UNIVERSITY HEALTH SERVICES INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- UNIVERSITY HEALTH SERVICES INC (EIN 58-1581103)
- Tax period
- 2022-01-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202341359349307689
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T12:22:31-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 570381582 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIOTT DAVIS LLCPLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 EAST MOREHEAD STREET SUITE 700 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581581103 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIV | BusinessNameControlTxt |
| Phone | 7067747710 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 WALTON WAY | AddressLine1Txt |
| City | AUGUSTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARIE GAFFNEY | PersonNm |
| Person Title | VP CORPORATE FINANCE | PersonTitleTxt |
| Phone | 7067747710 | PhoneNum |
| Signature | 2023-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARIE | PersonFirstNm |
| Person Last | GAFFNEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JANICE A RATICA | PreparerPersonNm |
| PTIN | P00358837 | PTIN |
| Phone | 7043338881 | PhoneNum |
| Preparation | 2023-05-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES R DAVIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 WALTON WAY | AddressLine1Txt |
| City | AUGUSTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $592,948,390 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UNIVERSITYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF UNIVERSITY HEALTH CARE SERVICES IS TO OPERATE AN ACUTE AND SUBACUTE CARE HOSPITAL PROVIDING HEALTH CARE SERVICES WHICH HELP THE CITIZENS OF OUR COMMUNITIES ACHIEVE AND MAINTAIN OPTIMAL HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 101 | TotalVolunteersCnt |
| Total Gross UBI | $1,706,102 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $64,312 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,683,825 | PYContributionsGrantsAmt |
| CY Contributions Grants | $763,052 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $506,675,793 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $281,167,807 | CYProgramServiceRevenueAmt |
| PY Investment Income | $48,475,798 | PYInvestmentIncomeAmt |
| CY Investment Income | $28,860,515 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,898,194 | PYOtherRevenueAmt |
| CY Other Revenue | $5,526,486 | CYOtherRevenueAmt |
| PY Total Revenue | $569,733,610 | PYTotalRevenueAmt |
| CY Total Revenue | $316,317,860 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $661,223 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $401,948 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $226,816,836 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $153,271,748 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $299,159,526 | PYOtherExpensesAmt |
| CY Other Expenses | $164,938,859 | CYOtherExpensesAmt |
| PY Total Expenses | $526,637,585 | PYTotalExpensesAmt |
| CY Total Expenses | $318,612,555 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $43,096,025 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,294,695 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,036,274,638 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,018,157,642 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $390,889,159 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $405,715,976 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $645,385,479 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $612,441,666 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF UNIVERSITY HEALTH CARE SERVICES IS TO OPERATE AN ACUTE AND SUBACUTE CARE HOSPITAL PROVIDING HEALTH CARE SERVICES WHICH HELP THE CITIZENS OF OUR COMMUNITIES ACHIEVE AND MAINTAIN OPTIMAL HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $299,081,119 | ExpenseAmt |
| Grant | $401,948 | GrantAmt |
| Revenue | $281,167,807 | RevenueAmt |
| Desc | OPERATION OF A GENERAL ACUTE CARE AND SUB-ACUTE CARE HOSPITAL WITH 812 LICENSED BEDS, TOTAL (812 ACUTE AND 0 SUB-ACUTE). PATIENT DAYS FOR ADULTS AND PEDIATRICS FOR JANUARY 1 - JUNE 30, 2022 WERE 62,477, NEWBORN DAYS WERE 5,160 (FOR BOTH TERM & ICU NURSERY), AND OUTPATIENT VISITS WERE 255,229. EMERGENCY ROOM REGISTRATIONS WERE 30,804, OBSERVATION STAYS WERE 6,989, CARDIOVASCULAR INTERVENTIONAL PROCEDURES WERE 4,129, RADIOLOGY PROCEDURES WERE 130,356 AND OCCUPATIONAL MEDICINE VISITS WERE 24,879. WITHIN ALL THESE INDICATORS ARE THE EFFORTS OF UNIVERSITY HEALTH SERVICES, INC TO SERVICE THE NEEDS OF THE COMMUNITY, WHICH INCLUDE THE INDIGENT. FROM JANUARY 1 - JUNE 30, 2022 THE COST OF INDIGENT AND CHARITY CARE PROVIDED, WITH NO LOCAL FUNDING, WAS $21,602,036. INCLUDED IN THIS AMOUNT WAS $9,904,896 FOR INPATIENT AND OUTPATIENT SERVICES, $11,352,807 FOR PHYSICIAN SERVICES AND $344,333 TO HELP SUPPORT COMMUNITY BASED CLINICS. THE HOSPITAL RECEIVED PAYMENTS OF $6,900,856 (NET) FROM UPPER PAYMENT LIMITS (UPL) TO HELP WITH THIS SERVICE. WE OFFERED SEVERAL COMMUNITY EDUCATION CLASSES FOR BARIATRIC SUPPORT, WEIGHT LOSS SURGERY, DIABETES AND BREAST CANCER. HEALTH SCREENINGS WERE PROVIDED FOR BLOOD PRESSURE, PLAQUE AND CHOLESTEROL SCREENINGS TO VARIOUS GROUPS AND COMMUNITY EVENTS. WE PROVIDED LABS AND X-RAYS TO LOCAL CHARITIES HARRISBURG FAMILY HEALTH, BEULAH GROVE, CHRIST COMMUNITY AND ST. VINCENT DE PAUL. WE DONATED COVID TESTS, SANITIZER AND PILL HOLDERS FOR SENIORS AND UNDERSERVED COMMUNITIES. | Desc |
| Total Program Service Expenses | $299,081,119 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | Yes (1) | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID A BELKOSKI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7067747710 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 WALTON WAY | AddressLine1Txt |
| City | AUGUSTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| LEVI W HILL IV | |||||||
| BOARD MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TERRY D ELAM | |||||||
| BOARD MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BECKY SMITH | |||||||
| BOARD MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SANFORD LOYD | |||||||
| BOARD MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DANIEL H BOONE MD | |||||||
| BOARD MEMBER | 2.00 | 38.00 | Yes (X) | $0 | $0 | $0 | |
| EDWARD TARVER | |||||||
| BOARD MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM P DOUPE | |||||||
| BOARD MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES C SHERMAN MD | |||||||
| BOARD MEMBER | 2.00 | 38.00 | Yes (X) | $0 | $0 | $0 | |
| KEVIN BROWN | |||||||
| BOARD MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHARLIE BROWN | |||||||
| BOARD MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| EUGENE F MCMANUS | |||||||
