS ON THEIR CORPORATE OR INDIVIDUAL TAX RETURNS. WITH RESPECT TO ITS FOR-PROFIT ENTITIES, AS WELL AS ANY UNRELATED BUSINESS INCOME GENERATED BY THE TAX-EXEMPT ENTITIES, THE PARENT RECORDS INCOME TAXES USING THE LIABILITY METHOD UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. THERE IS PRESENTLY NO TAXATION IMPOSED BY THE GOVERNMENT OF THE CAYMAN ISLANDS ON INCOME OR PREMIUMS OF WWI. AS A RESULT, NO TAX LIABILITY OR EXPENSE HAS BEEN RECORDED. THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF FEBRUARY 28, 2022. FISCAL YEARS ENDED ON OR AFTER DECEMBER 31, 2019 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SANTOSH VARKEY
PHYSICIAN$367,229$0$25,000$0$5,357$0$1,308$0$2,262$0$401,156$0$0$0
HOUMAN S TAMADDON
PHYSICIAN$306,136$0$9,375$0$15,423$0$2,769$0$3,219$0$336,922$0$0$0
JAMES R DAVIS
UHCS PRESIDENT & CEO$0$124,117$0$127,308$0$59,557$0$3,917$0$2,653$0$317,552$0$0
MAC BOWMAN MD
CMO$260,780$0$21,250$0$3,463$0$1,292$0$2,591$0$289,376$0$0$0
GREGORY M OETTING
PHYSICIAN$248,830$0$0$0$21,490$0$4,344$0$3,219$0$277,883$0$0$0
DAVID A BELKOSKI
UHCS CFO$0$75,203$0$74,933$0$8,887$0$576$0$2,385$0$161,984$0$0
ELIZABETH R GALLUP
COO$0$76,994$0$74,250$0$5,066$0$2,285$0$3,056$0$161,651$0$0
TIMOTHY HUNTER
PHYSICIAN$107,135$0$30,250$0$9,457$0$2,308$0$1,868$0$151,018$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ASOCIAL CLUB DUES- THE RELATED ORGANIZATION PAYS MEMBERSHIP FEES FOR THE CEO (JAMES DAVIS) TO SAGE VALLEY AND THE AUGUSTA COUNTRY CLUB. THESE MEMBERSHIP FEES ARE PAID SO THE ORGANIZATION CAN HAVE ACCESS TO THE MEETING FACILITIES AND CATERING SERVICES THESE ORGANIZATIONS PROVIDE FOR MEETINGS THAT ARE HELD OFF CAMPUS. ANY PERSONAL USE, RELATED TO THESE MEMBERSHIPS, IS REIMBURSED BY THE CEO.
PART I, LINE 4BDAVID BELKOSKI- ROTH IUL- $8,093 ELIZABETH R GALLUP-ROTH IUL- $6,422 DR BARRY JENKINS - ROTH IUL - $4,800, SECT 162 - $1,147 EDWARD BURR- CAA BENEFITS- $7,000 SCOTT ANSEDE- ROTH IUL- $4,219, SECT 162-$795 TAMADDON- ROTH IUL- $5,316, SECT 162- $569 PLEASE NOTE THAT ALL OF THE BENEFITS LISTED ABOVE ARE INCLUDED IN THE TOTALS REPORTED ON FORM 990, SCHEDULE VII AS REPORTABLE COMPENSATION OR OTHER COMPENSATION AND HAVE BEEN INCLUDED IN THE INDIVIDUALS' W-2.
PART I, LINE 6THE BONUS PLAN FOR MANAGEMENT IS CALCULATED BASED ON STRATEGIC INITIATIVES AS DETERMINED BY THE COMPENSATION COMMITTEE. THESE INITIATIVES ARE GOALS THAT MUST BE ACHIEVED DURING THE YEAR IN ORDER FOR BONUS PAYOUT. FOR 2022 THESE INITIATIVES WERE WEIGHTED AS DISPLAYED IN THE FOLLOWING SCHEDULE: UNIVERSITY HEALTH SERVICES, INC 2022 STRATEGIC INITIATIVES WEIGHT QUALITY 20% ACHIEVE OVERALL RATING OF CARE SCORE (RAW SCORE) 20% MINIMIZE HOSPITAL ACQUIRED CONDITIONS PER 1,000 MEDICARE DISCHARGES GROWTH 20% GROW THE NUMBER OF ED VISITS ON THE MAIN CAMPUS PEOPLE 20% ACHIEVE RN TURNOVER RATE FOR UH IN 2022 AFFORDABILITY 20% ACHIEVE OPERATING MARGIN FOR UNIVERSITY HEALTH, INC 100% EACH GOAL THAT WAS ACHIEVED REPRESENTED THAT PERCENTAGE OF BONUS PAYOUT OUT OF A POSSIBLE 100% BASED ON A THRESHOLD LEVEL, TARGET LEVEL, OR AN EXCEED LEVEL.