| VICE CHAIRMAN | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| HUGH L HAMILTON | |||||||
| CHAIRMAN | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JAMES R DAVIS | |||||||
| UHS PRESIDENT & CEO | 35.00 | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BARRY J JENKINS | |||||||
| CMO | 35.00 | 5.00 | $0 | $0 | $0 | Yes (X) | |
| DAVID A BELKOSKI | |||||||
| UHS CFO | 35.00 | 5.00 | $0 | $0 | $0 | Yes (X) | |
| EDWARD L BURR | |||||||
| SR. VP LEGAL & REGULATORY | 35.00 | 5.00 | $0 | $0 | $0 | Yes (X) | |
| ELIZABETH R GALLUP | |||||||
| COO ACUTE CARE SERVICES | 35.00 | 5.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUALIVIS | |||||
| PO BOX 123847 | DALLAS | TX | 753123847 | AGENCY - HEALTHCARE/WORKFORCE SOLUTIONS | $15,154,107 |
| CROTHALL HEALTHCARE | |||||
| 13028 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | HOUSEKEEPING/LAUNDRY SERVICES | $6,183,516 |
| MORRISONS HEALTH CARE DIVISION | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | FOOD SERVICES | $4,201,774 |
| TRIMEDX | |||||
| PO BOX 636129 | CINCINNATI | OH | 45263 | BIOMED CONTRACT | $2,812,399 |
| EPIC SYSTEMS CORPORATION | |||||
| PO BOX 88314 | MILWAUKEE | WI | 532880314 | SYSTEM SUPPORT | $1,703,645 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 63 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $579,452 | RelatedOrganizationsAmt |
| Government Grants | $171,132 | GovernmentGrantsAmt |
| All Other Contributions | $12,468 | AllOtherContributionsAmt |
| Total Contributions | $763,052 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 812900 | $257,465,344 | $257,465,344 |
| PHYSICIAN FEES | 621110 | $23,471,983 | $23,471,983 |
| PHYSICIAN ANSWERING SERVICE | 541900 | $172,352 | $172,352 |
| OTHER PROGRAM SERVICES | 812900 | $27,244 | $27,244 |
| HOME HEALTH SERVICES | 621610 | $13,086 | $13,086 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,798 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,798 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $281,167,807 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,925,040 | TotalRevenueColumnAmt |
| Exclusion | $8,925,040 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,990,245 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,531,836 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $458,409 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $458,409 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $97,125 | UnrelatedBusinessRevenueAmt |
| Exclusion | $361,284 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,421,448 | SecuritiesAmt |
| Other | $291,612,721 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,832,047 | SecuritiesAmt |
| Other | $271,266,647 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$410,599 | SecuritiesAmt |
| Other | $20,346,074 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,935,475 | TotalRevenueColumnAmt |
| Exclusion | $19,935,475 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| HOSPITAL SERVICES | 812900 | $2,102,109 | $2,102,109 | |
| OUTREACH LAB | 812900 | $1,698,977 | $90,000 | $1,608,977 |
| MISCELLANEOUS | 812900 | $933,730 | $933,730 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $333,261 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $333,261 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,068,077 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $316,317,860 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $284,626,907 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,706,102 | UnrelatedBusinessRevenueAmt |
| Exclusion | $29,221,799 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $309,097 | TotalAmt |
| Program Services | $309,097 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,851 | TotalAmt |
| Program Services | $92,851 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,840,958 | TotalAmt |
| Program Services | $1,052,082 | ProgramServicesAmt |
| Management And General | $2,788,876 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,879,684 | TotalAmt |
| Program Services | $116,119,767 | ProgramServicesAmt |
| Management And General | $2,759,917 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,734,919 | TotalAmt |
| Program Services | $1,655,057 | ProgramServicesAmt |
| Management And General | $79,862 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,880,425 | TotalAmt |
| Program Services | $19,759,398 | ProgramServicesAmt |
| Management And General | $1,121,027 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,935,762 | TotalAmt |
| Program Services | $7,547,685 | ProgramServicesAmt |
| Management And General | $388,077 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,142,319 | TotalAmt |
| Program Services | $7,744,974 | ProgramServicesAmt |
| Management And General | $397,345 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,918 | TotalAmt |
| Program Services | $7,325 | ProgramServicesAmt |
| Management And General | $238,593 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500,379 | TotalAmt |
| Program Services | $172,713 | ProgramServicesAmt |
| Management And General | $327,666 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,030 | TotalAmt |
| Management And General | $53,030 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $620,213 | TotalAmt |
| Management And General | $620,213 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,136,329 | TotalAmt |
| Program Services | $23,508,505 | ProgramServicesAmt |
| Management And General | $1,627,824 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,401 | TotalAmt |
| Program Services | $221,060 | ProgramServicesAmt |
| Management And General | $11,341 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $618,549 | TotalAmt |
| Program Services | $552,127 | ProgramServicesAmt |
| Management And General | $66,422 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,223,337 | TotalAmt |
| Program Services | $5,910,907 | ProgramServicesAmt |
| Management And General | $312,430 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,191,767 | TotalAmt |
| Program Services | $5,963,780 | ProgramServicesAmt |
| Management And General | $227,987 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,154 | TotalAmt |
| Management And General | $13,154 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,907,124 | TotalAmt |
| Program Services | $1,680 | ProgramServicesAmt |
| Management And General | $2,905,444 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,011,304 | TotalAmt |
| Program Services | $20,951,373 | ProgramServicesAmt |
| Management And General | $1,059,931 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,119,056 | TotalAmt |
| Program Services | $3,931,490 | ProgramServicesAmt |
| Management And General | $187,566 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MED SURG SUPPLIES | $58,456,016 | $58,455,873 | $143 |