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidALL ASSETS & LIABILITIES OF THE ORGANIZATIONAssetsDistriOrExpnssPaidDesc
Distribution2022-02-28DistributionDt
Fair Market Value Of Asset$41,215,767FairMarketValueOfAssetAmt
Method Of FMV DeterminationBOOK VALUEMethodOfFMVDeterminationTxt
EIN581581103EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor0DirectorOfSuccessorInd
Employee Of SuccessorYes (1)EmployeeOfSuccessorInd
Owner Of Successor0OwnerOfSuccessorInd
Receive Compensation0ReceiveCompensationInd
Assets DistributedYes (1)AssetsDistributedInd
Required To Notify AGYes (1)RequiredToNotifyAGInd
Attorney General NotifiedYes (1)AttorneyGeneralNotifiedInd
Liabilities Paid0LiabilitiesPaidInd
Bonds Outstanding0BondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2E:FormAndLineReferenceDesc
ExplanationEXPLANATION OF INVOLVEMENT: ALL OFFICERS OF UNIVERSITY HEALTH INC. ("UHI") ARE OFFICERS OF UNIVERSITY HEALTH SERVICES INC. ("UHS"). OFFICERS WILL RETAIN THEIR POSITIONS IN THE MERGED ORGANIZATION EFFECTIVE 03/01/2022.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE 990 FORM AND ALL RELATED SCHEDULES WAS PROVIDED TO THE GOVERNING BOARD BEFORE FILING IN ELECTRONIC FORM. AN EMAIL WAS SENT TO ALL MEMBERS OF THE GOVERNING BODY CONTAINING A LINK TO A PASSWORD-PROTECTED WEBSITE ON WHICH THE ENTIRE 990 COULD BE VIEWED. THE EMAIL EXPLAINED THAT THE FORM 990 WAS AVAILABLE FOR REVIEW ON THE WEBSITE.
FORM 990, PART VI, SECTION B, LINE 12CTHE STEPS IN THE CONFLICT OF INTEREST POLICY ARE OUTLINED BELOW: 1. SENIOR MANAGEMENT (VICE PRESIDENTS AND ABOVE) SHALL COMPLETE A POTENTIAL CONFLICT OF INTEREST QUESTIONNAIRE PERIODICALLY. EACH SYSTEM ORGANIZATION'S CEO, COO, CFO AND WITHIN THEIR DIVISION'S VICE PRESIDENTS MAY REQUIRE ANY EMPLOYEE TO COMPLETE A POTENTIAL CONFLICT OF INTEREST QUESTIONNAIRE. 2.EACH EMPLOYEE IS EXPECTED TO REPORT A POTENTIAL CONFLICT OF INTEREST WHEN IT ARISES. 3. A. AN EMPLOYEE WILL REPORT A POTENTIAL CONFLICT OF INTEREST BY INITIATING A POTENTIAL CONFLICT OF INTEREST DISCLOSURE FORM AND DELIVERING IT TO HIS/HER VICE PRESIDENT. ALL EMPLOYEE POTENTIAL CONFLICTS WILL BE SCREENED BY TWO LEVELS OF SENIOR MANAGEMENT TO IDENTIFY CONFLICT OR DUALITY OF INTEREST SITUATIONS. (A DUALITY OF INTEREST EXISTS WHEN AN INDIVIDUAL HAS PERSONAL OR OUTSIDE INTERESTS THAT CAN BE AFFECTED BY DECISIONS OF THE SYSTEM. SUCH A DUALITY OR EVEN MULTIPLICITY OF INTEREST CAN BE BENEFICIAL TO AND CONSISTENT WITH THE PRIMARY GOALS OF THE INSTITUTIONS. DUALITY OF INTEREST CAN RAISE THE POTENTIAL FOR CONFLICT OF INTEREST WHEN THE PERSONAL INTERESTS OF INDIVIDUALS COME INTO CONFLICT WITH THE INTERESTS OF THE SYSTEM.) B. WHEN A DIVISION VICE PRESIDENT IS NOTIFIED OF A POTENTIAL CONFLICT/DUALITY OF INTEREST, THE VICE PRESIDENT SHALL INVESTIGATE THE SITUATION AND MAKE A REPORT OF HIS OR HER FINDINGS ALONG WITH A RECOMMENDATION TO THE EXECUTIVE VICE PRESIDENT (COO) OR CEO OF THE INVOLVED SYSTEM ORGANIZATION. C. THE