| BAD DEBT EXPENSE | $13,402,479 | $13,390,914 | $11,565 |
| REPAIRS AND MAINTENANCE | $7,111,381 | $6,768,776 | $342,605 |
| GA DCH HOSPITAL TAX | $3,683,958 | $3,683,958 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,270,145 | TotalAmt |
| Program Services | $4,963,685 | ProgramServicesAmt |
| Management And General | $306,460 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,612,555 | TotalAmt |
| Program Services | $299,081,119 | ProgramServicesAmt |
| Management And General | $19,531,436 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,514,578 | BOYAmt |
| EOY | $57,534,333 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,327,581 | BOYAmt |
| EOY | $111,702,035 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,455,170 | BOYAmt |
| EOY | $6,753,551 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,653,275 | BOYAmt |
| EOY | $12,473,491 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,580,795 | BOYAmt |
| EOY | $8,964,852 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $866,021,813 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $568,435,732 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $283,111,853 | BOYAmt |
| EOY | $297,586,081 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $536,757,805 | BOYAmt |
| EOY | $456,228,380 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,873,581 | BOYAmt |
| EOY | $66,914,919 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,036,274,638 | BOYAmt |
| EOY | $1,018,157,642 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,976,346 | BOYAmt |
| EOY | $41,335,237 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,867,409 | BOYAmt |
| EOY | $120,548,930 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,038,745 | BOYAmt |
| EOY | $62,662,185 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,006,659 | BOYAmt |
| EOY | $181,169,624 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $390,889,159 | BOYAmt |
| EOY | $405,715,976 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $645,350,479 | BOYAmt |
| EOY | $612,406,666 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,000 | BOYAmt |
| EOY | $35,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $645,385,479 | BOYAmt |
| EOY | $612,441,666 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,036,274,638 | BOYAmt |
| EOY | $1,018,157,642 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,294,695 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$73,286,098 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $42,636,980 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $53,030 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $53,030 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PART OF THE VARIOUS ASSOCIATION DUES INCLUDE A PERCENTAGE ALLOCATION FOR EXPENDITURES ON LOBBYING ACTIVITIES. DUES PAID TO THE GEORGIA ALLIANCE OF COMMUNITY HOSPITALS, THE GEORGIA CHAMBER OF COMMERCE, AND OTHER HEALTH ASSOCIATIONS ALL HAVE A LOBBYING COMPONENT. FOR 2022, THESE FEES AMOUNTED TO $45,030. ADDITIONALLY, OGLETHORPE CONSULTING GROUP WAS CONTRACTED DURING 2022 TO REVIEW AND ADVISE THE HOSPITAL ON LEGISLATIVE ISSUES. DURING 2022, $8,000 WAS PAID TO OGLETHORPE CONSULTING GROUP. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,756,476 | OtherCostOrOtherBasisAmt |
| Book Value | $24,756,476 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $355,953,411 | OtherCostOrOtherBasisAmt |
| Depreciation | $192,098,033 | DepreciationAmt |
| Book Value | $163,855,378 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,833,106 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,369,860 | DepreciationAmt |
| Book Value | $4,463,246 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $437,014,568 | OtherCostOrOtherBasisAmt |
| Depreciation | $353,369,119 | DepreciationAmt |
| Book Value | $83,645,449 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,464,252 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,598,720 | DepreciationAmt |
| Book Value | $20,865,532 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $297,586,081 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (13 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| 457(B) DEFERRED COMP ASSET | $351,558 |
| AMOUNTS DUE FROM AFFILIATES | $30,563,047 |
| LEASEHOLD RIGHTS | $171,062 |
| PHOENIX HEALTH CARE MGMT SVCS | $84,169 |
| PHYSICAN GUARANTEE ASSET | $1,467,287 |
| PHYSICIANS LIFE INSURACE COLI | $8,182,916 |
| SOFTWARE LICENSE | $690,268 |
| VHA STOCK INVESTMENT | $138,416 |
| WORK FORCE IN PLACE | $597,006 |
| WC ESCROW - SANFORD | $108,705 |
| PL GI ESCROW - SANFORD | $183,094 |
| TD BANK DEPOSITORY ACCOUNT | $8,567,044 |
| DUE FROM RELATED ORGANIZATIONS | $15,810,347 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $66,914,919 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (13 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED COMPENSATION, BENEFITS, & WITHOLDINGS | $22,853,521 |
| ACCRUED POSTRETIREMENT BENEFIT COST | $22,209,607 |
| ASSET RETIREMENT OBLIGATION | $3,797,461 |
| EST THIRD PARTY PAYOR SETTLEMENTS | $18,246,780 |
| OTHER CURRENT LIABILITIES | $2,180,555 |
| RESERVE FOR SELF INSURED LOSSES | $19,299,442 |
| DUE TO AFFILIATES | $52,697,408 |
| CAPITALIZED BOND COSTS | -$1,186,342 |
| ACCRUED PENSION COST | $5,107 |
| LONG TERM OPERATING LEASE OBLIGATION | $17,865,251 |
| CURRENT PORTION - OPERATING LEASES | $3,996,107 |
| MEDICARE ADVANCE PAYMENTS | $19,143,379 |
| CAPITAL LEASE LIABILITY | $61,348 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $181,169,624 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | UNIVERSITY HEALTH SERVICES, INC. IS 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. ACCORDINGLY, THE FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL OR STATE INCOME TAXES. THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2022. FISCAL YEARS ENDED ON OR AFTER DECEMBER 31, 2019 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. 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. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, | RegionTxt |
| Offices | 1 | OfficesCnt |
| Employee | 2 | EmployeeCnt |
| Type Of Activities Conducted | INSURANCE CAPTIVE | TypeOfActivitiesConductedTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 1 | SubtotalOfficesCnt |
| Subtotal Employees | 2 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 1 | TotalOfficeCnt |
| Total Employee | 2 | TotalEmployeeCnt |
| Subtotal Spent | $0 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $0 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III ACCOUNTING METHOD: | |
| PART 1 - ADDITIONAL SUPPLEMENTAL INFORMATION | PLEASE SEE FORM 5471 FILING FOR DETAILS RELATED TO OFFSHORE CAPTIVE INSURANCE. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,466,769 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,247,121 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,219,648 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02690 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,674,261 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,754,937 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,919,324 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01280 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,141,030 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,002,058 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,138,972 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03970 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,029,416 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,598,432 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,430,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03090 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $487,350 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $330,690 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $156,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $273,763 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $273,763 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,790,529 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,929,122 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,861,407 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03230 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,931,559 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,931,180 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,000,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07200 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,402,479 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $48,892 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $70,444,353 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,759,431 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $57,684,922 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY HEALTH SERVICES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 WALTON WAY | AddressLine1Txt |
| City | AUGUSTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.UNIVERSITYHEALTH.ORG | WebsiteAddressTxt |
| State License | 121-375 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.UNIVERSITYHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.UNIVERSITYHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SCHEDULE O | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SCHEDULE O | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SCHEDULE O | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| UNIVERSITY HEALTH SERVICES INC | PART V, SECTION B, LINE 5: LISTENING SESSIONS WERE HELD IN RICHMOND, COLUMBIA AND AIKEN COUNTIES. INDIVIDUALS FROM VARIOUS HEALTH AND SOCIAL SERVICE AGENCIES WERE INVITED TO ATTEND. THOSE AGENCIES WHO PARTICIPATED IN THE SESSIONS ARE: RAPE CRISIS AND SEXUAL ASSAULT SERVICES, I AM MY BROTHER'S KEEPER, GAP MINISTRIES, GOLDEN HARVEST FOOD BANK, AREA AGENCY ON AGING, GEORGIA DEPARTMENT OF PUBLIC HEALTH- RICHMOND COUNTY HEALTH DEPARTMENT, MENTAL HEALTH AMERICA OF AIKEN COUNTY, RURAL HEALTH SERVICES, INC, AIKEN COUNTY HEALTH DEPARTMENT, LONG TERM LIAISONS, THE AIKEN CENTER FOR ALCOHOL AND OTHER DRUG SERVICES, CITY OF HARLEM, COLUMBIA COUNTY COMMUNITY CONNECTIONS, COLUMBIA COUNTY HEALTH DEPARTMENT, HARLEM MERCHANT'S ASSOCIATION AND HOPE HOUSE. THESE AGENCIES REPRESENT THE HOMELESS, THE ELDERLY, INDIVIDUALS LIVING IN POVERTY, AS WELL AS THOSE FACING FOOD INSECURITY, MENTAL HEALTH ISSUES OR ADDICTION. THOSE WHO WERE INVITED BUT DID NOT ATTEND WERE FROM THE FOLLOWING ORGANIZATIONS: ACTION MINISTRIES, AUGUSTA HOUSING & COMMUNITY DEVELOPMENT, AUGUSTA PARTNERSHIP FOR CHILDREN, AUGUSTA RESCUE MISSION, CHRIST COMMUNITY HEALTH, COORDINATED HEALTH SERVICES INC., FAMILY PROMISE OF AUGUSTA, GARDEN CITY RESCUE MISSION, HOPE FOR AUGUSTA, MERCY MINISTRIES, RICHMOND COUNTY SCHOOL SYSTEM, SAFE HOMES, SENIOR CITIZEN COUNCIL, UNITED WAY OF THE CSRA, WALTON OPTIONS FOR INDEPENDENT LIVING, UNITED WAY OF AIKEN COUNTY, COMMUNITY MINISTRY OF NORTH AUGUSTA, AIKEN SENIOR LIFE SERVICES, AIKEN COUNTY HELP LINE, ACTS- AREA CHURCHES TOGETHER SERVING, COMMUNITY MEDICAL CLINIC OF AIKEN COUNTY, JACKSON FIRST ALERT RESCUE SQUAD, LOWER SAVANNAH COUNCIL OF GOVERNMENTS, THE RECING CREW, THE SALVATION ARMY- AIKEN, CUMBEE CENTER TO ASSIST ABUSED PERSONS, MEGIDDO DREAM STATION, THE ALZHEIMER'S ASSOCIATION AND CITY OF GROVETOWN. REPRESENTATIVES FROM THESE ORGANIZATIONS WERE SENT AN EMAIL WITH THE LIST OF QUESTIONS FROM THE LISTENING SESSION AND INVITED TO PROVIDE FEEDBACK. |
| UNIVERSITY HEALTH SERVICES INC | PART V, SECTION B, LINE 6A: N/A |
| UNIVERSITY HEALTH SERVICES INC | PART V, SECTION B, LINE 6B: N/A |
| UNIVERSITY HEALTH SERVICES INC | PART V, SECTION B, LINE 11: SEE PAGE 3-6 OF IMPLEMENTATION STRATEGY FOR A LIST OF ACTION STEPS WE ARE TAKING TO ADDRESS THE ADOPTED HEALTH NEEDS 1. LEVERAGE MOBILE PLATFORM TO BRING CARDIOVASCULAR DISEASE SCREENING TO THE COMMUNITY. 2. DEVELOP A DIABETES PREVENTION PROGRAM TO EDUCATE AND ENCOURAGE DIABETICS ABOUT NUTRITION AND PHYSICAL ACTIVITY 3. TEACH EXPECTANT MOTHERS TO RECOGNIZE LIFE THREATENING POST-PARTUM WARNING SIGNS OUR PRIORITIZATION PROCESS IS DETAILED ON PAGE 34. WE CHOSE TO FOCUS ON 3 TOP PRIORITIES WHERE WE FELT WE COULD MAKE THE GREATEST IMPACT. |
| UNIVERSITY HEALTH SERVICES INC | PART V, SECTION B, LINE 13B: ALSO USES ASSET TEST, REGARDLESS OF INCOME, TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE. IN ADDITION THE HOSPITAL TAKES INTO CONSIDERATION BANKRUPTCY AND FINANCIAL STANDING WHEN OFFERING DISCOUNTS ON PATIENT LIABILITY.USE ELECTRONIC ELIGIBILITY SYSTEM TO DETERMINE INDIGENT CARE. |
| UNIVERSITY HEALTH SERVICES INC | PART V, SECTION B, LINE 21D: EMTALA FOLLOWED AND INCLUDED IN POLICY B130. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 17 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - UNIVERSITY CARDIOLOGY ASSOCIATES LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 2 - UNIVERSITY MEDICAL GROUP LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 3 - UMG HOSPITALIST LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 4 - UMG NEUROSURGERY LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 5 - UMG PRIMARY CARE SOUTH CAROLINA LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 6 - UMG PROMPT CARE LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 7 - UMG GENERAL SURGERY LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 8 - UNIVERSITY CRITICAL CARE MEDICINE LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 9 - UMG VASCULAR LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 10 - UMG PROMPT CARE SOUTH CAROLINA LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 11 - UMG CONGESTIVE HEART FAILURE LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 12 - UMG ENDOCRINOLOGY LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 13 - UMG CARDIOTHORACIC SURGERY LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 14 - UMG INFECTIOUS DISEASE | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 15 - UMG NEUROLOGY LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 16 - UMG GASTROENTEROLOY LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