EXECUTIVE VICE PRESIDENT OR CEO WHO RECEIVED THE 3.B REPORT SHALL MAKE A DECISION CONCERNING A POTENTIAL CONFLICT OF INTEREST AND ANY RESOLUTION MEASURES TO BE TAKEN. IN THE EVENT THE POTENTIAL CONFLICT INVOLVES A VICE PRESIDENT, THE PRESIDENT OF UNIVERSITY HEALTH SHALL INVESTIGATE THE SITUATION AND MAKE A DECISION CONCERNING A POTENTIAL CONFLICT OF INTEREST AND ANY RESOLUTION MEASURES TO BE TAKEN. THIS INFORMATION SHALL BE COMMUNICATED DIRECTLY TO THE CONCERNED EMPLOYEE. D. THE EMPLOYEE MAY APPEAL THE CONFLICT OF INTEREST DETERMINATION TO THE PRESIDENT OF UNIVERSITY HEALTH. THE PRESIDENT'S DECISION ABOUT A POTENTIAL CONFLICT OF INTEREST AND ANY RESOLUTION MEASURES IS FINAL AND NOT COGNIZABLE UNDER THE EMPLOYEE GRIEVANCE POLICY A-30. E. IN THE EVENT THE POTENTIAL CONFLICT INVOLVES THE CEO OF A SYSTEM ORGANIZATION, THE MATTER SHALL BE REPORTED TO THE CHAIRMAN OF THE INVOLVED SYSTEM ORGANIZATION BOARD, WHO SHALL DETERMINE IF A CONFLICT EXISTS AND WHAT, IF ANY, RESOLUTION MEASURES ARE NECESSARY IN ACCORDANCE WITH THE CORPORATION'S CONFLICT OF INTEREST POLICY. 4. FILING OF FORMS A. CONFLICT OF INTEREST QUESTIONNAIRES OF THOSE WHO ARE REQUIRED BY THIS POLICY TO COMPLETE ONE PERIODICALLY SHALL BE FILED IN THE APPLICABLE CORPORATION'S CEO'S OFFICE AND RETAINED FOR NO LESS THAN SEVEN YEARS. OPTIONAL CONFLICT OF INTEREST QUESTIONNAIRES SHALL BE FILED IN THE OFFICE OF THE VICE PRESIDENT WHO REQUESTED COMPLETION OF THE FORM. B. COMPLETED POTENTIAL CONFLICT OF INTEREST DISCLOSURE FORMS SHALL BE FILED IN THE APPLICABLE CORPORATION'S CEO'S OFFICE FOR THE CEO, COO, AND VICE PRESIDENTS AND FOR ALL OTHERS IN THE APPROPRIATE VICE PRESIDENT'S OFFICE. THE FORMS SHOULD BE RETAINED FOR NO LESS THAN SEVEN YEARS. 5.THE VICE PRESIDENT FOR LEGAL AFFAIRS WILL BE AVAILABLE TO ADVISE ON POTENTIAL CONFLICT OF INTEREST MATTERS. BOARD MEMBERS: BOARD MEMBERS ARE ALSO REQUIRED TO COMPLETE A POTENTIAL CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THIS QUESTIONNAIRE ASKS FOR DISCLOSURES RELATED TO ANY FAMILY RELATIONSHIPS OR BUSINESS RELATIONSHIPS WITH OTHER BOARD MEMBERS, OR BUSINESS RELATIONSHIPS WITH THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION FOLLOWS THE PROCESS DESCRIBED IN TREASURY REGULATION 53.4958-6(C) FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS IN THE REVIEW, APPROVAL, AND DOCUMENTATION OF ANY OFFICER, KEY MANAGEMENT, AND DIRECTOR COMPENSATION. THE CEO AND CFO ARE PAID BY UNIVERSITY HEALTH SERVICES, INC. (58-1581103). ANNUALLY, A COMPENSATION COMMITTEE OF THE UNIVERSITY HEALTH SERVICES (UHS) COMPRISED OF THREE INDEPENDENT BOARD MEMBERS REVIEWS THE COMPENSATION OF THE CEO AND OTHER SENIOR MANAGEMENT MEMBERS. THE REVIEW IS CONDUCTED IN THE CONTEXT OF A BOARD APPROVED EXECUTIVE COMPENSATION PHILOSOPHY. BOTH THE DEVELOPMENT OF THE COMPENSATION PHILOSOPHY AND THE REVIEWS INVOLVE THE ADVICE AND ASSISTANCE OF AN INDEPENDENT COMPENSATION CONSULTING FIRM. MINUTES OF THE COMPENSATION ARE RECORDED.