| 17 - UMG PALLIATIVE CARE LLC | ||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | PHYSICIAN PRACTICES |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO THE FPG, HOSPITAL MAY ALSO USE ASSET TEST, REGARDLESS OF INCOME, TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE FOR THOSE INDIVIDUALS THAT DO NOT QUALIFY UNDER THE ELECTRONIC ELIGIBILITY SYSTEM OR THOSE WHO HAVE INSURANCE BUT HOSPITAL BILL IS CATASTROPHIC. IN ADDITION THE HOSPITAL TAKES INTO CONSIDERATION BANKRUPTCY AND FINANCIAL STANDING WHEN OFFERING DISCOUNTS ON PATIENT LIABILITY. |
| PART I, LINE 7: | EXPLANATION OF COSTING METHODOLOGYUSED COST TO CHARGE RATIO CALCULATED USING WORKSHEET 2 --THE OPTIONAL WORKSHEETS PROVIDED TO ASSIST IN PREPARATION OF SCHEDULE H. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE COMMUNITY BUILDING ACTIVITIES REPORTED ARE SUPPORT FOR THE VARIOUS CHAMBERS OF COMMERCE FOR THE COMMUNITIES THAT UH SERVES. IN SUPPORTING THESE ORGANIZATIONS, UH CAN SUPPORT THE DEVELOPMENT OF OUR COMMUNITY BY BRINGING IN NEW INDUSTRIES, AND JOBS, INCREASING THE AVERAGE HOUSEHOLD INCOME, IMPROVING LIVING CONDITIONS, AND IMPACTING OVERALL GENERAL HEALTH. |
| PART III, LINE 2: | FOR RECEIVABLES ASSOCIATED WITH SELFPAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), UH RECORDS PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO THE PORVISION FOR BAD DEBT EXPENSE WHEN RECEIVED. |
| PART III, LINE 3: | BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT SINCE THE SERVICES THAT INCUR BAD DEBT ARE PROVIDED BY THE HOSPITAL TO PROMOTE THE WELL-BEING OF THE COMMUNITY. THESE SERVICES ARE RENDERED IN CONJUNCTION WITH THE HOSPITAL'S CHARITABLE TAX-EXEMPT PURPOSES. THERE IS NO LOCAL SUPPORT FOR UNINSURED PATIENTS; THEREFORE, THE SERVICES PROVIDED BY THE HOSPITAL RELIEF THE HEALTH CARE BURDENS OF THE LOCAL GOVERNMENTS. |
| PART III, LINE 4: | PAGES 15-17 OF THE AUDITED FINANCIAL STATEMENT FOR PIEDMONT HEALTHCARE INC AND AFFILIATES |
| PART III, LINE 8: | EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITTHE SERVICES PROVIDED TO THE MEDICARE BENEFICIARIES ARE TO PROMOTE THE WELL-BEING OF THE COMMUNITY WHICH IS PART OF THE HOSPITAL'S CHARITABLE TAX-EXEMPT PURPOSE. THE MEDICARE DIFFERENCE BETWEEN COST AND MEDICARE REIMBURSEMENT SHOULD BE ALLOWED AS COMMUNITY BENEFIT SINCE PROVIDERS CANNOT NEGOTIATE RATES WITH CENTERS FOR MEDICARE/MEDICAID SERVICES (CMS). CMS REGULATES THAT THE REIMBURSEMENT BE FEDERAL BUDGET NEUTRAL THUS PLACING THE COST OF THE CARING FOR MEDICARE BENEFICIARIES AS A COST TO THE HOSPITALS. |
| PART III, LINE 9B: | PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTSAS OUTSTANDING BALANCES AGE, STATEMENT MESSAGES, COLLECTION LETTERS AND/OR TELEPHONE CALLS MAY BE USED AT APPROPRIATE INTERVALS DETERMINED BY THE PATIENT ACCOUNTING/COLLECTION DEPARTMENT. THE PATIENT ACCOUNTING/COLLECTION DEPARTMENT RECOGNIZES THAT THERE ARE OCCASIONS WHEN A PATIENT IS NOT FINANCIALLY ABLE TO PAY HIS OR HER MEDICAL BILL IN FULL AND/OR THE PATIENT IS EXPERIENCING FINANCIAL HARDSHIP. THE HOSPITAL HAS ESTABLISHED A CATASTROPHIC POLICY WHICH ALLOWS FOR THE COLLECTION DEPARTMENT TO APPLY THE INDIGENT CRITERIA AND WRITE-OFF AS MEDICALLY INDIGENT. AND AT ANY POINT DURING THE COLLECTION PROCESS IF A PATIENT STATES OR PATIENT ACCOUNTING/COLLECTIONS BELIEVES THAT THE PATIENT CANNOT AFFORD TO PAY, THEN AN INDIGENT/CHARITY CARE APPLICATION IS BEGUN BY THE COLLECTION DEPARTMENT WHERE DISCOUNTS MAY BE GIVEN. |
| PART VI, LINE 2: | NEEDS ASSESSMENTIN ADDITION TO THE CHNA PERFORMED IN 2019, UH WORKS WITH ER PERSONNEL TO IDENTIFY NEEDS BASED ON PATIENTS SEEKING HELP THROUGH THE EMERGENCY ROOM. THIS PROCESS STILL SHOWS THAT PATIENTS NEED A MEDICAL HOME, ASTHMA, CHF & DIABETES ASSISTANCE. THE PROGRAMS THAT UH HAS INITIATED AND CONTINUE TO SUPPORT. UH ALSO USED THE HEALTHY PEOPLE 2020 FRAMEWORK TO GUIDE DATA GATHERING FOR LEADING HEALTH INDICATORS. |
| PART VI, LINE 3: | UH HAS THE FOLLOWING INFORMATION AVAILABLE TO PATIENTS AND VISITORS ON THE ELIGIBILITY FOR ASSISTANCE. INFORMATION IS AVAILABLE ON THE UNIVERSITY HOSPITAL WEBSITE, PATIENT/VISITOR INFORMATION BOOKLET, AND UH HAS SIGNAGE AT REGISTRATION AND BILLING AREAS THAT ASK "... HELP WITH YOUR HOSPITAL BILL?" IN ADDITION, WHEN A REGISTERING PATIENT INDICATES THAT HE/SHE CAN NOT AFFORD TO PAY, UH WILL OFFER THE INDIGENT AND CHARITY CARE APPLICATION (ICCP) AND SET UP PATIENT TO SPEAK WITH THE FINANCIAL ASSISTANCE OFFICE (FAO). FAO WILL DIRECT PATIENTS TO A DEPARTMENT OF FAMILY AND CHILDREN (DFCS) CASE MANAGER LOCATED AT THE HOSPITAL TO SEE IF PATIENT QUALIFIES FOR STATE MEDICAID OR THE UH ICCP PROGRAM. THE PATIENT MAY BE DEEMED TO QUALIFY FOR OTHER STATE/FEDERAL ASSISTANCE IN WHICH THE FAO STAFF WILL HELP DIRECT THE PATIENT TO ANOTHER GROUP OPERATED OUT OF THE HOSPITAL, RESOURCE CORPORATION OF AMERICA (RCA), TO ASSIST WITH GETTING THE PATIENT QUALIFIED FOR SSI, ETC. |
| PART VI, LINE 4: | SEE PAGE 5-7 OF THE CHNAUHS HAS DEFINED THE COMMUNITY AS ALL PEOPLE IN THOSE COUNTIES REPRESENTING AT LEAST 80% OF THE EMERGENCY DEPARTMENT VISITS WHICH WOULD BE RICHMOND AND COLUMBIA COUNTIES IN GEORGIA AND AIKEN, SOUTH CAROLINA. THE POPULATION IN RICHMOND COUNTY IS THE LARGEST BUT THE NUMBER OF SENIORS IN AIKEN COUNTY IS LARGER. RICHMOND COUNTY HAS THE HIGHEST PERCENTAGE OF NON-WHITE RESIDENTS ALONG WITH THE HIGHEST POVERTY RATES AND LOWEST EDUCATION RATES. |
| PART VI, LINE 5: | COLLABORATION WITH/SUPPORT OF COMMUNITY ORGANIZATIONS THROUGH SEVERAL SURROUNDING CHAMBERS OF COMMERCE.--- SEE PART II ABOVE. SEE PAGE 9 OF THE CHNA FOR THE LIST OF AGENCIES THAT UNIVERSITY WORKS WITH TO SUPPORT AND PROMOTE HEALTH IN OUR COMMUNITY. |
| PART VI, LINE 6: | UH GOVERNING BOARD MEMBERS ARE COMPRISED OF CITZENS WHO RESIDE IN UH'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF UH. UH BOARD MEMBERS ARE ACTIVE IN THE COMMUNITY AND ARE EAGER TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITY. SEVERAL UH BOARD MEMBERS WORKED WITH THE LOCAL STATE MEDICAL SCHOOL TO GET INTERNS & RESIDENTS AT THE HOSPITAL SINCE UH IS AMONG SEVERAL COUNTIES THAT HAVE BEEN DEEMED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). UH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY FOR ALL OF THE UH DEPARTMENTS. UH WORKS WITH THE GREATER AUGUSTA HEALTHCARE NETWORK (GAHN) WHICH IS MADE UP OF AREA HOSPITALS AND THE LOCAL MEDICAL COLLEGES SCHOOL OF NURSING AND AREA PRIMARY CARE CLINICS. THIS GROUP ADDRESSES THE PRIMARY AND SPECIALTY CARE NEEDS IN THE COMMUNITY. UH SUPPORTS THE PROJECT ACCESS PROGRAM (PJA) IN RICHMOND AND COLUMBIA COUNTY. PJA IS A PROGRAM WHEREBY THE LOCAL MEDICAL SOCIETY PHYSICIANS AGREE TO TREAT A NUMBER OF INDIGENT COUNTY RESIDENTS WITHOUT PAYMENT. UH PROVIDES ALL OF THE INPATIENT HOSPITALIZATION FOR THE INDIGENT POPULATION THAT IS APPROVED FOR PROJECT ACCESS. THROUGH BOTH OF THESE GROUPS UH IS RESPONSIVE TO SUPPORT THEM IN THEIR NEEDS.UH PROVIDES MANY SCREENINGS IN THE COMMUNITY. ONE SUCH SCREENING IS THE PSA SCREENING THAT IS PERFORMED AT LOWE'S HOME BUILDING STORES. MANY HAVE RECEIVED THE SCREENING AND RECEIVED POSITIVE RESULTS WHICH WERE CAUGHT AT AN EARLY STAGE. UH'S MOBILE MAMMOGRAPHY UNIT TRAVELS TO AREA PLANTS AND IS AVAILABLE FOR SCREENINGS AT THE JOB SITE DURING LUNCH. THESE ARE ONLY A FEW OF THE SCREENINGS THAT UH PROVIDES IN THE COMMUNITY BUT HAVE TREMENDOUS IMPACT WHEN JUST ONE SCREENING IDENTIFIES PROBLEMS THAT CAN BE TREATED AT AN EARLY STAGE 1 CANCER VERSES AT THE LATER STAGES OF CANCER. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | GA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| CHRIST COMMUNITY HEALTH SERVICES | ||||||||||
| 519 SCOTTS WAY | AUGUSTA | GA | 30909 | 205404353 | 501(C)(3) | $75,000 | $0 | CLINIC FINANCIAL SUPPORT | ||
| HARRISBURG FAMILY HEALTH CARE | ||||||||||
| 423 CRAWFORD AVE | AUGUSTA | GA | 30904 | 264366421 | 501(C)(3) | $60,000 | $0 | CLINIC FINANCIAL SUPPORT | ||
| COORDINATED HEALTH SERVICES | ||||||||||
| 2110 BROAD STREET | AUGUSTA | GA | 30904 | 582060572 | 501(C)(3) | $60,000 | $0 | CLINIC FINANCIAL SUPPORT | ||
| NEIGHBORHOOD IMPROVEMENT PROJECT | ||||||||||
| 2467 GOLDEN CAMP ROAD | AUGUSTA | GA | 30906 | 311491242 | 501(C)(3) | $45,000 | $0 | CLINIC FINANCIAL SUPPORT | ||
| BEULAH GROVE COMMUNITY RESOURCE | ||||||||||
| 1446 LEE BEARD WAY | AUGUSTA | GA | 30904 | 582159621 | 501(C)(3) | $10,000 | $9,517 | CLINIC FINANCIAL SUPPORT | COST | EPIC CLINICAL SYSTEM & LAB TESTS |
| MIRACLE MAKING MINISTRIES | ||||||||||
| 1127 DRUID PARK AVE | AUGUSTA | GA | 30904 | 582358627 | 501(C)(3) | $10,000 | $0 | CLINIC FINANCIAL SUPPORT | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIP AND AWARD DISBURSEMENTS | GrantTypeTxt |
| Recipient | 15 | RecipientCnt |
| Cash Grant | $89,856 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2: | UNIVERSITY HEALTH CARE SYSTEM DOES NOT PROVIDE "GRANTS" TO ASSIST OTHER ORGANIZATIONS, BUT DOES DONATE FUNDS BASED ON THE FOLLOWING POLICY AND PROCEDURES: POLICY: UNIVERSITY HEALTH CARE SYSTEM IS COMMITTED TO THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES AND RECOGNIZES THE NEED TO SUPPORT OTHER NON-PROFIT ORGANIZATIONS WHO SHARE THIS COMMITMENT. CORPORATE CONTRIBUTIONS AND SPONSORSHIPS ARE SOMETIMES AN APPROPRIATE VEHICLE FOR BUILDING PARTNERSHIPS WITH THESE NON-PROFIT ORGANIZATIONS AND MAXIMIZING OUR OVERALL POSITIVE IMPACT ON THE COMMUNITY. PROCEDURE 1.ALL CONTRIBUTION/SPONSORSHIP REQUESTS SHOULD BE SUBMITTED IN WRITING TO THE CORPORATE COMMUNICATIONS DEPARTMENT FOR CONSIDERATION. EVERY EFFORT SHOULD BE MADE TO PROCESS THESE REQUESTS AND NOTIFY THE REQUESTER WITHIN TWO WEEKS OF RECEIVING THE WRITTEN INFORMATION REQUIRED TO EVALUATE THE OPPORTUNITY. 2.IN CONSULTATION WITH THE CEO, THE DIRECTOR OF CORPORATE COMMUNICATIONS WILL PREPARE THE ANNUAL BUDGET FOR CORPORATE CONTRIBUTIONS/SPONSORSHIPS AND PROCESS/MANAGE ACTUAL DISBURSEMENTS DURING THE YEAR. 3.REQUESTS WILL BE EVALUATED BASED ON THE FOLLOWING CRITERIA: A.DOES THE ORGANIZATION, EVENT OR PUBLICATION PROMOTE THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE? SPECIAL CONSIDERATION WILL BE GIVEN TO REQUESTS THAT DIRECTLY IMPACT HEALTH AND WELLNESS EVEN THOUGH SUPPORT MAY BE AVAILABLE FOR ORGANIZATIONS, EVENTS AND/OR PUBLICATIONS THAT HAVE A POSITIVE IMPACT ON THE CSRA BY: "ASSISTING IN ATTRACTING AND RETAINING A VIABLE WORK-FORCE" "ASSISTING IN ATTRACTING AND RETAINING VIABLE BUSINESSES AND EMPLOYERS IN THE CSRA" "PROMOTING THE CONTINUED GROWTH AND ECONOMIC WELL-BEING OF THE COMMUNITY" "ENHANCING THE QUALITY OF LIFE IN THE CSRA" B.DOES THE PROPOSED CONTRIBUTION/SPONSORSHIP PRIMARILY ASSIST PEOPLE LIVING LOCALLY RATHER THAN A NATIONAL EFFORT/INITIATIVE? C.DOES THE REQUESTING ORGANIZATION HAVE AN APPROVED TAX-EXEMPT STATUS? D.WILL THE PROPOSED CONTRIBUTION/SPONSORSHIP ENHANCE THE OVERALL IMAGE/REPUTATION OF UNIVERSITY HEALTH CARE SYSTEM? E.WILL THE PROPOSED CONTRIBUTION/SPONSORSHIP HEIGHTEN AWARENESS OF A SIGNIFICANT HEALTH ISSUE OR DISEASE THAT HAS A NEGATIVE IMPACT ON THE CITIZENS IN THE COMMUNITIES WE SERVE? 4.UNDER NO CIRCUMSTANCES WILL CONTRIBUTIONS BE MADE TO POLITICAL CAMPAIGNS. 5.BECAUSE OF THE LARGE NUMBER OF PUBLIC AND PRIVATE SCHOOLS IN THE CSRA, UNIVERSITY WILL LIMIT FINANCIAL SUPPORT/CONTRIBUTIONS TO THE VARIOUS BOARDS OF EDUCATION RATHER THAN INDIVIDUAL SCHOOLS (ELEMENTARY, MIDDLE, AND HIGH SCHOOLS). 6.BECAUSE OF THE LARGE NUMBER OF CHURCHES IN THE CSRA, UNIVERSITY WILL LIMIT FINANCIAL SUPPORT/CONTRIBUTIONS TO PROGRAMS THAT INCLUDE HEALTH-RELATED SERVICES FOR UNDERSERVED RESIDENTS SUCH AS COMMUNITY CLINICS. 7.EXCEPTION: FINANCIAL SUPPORT AND PARTNERSHIPS WITH AREA COLLEGES AND TECHNICAL SCHOOLS DO NOT FALL UNDER THIS POLICY. |
| SCHOLARSHIP & AWARDS DISBURSEMENTS |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE RICHMOND COUNTY HOSPITAL AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 586001901 | BondIssuerEIN |
| CUSIP | 764603BV7 | CUSIPNum |
| Bond Issued | 2016-10-25 | BondIssuedDt |
| Issue Price | $154,488,348 | IssuePriceAmt |
| Purpose | REFUND BOND CERTIFICATES (SERIES 2009) | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $154,488,348 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $1,658,616 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $152,829,732 | OtherSpentProceedsAmt |
| Substantial Completion | 2016 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | Yes (1) | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | Yes (1) | AnyResearchAgreementsInd |
| Engage Bond Counsel Research | Yes (1) | EngageBondCounselResearchInd |