FORM 990, PART VI, SECTION C, LINE 19ALL GOVERNING DOCUMENTS, POLICIES, FINANCIAL STATEMENTS, AND INFORMATIONAL RETURNS ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION OFFICE.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 1,566,742. MANAGEMENT AND GENERAL EXPENSES 592,890. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,159,632.
FORM 990, PART XI, LINE 9:MERGER LIQUIDATION -41,215,767.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
UNIVERSITY HEALTHCARE PHYSICIANS LLC
1350 WALTON WAYAUGUSTAGA30901272042386PHYSICIAN OFFICESGA$0$0UNIVERSITY HEALTH INC
UNIVERSITY MEDICAL GROUP LLC
1350 WALTON WAYAUGUSTAGA30901274467379PHYSICIAN OFFICESGA$2,606,766$28,197,786UNIVERSITY HEALTH INC THRU UHCP
UNIVERSITY CARDIOLOGY ASSOCIATES
1350 WALTON WAYAUGUSTAGA30901451437971PHYSICIAN OFFICESGA$2,578,222$6,410,218UNIVERSITY HEALTH INC THRU UHCP
MEDICAL ONCOLOGY LLC
1350 WALTON WAYAUGUSTAGA30901452695782PHYSICIAN OFFICESGA$0$0UNIVERSITY HEALTH INC THRU UHCP
UMG NEUROLOGY LLC
1350 WALTON WAYAUGUSTAGA30901463326102PHYSICIAN OFFICESGA$148,637$94,360UNIVERSITY HEALTH INC THRU UHCP
UMG VASCULAR LLC
1350 WALTON WAYAUGUSTAGA30901463342973PHYSICIAN OFFICESGA$459,784$265,715UNIVERSITY HEALTH INC THRU UHCP
UNIVERSITY CRITICAL CARE MEDICINE LLC
1350 WALTON WAYAUGUSTAGA30901463105093PHYSICIAN OFFICESGA$659,099$118,347UNIVERSITY HEALTH INC THRU UHCP
UMG HOSPITALIST LLC
1350 WALTON WAYAUGUSTAGA30901463347646PHYSICIAN OFFICESGA$3,376,156$571,122UNIVERSITY HEALTH INC THRU UHCP
UMG INFECTIOUS DISEASE
1350 WALTON WAYAUGUSTAGA30901464694861PHYSICIAN OFFICESGA$226,594$47,708UNIVERSITY HEALTH INC THRU UHCP
UMG CARDIOTHORACIC SURGERY LLC
1350 WALTON WAYAUGUSTAGA30901463295395PHYSICIAN OFFICESGA$245,825$115,027UNIVERSITY HEALTH INC THRU UHCP
UNIVERSITY PRIMARY CARE AIKEN LLC (1)
1350 WALTON WAYAUGUSTAGA30901461175328PHYSICIAN OFFICESGA$0$0UNIVERSITY HEALTH INC THRU UHCP
UMG ENDOCRINOLOGY LLC
1350 WALTON WAYAUGUSTAGA30901463316180PHYSICIAN OFFICESGA$168,442$82,908UNIVERSITY HEALTH INC THRU UHCP
UMG GASTROENTEROLOY LLC
1350 WALTON WAYAUGUSTAGA30901471564753PHYSICIAN OFFICESGA$45,086$18,243UNIVERSITY HEALTH INC THRU UHCP
UMG NEUROSURGERY LLC
1350 WALTON WAYAUGUSTAGA30901471125478PHYSICIAN OFFICESGA$1,124,488$624,618UNIVERSITY HEALTH INC THRU UHCP
UMG GENERAL SURGERY LLC
1350 WALTON WAYAUGUSTAGA30901471016310PHYSICIAN OFFICESGA$746,371$335,272UNIVERSITY HEALTH INC THRU UHCP
UMG PROMPT CARE LLC
1350 WALTON WAYAUGUSTAGA30901472519838PHYSICIAN OFFICESGA$1,413,097$278,660UNIVERSITY HEALTH INC THRU UHCP
UMG PRIMARY CARE SOUTH CAROLINA LLC
1350 WALTON WAYAUGUSTAGA30901472345170PHYSICIAN OFFICESGA$724,853$262,284UNIVERSITY HEALTH INC THRU UHCP
UMG PROMPT CARE SOUTH CAROLINA LLC
1350 WALTON WAYAUGUSTAGA30901472361218PHYSICIAN OFFICESGA$1,071,751$402,338UNIVERSITY HEALTH INC THRU UHCP
UMG RHEUMATOLOGY LLC
1350 WALTON WAYAUGUSTAGA30901474285985PHYSICIAN OFFICESGA$0$0UNIVERSITY HEALTH INC THRU UHCP
UMG CONGESTIVE HEART FAILURE LLC
1350 WALTON WAYAUGUSTAGA30901812205908PHYSICIAN OFFICESGA$375,550$121,794UNIVERSITY HEALTH INC THRU UHCP
UMG PALLATIVE CARE LLC
1350 WALTON WAYAUGUSTAGA30901820648367PHYSICIAN OFFICESGA$2,622$0UNIVERSITY HEALTH INC THRU UHCP

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
UNIVERSITY HEALTH SERVICES INC
1350 WALTON WAYAUGUSTAGA30901581581103COMMUNITY HOSPITALGA501(C)(3)3UNIVERSITY HEALTH INCYes (1)
RICHMOND COUNTY HOSPITAL AUTHORITY
1350 WALTON WAYAUGUSTAGA30901586001901LEASED FACILITIESGA501(C)(3)30N/A
AUGUSTA RESOURCE CENTER ON AGING I
1350 WALTON WAYAUGUSTAGA30901581728812NON PROFIT LIFE CARE COMMUNITYGA501(C)(3)10UNIVERSITY HEALTH INCYes (1)
UNIVERSITY EXTENDED CARE INC
1350 WALTON WAYAUGUSTAGA30901581581105SKILLED NURSING HOMESGA501(C)(3)3UNIVERSITY HEALTH INCYes (1)
UNIVERSITY HEALTH CARE FOUNDATION
2260 WRIGHTSBORO ROADAUGUSTAGA30904581343550PHILANTHROPYGA501(C)(3)7UNIVERSITY HEALTH INCYes (1)
UNIVERSITY MCDUFFIE COUNTY REGIONAL
1350 WALTON WAYAUGUSTAGA30901454166209HOSPITALGA501(C)(3)3UNIVERSITY HEALTH INCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
UNIVERSITY HEALTH RESOURCES INC
1350 WALTON WAYAUGUSTAGA30901581601372PHYSICIAN SUPPORT SERVICESGAUNIVERSITY HEALTH INCC$2,193,097$12,443,9821.000000
UNIVERSITY HOSPITAL AIKEN INC
1350 WALTON WAYAUGUSTAGA30901472713774HOSPITALSCUNIVERSITY HEALTH INCC1.000000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
UNIVERSITY HEALTH RESOURCES INC
D$25,710,562COST
UNIVERSITY MCDUFFIE COUNTY REGIONAL
D$429,976COST
UNIVERSITY HEALTH SERVICES INC
E$12,231,113COST
UNIVERSITY MEDICAL GROUP (UMG)
E$3,502,073COST