| Private Bus Use By Others | 0.02700 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00200 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.02900 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | IN JANUARY 1985, THE FULL BOARD APPROVED THE FORMATION OF AN EXECUTIVE BOARD BY PASSING THE FOLLOWING RESOLUTION: BE IT RESOLVED THAT AN EXECUTIVE COMMITTEE OF UNIVERSITY HEALTH SERVICES, INC. BE CREATED TO MEET ON A ROUTINE BASIS, SUCH COMMITTEE BEING COMPOSED OF SEVEN MEMBERS. THE SIZE OF THE COMMITTEE MAY BE CHANGED FROM TIME TO TIME BY THE CHAIRMAN OF THE BOARD BUT MUST ALWAYS CONFORM TO THE BYLAWS. THE TASKS OF THE COMMITTEE SHALL CONSIST OF PLANNING, CAPITAL EXPENDITURE REVIEW, AND FINANCIAL REVIEW OF THE ACTIVITIES OF UNIVERSITY HEALTH SERVICES, INC. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF UNIVERSITY HEALTH SERVICES, INC AND ON BUDGETED CAPITAL REQUESTS; HOWEVER, ALL CAPITAL REQUESTS IN EXCESS OF $500,000 MUST BE ACTED ON BY THE FULL BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF FORM 990 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 12C | THE 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 15 | THE 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. ANNUALLY, A COMPENSATION COMMITTEE OF THE UNIVERSITY HEALTH SERVICES (UHS) BOARD 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. THE COMPENSATION COMMITTEE REPORTS TO THE UHS BOARD EXECUTIVE COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, POLICIES, FINANCIAL STATEMENTS, AND INFORMATIONAL RETURNS ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION OFFICE. |
| FORM 990, PART XI, LINE 9: | OTHER CUMULATIVE EFFECT ON ASSET RETIREMENT OBLIGATIONS 222,257. TRANSFER TO AFFILIATE 1,198,955. ACQUISITION OF UNIVERSITY HEALTH INC. 41,215,768. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990, HEADER, PART A: | CHANGE OF ACCOUNTING PERIOD: THE ORGANIZATION PREVIOUSLY REPORTED ON A CALENDAR YEAR ACCOUNTING PERIOD. EFFECTIVE 01/01/22, THE ORGANIZATION WILL BE REPORTED ON THE FISCAL YEAR ENDED JUNE 30TH. A SHORT TAX PERIOD IS BEING REPORTED FOR 01/01/22 TO 06/30/22. THE RULES UNDER IRS REVENUE PROCEDURE 85-58 APPLY FOR THIS CHANGE IN ACCOUNTING PERIOD |
| SCHEDULE H, PART V, LINE 16A | HTTPS://WWW.UNIVERSITYHEALTH.ORG/PATIENT-VISITOR-INFORMATION/FOR-PATIENT S/BILLING-INFORMATION/INDIGENT-AND-CHARITY-CARE |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (22 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WALTON WAY INDEMNITY SPC | ||||||||||||||
| 2ND FL GOVERNORS SQ 23 LIME TREE | WEST BAY | GRAND CAYMAN | CJ | INSURANCE CAPTIVE | CJ | $2,446,257 | $25,339,883 | UNIVERSITY HEALTH SERVICES INC | ||||||
| UNIVERSITY HEALTHCARE PHYSICIANS LLC | ||||||||||||||
| PHYSICIAN OFFICES | $0 | $0 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 272042386 | GA | |||||
| UNIVERSITY MEDICAL GROUP LLC | ||||||||||||||
| PHYSICIAN OFFICES | $3,298,008 | $30,742,966 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 274467379 | GA | |||||
| UNIVERSITY CARDIOLOGY ASSOCIATES | ||||||||||||||
| PHYSICIAN OFFICES | $5,891,748 | $7,727,713 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 451437971 | GA | |||||
| MEDICAL ONCOLOGY LLC | ||||||||||||||
| PHYSICIAN OFFICES | $0 | $0 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 452695782 | GA | |||||
| UMG NEUROLOGY LLC | ||||||||||||||
| PHYSICIAN OFFICES | $335,252 | $70,738 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 463326102 | GA | |||||
| UMG VASCULAR LLC | ||||||||||||||
| PHYSICIAN OFFICES | $1,284,118 | $354,228 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 463342973 | GA | |||||
| UNIVERSITY CRITICAL CARE MEDICINE LLC | ||||||||||||||
| PHYSICIAN OFFICES | $1,499,599 | $82,280 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 463105093 | GA | |||||
| UMG HOSPITALIST LLC | ||||||||||||||
| PHYSICIAN OFFICES | $2,516,859 | $231,987 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 463347646 | GA | |||||
| UMG INFECTIOUS DISEASE | ||||||||||||||
| PHYSICIAN OFFICES | $442,610 | $52,086 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 464694861 | GA | |||||
| UMG CARDIOTHORACIC SURGERY LLC | ||||||||||||||
| PHYSICIAN OFFICES | $502,807 | $124,946 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 463295395 | GA | |||||
| UNIVERSITY PRIMARY CARE AIKEN LLC (1) | ||||||||||||||
| PHYSICIAN OFFICES | $0 | $0 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 461175328 | GA | |||||
| UMG ENDOCRINOLOGY LLC | ||||||||||||||
| PHYSICIAN OFFICES | $627,233 | $81,034 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 463316180 | GA | |||||
| UMG GASTROENTEROLOY LLC | ||||||||||||||
| PHYSICIAN OFFICES | $134,185 | $25,630 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 471564753 | GA | |||||
| UMG NEUROSURGERY LLC | ||||||||||||||
| PHYSICIAN OFFICES | $2,468,518 | $582,265 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 471125478 | GA | |||||
| UMG GENERAL SURGERY LLC | ||||||||||||||
| PHYSICIAN OFFICES | $1,659,238 | $371,932 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 471016310 | GA | |||||
| UMG PROMPT CARE LLC | ||||||||||||||
| PHYSICIAN OFFICES | $1,668,698 | $426,393 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 472519838 | GA | |||||
| UMG PRIMARY CARE SOUTH CAROLINA LLC | ||||||||||||||
| PHYSICIAN OFFICES | $1,712,754 | $259,157 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 472345170 | GA | |||||
| UMG PROMPT CARE SOUTH CAROLINA LLC | ||||||||||||||
| PHYSICIAN OFFICES | $1,177,118 | $259,555 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 472361218 | GA | |||||
| UMG RHEUMATOLOGY LLC | ||||||||||||||
| PHYSICIAN OFFICES | $0 | $0 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 474285985 | GA | |||||
| UMG CONGESTIVE HEART FAILURE LLC | ||||||||||||||
| PHYSICIAN OFFICES | $694,720 | $120,232 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 812205908 | GA | |||||
| UMG PALLATIVE CARE LLC | ||||||||||||||
| PHYSICIAN OFFICES | $5,397 | $0 | UNIVERSITY HEALTH SERVICES INC | 1350 WALTON WAY | AUGUSTA | GA | 30901 | 820648367 | GA | |||||
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (32 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHMOND COUNTY HOSPITAL AUTHORITY | |||||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 586001901 | LEASED FACILITIES | GA | 501(C)(3) | LINE 3 | N/A | 0 | |
| AUGUSTA RESOURCE CENTER ON AGING I | |||||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 581728812 | NON PROFIT LIFE CARE COMMUNITY | GA | 501(C)(3) | LINE 10 | 0 | UNIVERSITY HEALTH SERVICES INC | |
| UNIVERSITY HEALTH CARE FOUNDATION | |||||||||||
| 2260 WRIGHTSBORO ROAD | AUGUSTA | GA | 30904 | 581343550 | PHILANTHROPY | GA | 501(C)(3) | LINE 7 | 0 | UNIVERSITY HEALTH SERVICES INC | |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL | |||||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 454166209 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT HEALTHCARE INC | |
| UNIVERSITY EXTENDED CARE INC | |||||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 581581105 | HEALTHCARE | GA | 501(C)(3) | LINE 3 | 0 | UNIVERSITY HEALTH SERVICES INC | |
| PIEDMONT HEALTHCARE INC | |||||||||||
| 1800 HOWELL MILL RD STE 850 | ATLANTA | GA | 30318 | 581503902 | MANAGEMENT | GA | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| PIEDMONT HOSPITAL INC | |||||||||||
| 1968 PEACHTREE ROAD NW | ATLANTA | GA | 30309 | 580566213 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT HEALTHCARE INC | |
| FAYETTE COMMUNITY HOSPITAL INC | |||||||||||
| 1255 HIGHWAY 54 WEST | FAYETTEVILLE | GA | 30214 | 582232328 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT HEALTHCARE INC | |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC | |||||||||||
| 1266 HIGHWAY 515 SOUTH | JASPER | GA | 30143 | 352228583 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT HEALTHCARE INC | |
| PIEDMONT NEWNAN HOSPITAL INC | |||||||||||
| 745 POPLAR ROAD | NEWNAN | GA | 30265 | 205077249 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT HEALTHCARE INC | |
| PIEDMONT HEALTHCARE FOUNDATION INC | |||||||||||
| 2001 PEACHTREE ROAD NE SUITE | ATLANTA | GA | 30309 | 581272768 | FUNDRAISING | GA | 501(C)(3) | LINE 12B, II | 0 | PIEDMONT HEALTHCARE INC | |
| PIEDMONT HENRY HOSPITAL INC | |||||||||||
| 1133 EAGLES LANDING PWKY | STOCKBRIDGE | GA | 30281 | 582200195 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT HEALTHCARE INC | |
| PIEDMONT NEWTON HOSPITAL INC | |||||||||||
| 5126 HOSPITAL DRIVE NE | COVINGTON | GA | 30014 | 582155150 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT HEALTHCARE INC | |
| PIEDMONT ATHENS REGIONAL FOUNDATION INC | |||||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 581978389 | FUNDRAISING | GA | 501(C)(3) | LINE 12B, II | 0 | PIEDMONT ATHENS REGIONAL MEDICAL CENTER | |
| PIEDMONT ATHENS REGIONAL HEALTH RESOURCE | |||||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 581930580 | DEVELOPMENT | GA | 501(C)(3) | LINE 12B, II | 0 | PIEDMONT ATHENS REGIONAL MEDICAL CENTER | |
| ATHENS REGIONAL PHYSICIAN SERVICES INC | |||||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 582332921 | HEALTHCARE | GA | 501(C)(3) | LINE 12B, II | 0 | PIEDMONT ATHENS REGIONAL MEDICAL CENTER | |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER | |||||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 582179986 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT HEALTHCARE INC | |
| COLUMBUS REGIONAL SENIOR LIVING INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 582628502 | HEALTHCARE | GA | 501(C)(3) | LINE 12C, III-FI | 0 | PIEDMONT HEALTHCARE INC | |
| ATHENS REGIONAL SPECIALITY SERVICES INC | |||||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 271975001 | HEALTHCARE | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT ATHENS REGIONAL MEDICAL CENTER | |
| REGIONAL FIRSTCARE INC | |||||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 582362733 | URGENT CARE | GA | 501(C)(3) | LINE 12B, II | 0 | PIEDMONT ATHENS REGIONAL MEDICAL CENTER | |
| THE MEDICAL CENTER INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581685139 | HEALTHCARE | GA | 501(C)(3) | LINE 3 | 0 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581719994 | MANAGEMENT | GA | 501(C)(3) | LINE 12B, II | 0 | PIEDMONT HEALTHCARE INC | |
| COLUMBUS REGIONAL MEDICAL FOUNDATION INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581501642 | FUNDRAISING | GA | 501(C)(3) | LINE 7 | 0 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | |
| HUGHSTON HOSPITAL INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 331216751 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | |
| PIEDMONT ROCKDALE HOSPITAL INC | |||||||||||
| 1412 MILSTEAD AVE | CONYERS | GA | 30012 | 300999841 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT HEALTHCARE INC | |
| PIEDMONT WALTON HOSPITAL INC | |||||||||||
| 2151 WEST SPRING ST | MONROE | GA | 30655 | 824194264 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT HEALTHCARE INC | |
| PIEDMONT HEART INSTITUTE INC | |||||||||||
| 95 COLLIER ROAD NW STE 2045 | ATLANTA | GA | 30309 | 263553500 | HEALTHCARE | GA | 501(C)(3) | LINE 10 | 0 | PIEDMONT HEALTHCARE INC | |
| COLUMBUS AMBULATORY HEALTHCARE SERVICES INC | |||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581719867 | AMBULATORY | GA | 501(C)(3) | LINE 3 | 0 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | |
| PIEDMONT CARTERSVILLE HOSPITAL INC | |||||||||||
| 960 JOE FRANK HARRIS PKWY SE | CARTERSVILLE | GA | 30120 | 870963633 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT HEALTHCARE INC | |
| PIEDMONT EASTSIDE HOSPITAL INC | |||||||||||
| 1700 MEDICAL WAY | SNELLVILLE | GA | 30078 | 870982886 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT HEALTHCARE INC | |
| PIEDMONT MACON HOSPITAL INC | |||||||||||
| 350 HOSPITAL DR | MACON | GA | 31217 | 871006981 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT HEALTHCARE INC | |
| PIEDMONT MACON NORTH HOSPITAL INC | |||||||||||
| 400 CHARTER BLVD | MACON | GA | 31210 | 871031034 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | PIEDMONT HEALTHCARE INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| GA SURG CTR PCHTREE | |||||||||
| 2061 PCHTREE | ATLANTA | GA | 30309 | 582394271 | SURGERY | GA | N/A | 0 | 0 |
| ORTHOATL SURG FAYET | |||||||||
| 900 CIR 75 | ATLANTA | GA | 30339 | 202961633 | SURGERY | GA | N/A | 0 | 0 |
| ATHENS ASC HOLDINGS | |||||||||
| 2142 BROAD ST | ATHENS | GA | 30606 | 454014891 | SURGERY | GA | N/A | 0 | 0 |
| COLUMBUS DIAG IMAG | |||||||||
| 116 IC POINTE | JUPITER | FL | 33477 | 262291768 | IMAGING | GA | N/A | 0 | 0 |
| THE SURGERY CTR LLC | |||||||||
| 100 FIRST CT | COLUMBUS | GA | 31909 | 582520623 | SURGERY | GA | N/A | 0 | 0 |
| PIED ENCOMPASS REHAB | |||||||||
| 9001 LIBERTY | BIRMINGHAM | AL | 35204 | 853544795 | HEALTHCARE | DE | N/A | 0 | 0 |
| COLISEUM SAME DAY | |||||||||
| 340 HOSPITAL DR | MACON | GA | 31217 | 621805346 | SURGERY | GA | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY HEALTH RESOURCES INC | ||||||||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 581601372 | PHYSICIAN SUPPORT SERVICES | GA | UNIVERSITY HEALTH SERVICES INC | C | 1.00000 | 0 | ||||
| UNIVERSITY HOSPITAL AIKEN INC | ||||||||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 472713774 | HOSPITAL | SC | UNIVERSITY HEALTH SERVICES INC | C | 1.00000 | 0 | ||||
| PIEDMONT MEDICAL CARE CORPORATION | ||||||||||||||
| 2727 PACES FERRY ROAD SUITE 1-1100 | ATLANTA | GA | 30339 | 582092768 | HEALTHCARE | GA | C | 0 | ||||||
| THE PIEDMONT CLINIC INC | ||||||||||||||
| 2727 PACES FERRY ROAD SUITE 1-1100 | ATLANTA | GA | 30339 | 582005358 | HEALTHCARE | GA | C | 0 | ||||||
| PIEDMONT HEART INSTITUTE PHYSICIANS INC | ||||||||||||||
| 95 COLLIER ROAD NW STE 2045 | ATLANTA | GA | 30309 | 260593850 | HEALTHCARE | GA | C | 0 | ||||||
| AMSTER MCRAE INSURANCE COMPANY | ||||||||||||||
| 980427603 | RELATED INSURANCE | C | 0 | PO BOX 1159 | GRAND CAYMAN | CJ | CJ | |||||||
| COLUMBUS HEALTHCARE RESOURCES | ||||||||||||||
| PO BOX 790 | COLUMBUS | GA | 31902 | 581717754 | HEALTHCARE | GA | C | 0 | ||||||
| COLUMBUS HEALTH SERVICES INC | ||||||||||||||
| PO BOX 790 | COLUMBUS | GA | 31902 | 581640939 | HOSPITAL | GA | C | 0 | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |