2025-05-15T16:37:37+00:00 2024-06-30 135565207 KPMG LLP 303 Peachtree St NE Suite 2000 Atlanta GA 30308 990 2023-07-01 581581103 University Health Services Inc UNIV 4702716007 1350 WALTON WAY AUGUSTA GA 30901 DR LILY HENSON CEO 4702716007 2025-05-15 true true Whitney B Hebron P01226647 4042223000 2025-05-15 2023 2025-03-06 01:10:19Z PIEDMONT AUGUSTA HOSPITAL DR LILY HENSON 1350 WALTON WAY AUGUSTA GA 30901 616672768 false X HTTPS://WWW.PIEDMONT.ORG/ X 1984 GA TO PROVIDE COMPASSIONATE AND SUSTAINABLE HEALTHCARE IN A PROGRESSIVE ENVIRONMENT. 13 8 4408 101 4174225 1281120 535549 0 490565944 567755653 -36611 38142524 4633408 5599555 495698290 611497732 638245 1326086 0 218171895 229223353 0 0 281136291 394334766 499946431 624884205 -4248141 -13386473 1183632975 1025805351 338862073 308591166 844770902 717214185 TO PROVIDE HEALTHCARE MARKED BY COMPASSION AND SUSTAINABLE EXCELLENCE IN A PROGRESSIVE ENVIRONMENT, GUIDED BY PHYSICIANS, DELIVERED BY EXCEPTIONAL PROFESSIONALS, AND INSPIRED BY THE COMMUNITIES WE SERVE. false false 576472089 1326086 567755653 UNIVERSITY HEALTH SERVICES, INC. (D/B/A PIEDMONT AUGUSTA HOSPITAL) IS AN 812-BED ACUTE-CARE FACILITY LOCATED IN THE CITY OF AUGUSTA IN RICHMOND COUNTY, GEORGIA. PRIMARY CARE AND SPECIALTY PHYSICIANS OF THE MEDICAL STAFF MEET THE PROFESSIONAL CLINICAL NEEDS OF CHILDREN, ADULTS, AND SENIORS WITHIN THE AUGUSTA-RICHMOND COUNTY AREA AND 25 COUNTIES ACROSS TWO STATES, REGARDLESS OF ANY INDIVIUAL'S ABILITY TO PAY FOR SERVICES. FOR THE YEAR ENDED JUNE 30, 2024, THE HOSPITAL HAD 20,750 IN-PATIENT ADMISSIONS WITH A TOTAL OF 105,921 DAYS OF IN PATIENT HOSPITALIZATION. ER VISITS TOTALED 56,889 AND OUTPATIENT VISITS TOTALED 271,498. SURGICAL SERVICES WERE PROVIDED TO 13,042 PATIENTS. 576472089 true false false true false false false false false true true false false true true false true false false true false false false false false true true true true true true false false false false false false false false false false false false false false true true false false false true X 0 0 4408 true true true true CJ false false false false false false false false true false X 13 8 false false false false true true true true true false false false true true true true true true true false GA SC X MARIE GAFFNEY 4702716007 2727 PACES FERRY RD BLDG 2 STE ATLANTA GA 30339 DR LILY HENSON CEO (AS OF 1/2023) 39.0 16.0 X X 849521 19614 28598 MR HUGH HAMILTON BOARD MEMBER/CHAIR 1.0 2.0 X X 0 800 0 DR CHARLES BROWN III BOARD MEMBER 1.0 54.0 X 0 1277124 34229 DR DANIEL BOONE BOARD MEMBER 1.0 39.0 X 0 311348 34096 DR JAMES SHERMAN BOARD MEMBER 39.0 1.0 X 121986 0 3206 MR EDWARD TARVER BOARD MEMBER 1.0 1.0 X 0 0 0 MR EUGENE MCMANUS BOARD MEMBER 1.0 1.0 X 0 0 0 MR KEVIN BROWN BOARD MEMBER 1.0 54.0 X 0 4033957 44832 MR LEVI HILL IV BOARD MEMBER 1.0 2.0 X 0 0 0 MR SANFORD LOYD BOARD MEMBER 1.0 1.0 X 0 0 0 MR TERRY ELAM BOARD MEMBER 1.0 1.0 X 0 0 0 MR WILLIAM DOUPE BOARD MEMBER 1.0 2.0 X 0 0 0 MS BECKY SMITH BOARD MEMBER 1.0 2.0 X 0 0 0 MR THOMAS ARNOLD TREASURER/CFO PHC 1.0 54.0 X 0 1268098 39510 MS ELIZABETH LEDDY SECRETARY/CLO PHC 1.0 54.0 X 0 1164523 40350 MR BRENT ROBINSON COO 55.0 0.0 X 181740 174754 24206 MR DAVID BELKOSKI CFO 39.0 16.0 X 707056 0 36297 DR CARGILL ALLEYNE PHYSICIAN 39.0 1.0 X 0 1160972 28178 DR DAVID CLARK PHYSICIAN 40.0 0.0 X 0 1053798 43890 DR GREGORY OETTING PHYSICIAN 40.0 0.0 X 0 1283177 43953 DR HOUMAN TAMADDON PHYSICIAN 40.0 0.0 X 0 1627936 42257 DR SANTOSH VARKEY PHYSICIAN 40.0 0.0 X 0 1222014 35498 MR BARRY JENKINS CMO 30.0 10.0 X 517734 0 45856 MR JAMES R DAVIS FORMER CEO & PRESIDENT 0.0 0.0 X 2152034 0 0 MR SCOTT ANSEDE EXEC. DIR. PIEDMONT AUGUSTA CARDIOLOGY 1.0 39.0 X 374585 0 28780 MS ELIZABETH GALLUP FORMER COO 0.0 0.0 X 684748 0 34599 MS JANEE DOCK CNO 40.0 0 X 346982 0 35991 MS KELLY DUNAVANT FORMER VP SUPPORT SVCS 0.0 0 X 126002 0 8847 MS LAURIE OTT SMITH EXEC. DIR. PHILANTHROPY 20.0 20.0 X 323379 0 25325 MS LISA RITCH EXEC. DIR. FINANCE 20.0 20.0 X 132927 159890 42432 MS SHIRLEY GABRIEL EXEC. DIR. INFO SVCS 40.0 0.0 X 191965 235167 36549 MS TERESA BUSCHBACHER FORMER EXEC. DIR. HVI & RADIOLOGY SVCS 0.0 0 X 383248 0 22248 7093907 14993172 759727 402 true true false AYA HEALTHCARE INC 5930 CORNERSTONE CT W STE 300 SAN DIEGO CA 92121 STAFFING SERVICES 19129076 AUGUSTA SURGICAL GROUP 1430 HARPER ST STE B AUGUSTA GA 30901 SURGICAL SERVICES 12100000 ORTHOPAEDIC ASSOCIATES OF AUGUSTA PA 811 13TH ST STE 20 AUGUSTA GA 30901 ORTHOPAEDIC SERVICES 10089731 SOUTHEAST CONTRACTING SERVICES 2 LLC PO BOX 634850 CINCINNATI OH 452634850 CONTRACTING SERVICES 7086569 SHEARWATER HEALTH INC 20 BURTON HILLS BLVD STE 400 NASHVILLE TN 37215 STAFFING SERVICES 4002451 41 0 PATIENT SERVICE REVENUE 621110 556043106 556043106 0 0 LAB REVENUE 621500 2828290 2828290 OTHER OPERATING REVENUE 900099 549529 549529 0 0 GEORGIA STRONG 900099 8334728 8334728 0 0 0 0 0 0 567755653 43158241 0 1329871 41828370 5738180 0 138625 0 5599555 0 5599555 0 16064 5583491 0 20694 0 5036411 0 -5015717 -5015717 0 0 -5015717 0 0 0 0 0 611497732 564927363 4174225 42396144 X 923586 923586 402500 402500 1980121 1709834 270287 0 185340489 160041512 25298977 0 30302173 26165926 4136247 0 11600570 10017092 1583478 0 966225 0 966225 0 231516 231516 0 0 1000 1000 0 0 -247921 -247921 0 0 93759303 93759303 0 0 1123091 0 1123091 0 15798638 13642124 2156514 0 15066053 13009537 2056516 0 16018543 13832012 2186531 0 157557 136050 21507 0 126275 109038 17237 0 10334030 8923435 1410595 0 15234064 15234064 0 0 20829777 17986512 2843265 0 7649109 6605006 1044103 0 MEDICAL SUPPLIES & DRUGS 123262714 123262714 0 0 BAD DEBT EXPENSE 38010776 38010776 0 0 MISCELLANEOUS 24157822 20860279 3297543 0 HOSPITAL TAX 7544722 7544722 0 0 4311472 4311472 0 0 624884205 576472089 48412116 0 230620652 40437398 103266511 97841684 0 0 0 0 15779300 16153984 8807414 4671574 392658613 46027127 346721529 346631486 468741871 509164065 0 9695698 10905160 1183632975 1025805351 161077873 180344547 112647556 105014427 0 0 65136644 23232192 338862073 308591166 X 844697813 717122677 73089 91508 844770902 717214185 1183632975 1025805351 X -13386473 46649904 -160820148 X false true X true false X false false false false false false false false true 1000 1000 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PART OF VARIOUS ASSOCIATION DUES INCLUDE A PERCENTAGE ALLOCATION FOR EXPENDITURES ON LOBBYING ACTIVITIES. DUES PAID TO THE AUGUSTA METRO CHAMBER OF COMMERCE HAVE A LOBBYING COMPONENT. FOR 2024 THESE FEES AMOUNT TO $1,000. 0 47820000 47820000 0 201834822 17679587 184155235 0 508477 51088 457389 0 94848764 28296452 66552312 0 47646550 0 47646550 346631486 PLANT FUND INVEST-TRUSTCO 452646495 F ALLOWANCE FOR UNREALIZED LOSS 56265337 F INVESTMENT PLANT FUND-OTHER 56524 F ACCRUED INTEREST EARNED 57293 F VHA STOCK INVESTMENTS 138416 F 509164065 DUE TO RELATED PARTIES 21472908 MISCELLANEOUS 1759284 23232192 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PHC ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF ASC 740, INCOME TAXES (ASC 740). UNDER THE REQUIREMENTS OF ASC 740, TAX-EXEMPT ORGANIZATIONS MAY BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS UNCERTAIN TAX EXPOSURE ITEMS. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AT JUNE 30, 2024 OR 2023. Central America and the Caribbean 0 0 Investments 21543697 Europe (Including Iceland and Greenland) 0 0 Investments 1301441 0 0 0 0 0 0 22845138 0 22845138 true false true true true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEA; EUROPE (INCLUDING ICELAND AND GREENLAND true true X true X 300 true X true true false true true 8991156 0 8991156 0.0163 20807237 10549791 10257446 0.0186 26420478 12795396 13625082 0.0247 0 0 56218871 23345187 32873684 0.0597 136603 0 136603 0.0002 7124282 0 7124282 0.0129 394660 0 394660 0.0007 3207 0 3207 0.0000 57888 0 57888 0.0001 0 0 7716640 0 7716640 0.0140 0 0 63935511 23345187 40590324 0.0737 0 0.0 60087 0 60087 0.0001 568895 0 568895 0.0010 0 0.0 0 0.0 0 0.0 0 0.0 589735 0 589735 0.0011 0 0.0 0 0 1218717 0 1218717 0.0022 true 9045916 99956267 120665306 -20709039 X true true 1 1 UNIVERSITY HEALTH SERVICES INC 1350 WALTON WAY AUGUSTA GA 30901 HTTPS://WWW.PIEDMONT.ORG/ 121-375 X X X X UNIVERSITY HEALTH SERVICES INC 1 false false true X X X X X X X X 22 true false false true X https://www.piedmont.org/media/file/2022-11-PAG-Community-Health-Needs-Assessment.pdf X X true 22 true THE BOARD OF DIRECTORS FOR PIEDMONT AUGUSTA APPROVED ITS IMPLEMENTATION STRATEGY FOR THE THREE-YEAR false true X 300.0 300.0 X X true true X X X X true X https://www.piedmont.org/media/file/2024-05-PHC-Financial-Assistance-Policy-English.pdf X https://www.piedmont.org/media/file/2024-05-PHC-Financial-Assistance-Application-English.pdf X www.piedmont.org/media/file/2020-10-PHC-Financial-Assistance-Plain-Language-Summary-English.pdf X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - UNIVERSITY HEALTH SERVICES, INC.. A COMMUNITY LISTENING SESSION WAS HELD IN RICHMOND COUNTY. INDIVIDUALS FROM VARIOUS HEALTH AND SOCIAL SERVICE AGENCIES FROM RICHMOND, COLUMBIA, AND AIKEN COUNTIES WERE INVITED TO ATTEND. THOSE AGENCIES THAT PARTICIPATED IN THE SESSIONS ARE: RAPE CRISIS AND SEXUAL ASSAULT SERVICES, I AM MY BROTHER'S KEEPER MINISTRY, LONG TERM LIAISONS, CITY OF GROVETOWN, UNITED WAY OF THE CSRA, SAFE HOMES, RICHMOND COUNTY SCHOOL SYSTEM, HARRISBURG FAMILY HEALTHCARE. THESE AGENCIES REPRESENT THE HOMELESS, THE ELDERLY AND 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: AUGUSTA HOUSING & COMMUNITY DEVELOPMENT, AUGUSTA PARTNERSHIP FOR CHILDREN, AUGUSTA RESCUE MISSION, CHRIST COMMUNITY HEALTH, COORDINATED HEALTH SERVICES, INC., CSRA AREA AGENCY ON AGING, FAMILY PROMISE OF AUGUSTA, GAP MINISTRIES, GARDEN CITY RESCUE MISSION, GEORGIA DEPARTMENT OF PUBLIC HEALTH, EAST CENTRAL HEALTH DISTRICT IV, RICHMOND COUNTY HEALTH DEPARTMENT, GOLDEN HARVEST FOOD BANK, HOPE FOR AUGUSTA, HOPE HOUSE, LAMAR MEDICAL CENTER, MERCY MINISTRIES, SENIOR CITIZEN COUNCIL, TURN BACK THE BLOCK, WALTON OPTIONS FOR INDEPENDENT LIVING, COLUMBIA COUNTY, CITY OF HARLEM, COLUMBIA COUNTY COMMUNITY, COLUMBIA COUNTY HEALTH DEPARTMENT, UNITED WAY OF AIKEN COUNTY, COMMUNITY MINISTRY OF NORTH AUGUSTA, AIKEN SENIOR LIFE SERVICES, AIKEN COUNTY HELP LINE, INC., ACTS-AREA CHURCHES TOGETHER SERVING, COMMUNITY MEDICAL CLINIC OF AIKEN COUNTY, JACKSON FIRST ALERT RESCUE SQUAD, LOWER SAVANNAH COG, RURAL HEALTH SERVICES, INC., FAMILY HEALTH CARE, AIKEN COUNTY HEALTH DEPARTMENT. REPRESENTATIVES FROM THESE ORGANIZATIONS WERE SENT AN EMAIL WITH THE LIST OF QUESTIONS FROM THE LISTENING SESSION AND INVITED TO PROVIDE FEEDBACK. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - UNIVERSITY HEALTH SERVICES, INC.. IN ADDITION TO MAKING ITS CHNA REPORTS AVAILABLE ON ITS WEBSITE AND BY REQUEST, PIEDMONT AUGUSTA SENT COPIES TO EACH PARTICIPANT IN THE CHNA PROCESS, DISTRIBUTED THE ASSESSMENTS TO COMMUNITY CENTERS AND OTHER LOCATIONS THAT PRIMARILY SERVE AN UNINSURED POPULATION, SENT COPIES TO LEGISLATIVE AND ELECTED OFFICIALS, AND WIDELY DISTRIBUTED THE ASSESSMENTS TO OTHER PIEDMONT HEALTHCARE HOSPITALS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - UNIVERSITY HEALTH SERVICES, INC.. DURING FY22, PIEDMONT AUGUSTA CONDUCTED ITS FIRST TRIENNIAL CHNA, BY ASSESSING PUBLICLY AVAILABLE DATA, INTERVIEWING COMMUNITY MEMBERS AND STAKEHOLDERS, CONDUCTING FOCUS GROUPS OF VULNERABLE POPULATIONS, INTERVIEWING PIEDMONT BOARD MEMBERS, AND SURVEYING PIEDMONT EMPLOYEES. THROUGH THIS PROCESS, PIEDMONT AUGUSTA DETERMINED AND PRIORITIZED THE COMMUNITY HEALTH NEEDS IT WOULD ADDRESS BASED ON THE NUMBER OF PERSONS AFFECTED, THE SERIOUSNESS OF THE ISSUE, WHETHER THE HEALTH NEED AFFECTED VULNERABLE POPULATIONS, AND THE AVAILABILITY OF COMMUNITY AND HOSPITAL RESOURCES NECESSARY TO ADDRESS THE ISSUE. ALL PRIORITIES ARE VIEWED THROUGH THE LENS OF HEALTH DISPARITIES, WITH PARTICULAR ATTENTION PAID TO IMPROVING OUTCOMES FOR THOSE MOST VULNERABLE DUE TO INCOME AND RACE. BASED ON THE CHNA, PIEDMONT AUGUSTA IS CURRENTLY FOCUSING ON: (1) ENSURING AFFORDABLE ACCESS TO HEALTH, MENTAL, AND DENTAL CARE (2) REDUCING PREVENTABLE INSTANCES OF, AND DEATHS FROM, CANCER (3) REDUCING PREVENTABLE INSTANCES OF, AND DEATHS FROM, HEART DISEASE (4) REDUCING PREVENTABLE INSTANCES OF DIABETES AND INCREASING ACCESS TO CARE FOR THOSE LIVING WITH THE DISEASE (5) REDUCING RATES OF OBESITY AND INCREASING ACCESS TO HEALTHY FOODS AND RECREATIONAL ACTIVITIES 17 UNIVERSITY CARDIOLOGY ASSOCIATES LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UNIVERSITY MEDICAL GROUP LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG HOSPITALIST LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG NEUROSURGERY LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG PRIMARY CARE SOUTH CAROLINA LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG PROMPT CARE LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG GENERAL SURGERY LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UNIVERSITY CRITICAL CARE MEDICINE LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG VASCULAR LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG PROMPT CARE SOUTH CAROLINA LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG CONGESTIVE HEART FAILURE LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG ENDOCRINOLOGY LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG CARDIOTHORACIC SURGERY LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG INFECTIOUS DISEASE 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG NEUROLOGY LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG GASTROENTEROLOY LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG PALLIATIVE LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES Schedule H, Part I, Line 6a PUBLIC AVAILABILITY OF COMMUNITY BENEFIT REPORT Piedmont regularly reports its community benefit activities to the community in several ways. Each year, Piedmont prepares a systemwide community benefit report that is available to the public through publication on its website. Piedmont also makes its IRS Form 990 Schedule H available on its website and provides copies to anyone upon request. Piedmont also provides information on community benefit programming to local, state, and federal lawmakers through its government affairs office and online at piedmont.org. Schedule H, Part I, Line 7f PERCENT OF TOTAL EXPENSE THE DENOMINATOR USED FOR THE CALCULATION OF COLUMN (F), PERCENT OF TOTAL EXPENSE, WAS THE AMOUNT OF TOTAL FUNCTIONAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) OF $589,166,651, LESS BAD DEBT EXPENSE OF $38,159,626 FROM FORM 990, PART IX, LINE 24(B). Schedule H, Part I, Line 7 FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST A RATIO OF PATIENT CARE COST TO CHARGES, CONSISTENT WITH WORKSHEET 2, WAS USED TO REPORT THE AMOUNTS IN PART I, LINES 7A-7D. FOR AMOUNTS ON LINES 7E-7K, ACTUAL EXPENSES FOR EACH COMMUNITY BENEFIT ACTIVITY ARE TRACED AND REPORTED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. Schedule H, Part III LINES 2-4 - BAD DEBT EXPENSE CALCULATION AND FOOTNOTE The provision for bad debts is based upon leadership's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Hospital and system leadership periodically assesses the adequacy of the allowance for doubtful accounts based on historical write-off experience by payor category. The review results are then used to modify the provision for bad debts to establish an appropriate allowance for uncollectible receivables. THE AMOUNT REPORTED ON PART III, LINE 3, WAS DETERMINED BY TAKING THE AVERAGE ACCEPTANCE RATE FOR ALL CHARITY CARE APPLICATIONS RECEIVED DURING THE YEAR MULTIPLIED BY THE NUMBER OF DENIALS THAT WERE ATTRIBUTABLE TO INSUFFICIENT INFORMATION. THAT TOTAL WAS THEN ADJUSTED DOWNWARD FOR THE ORGANIZATION'S USE OF PRESUMPTIVE ELIGIBILITY WHEN DETERMINING ITS COMMUNITY BENEFITS. BAD DEBT EXPENSE FOOTNOTE FROM CONSOLIDATED, AUDITED FINANCIAL STATEMENTS: The provision for bad debts is based upon leadership's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Hospital and system leadership periodically assesses the adequacy of the allowance for doubtful accounts based on historical write-off experience by payor category. The review results are then used to modify the provision for bad debts to establish an appropriate allowance for uncollectible receivables. PAG PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE. Schedule H, Part III, Line 8 MEDICARE SHORTFALLS AS COMMUNITY BENEFIT The amount reported in Part III, Line 6, was calculated following Schedule H instructions by utilizing allowable Medicare costs as reported in the Medicare cost report, which Piedmont bases on a cost-to-charge ratio. However, the allowable costs in the Medicare cost report do not reflect the actual cost of providing care to patients since the Medicare cost report excludes many direct patient care costs that are essential to providing quality healthcare for Medicare patients. For example, specific coverage fees to physicians, Medicare C and D costs, and other similar direct patient care expenses are expressly excluded from allowable costs in the Medicare Cost Report. Piedmont believes its Medicare shortfall reported in Part III, Line 7 of Schedule H, should be considered a community benefit as the IRS community benefit standard includes providing care to elderly and Medicare patients. IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health insurance, such as Medicare, are an indication the hospital operates to promote health in the community. Piedmont's policy is to treat Medicare patients regardless of how much Medicare pays for the treatment. For many services, Medicare's reimbursement is less than the cost of the care provided, resulting in shortfalls the hospital will absorb in honor of its commitment to treating elderly patients. Many of these patients live on a low, fixed income and would qualify for financial assistance or other means-tested programs, absent from their enrollment in Medicare. Schedule H, Part III, Line 9b COLLECTION PRACTICES INITIAL SCREENINGS OF ALL INPATIENT, EMERGENCY, AND SURGERY ENCOUNTERS, AS WELL AS MOST OUTPATIENT VISITS, ARE CONDUCTED BY FINANCIAL COUNSELORS IN ORDER TO IDENTIFY ANY AVAILABLE INSURANCE OR OTHER COVERAGE FOR EACH PATIENT. COUNSELORS CONTACT PATIENTS AND THEIR FAMILIES DIRECTLY, EITHER IN PERSON OR BY LETTER, TO ASSIST THE FAMILY IN IDENTIFYING ANY PROGRAMS FOR WHICH THE PATIENT/SERVICE MAY QUALIFY (INCLUDING MEDICAID, STATE CHILDREN'S HEALTH INSURANCE PROGRAM ("SCHIP"), PRIVATE OR GOVERNMENT INSURANCE COVERAGE, AND CHARITY ASSISTANCE). IF THE FAMILY CANNOT BE TIMELY LOCATED OR IS UNCOOPERATIVE, RELATED ACCOUNTS ARE TRANSFERRED TO AN INTERNAL COLLECTION DEPARTMENT FOR FURTHER ATTEMPTS TO OBTAIN PAYMENT OR, IF THE PATIENT MAY QUALIFY FOR ASSISTANCE, TO SECURE A FINANCIAL ASSISTANCE APPLICATION. THE ORGANIZATION'S DEBT COLLECTION POLICY AND PROCEDURES PROHIBIT ANY COLLECTION EFFORTS FOR THE PORTION OF A PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. Schedule H, Part VI, Line 2 NEEDS ASSESSMENT As a designated 501(c)(3) nonprofit hospital, the Internal Revenue Service requires us to conduct a triennial community health needs assessment (CHNA) following regulations put forth by the IRS following the 2010 Patient Protection and Affordable Care Act (ACA). Through this assessment, Piedmont hopes to understand local health challenges better, identify health trends in the community, determine gaps in the current health delivery system, and craft a plan to address those gaps and the identified health needs. In FY22, Piedmont conducted its fourth triennial CHNA, and FY24 was the second year of activities outlined in its subsequent Implementation Strategy. The CHNA was led by the Piedmont Healthcare community benefits team and consulting organization Public Goods Group (PGG), with input and direction from Piedmont leadership and Piedmont Healthcare's Department of External Affairs. Process The CHNA defined its community as its home county due to the impact of its tax-exempt status. Property taxes comprise a hospital's largest tax exemption segment, impacting county revenues. Because of this, Piedmont aims to ensure it provides ample benefit to its county and community. Additionally, Piedmont considers patient origin, especially that of lower-income patients who qualify for financial assistance or receive insurance coverage through Medicaid. Piedmont's secondary communities are considered the areas with the highest concentration of patients fitting that criterion, including those from nearby communities. Once Piedmont established its primary and secondary communities, it analyzed available public health data, including resources from the US Census, US Health and Human Services Community Health Status Indicators, US Department of Agriculture, Economic Research Service, National Center for Education Statistics, Kaiser Family Foundation's State Health Facts, American Heart Association, County Health Rankings and Georgia Online Analytical Statistical Information System (OASIS). All figures within the CHNA were for 2020 unless otherwise noted. Health indicators are estimates provided by County Health Rankings and the team internally sourced hospital data. PGG then interviewed key stakeholders with particular expertise or knowledge of the community. Specifically, PGG interviewed representatives of local and regional public health entities, minority populations, faith-based communities, local business owners, philanthropic communities, mental health agencies, elected officials, and individuals representing the community's most vulnerable patients. Piedmont conducted an internal survey system for both clinical and non-clinical employees. Piedmont gathered information on knowledge and understanding of community benefits, current programs, and suggestions for better serving patients and the overall community, regardless of where they receive care. Approximately 1,050 employees spanning the system responded. Additionally, Piedmont conducted a community-based survey that was widely advertised to the community. Once Piedmont gathered qualitative and quantitative data, Piedmont authored the preliminary report, which was vetted and reviewed by hospital and health system leadership. This report identified several key community health needs during the assessment process. The community benefits department recommended priorities with sign-off from hospital and board leadership. Piedmont used the following criteria to establish the priorities: - The number of people affected; - The seriousness of the issue; - Whether the health need particularly affected people living in poverty or reflected health disparities; and, - Availability of community and/or hospital resources to address the need. Piedmont views all priorities through the lens of health disparities, with particular attention paid to improving outcomes for those most vulnerable due to income and race. The chosen priorities reflected a collective agreement on what hospital leadership, staff, and the community felt was most important and within its ability to impact the issue positively. Once leadership approved the priorities, Piedmont authored the CHNA. Piedmont presented its findings and recommendations to the hospital's board of directors for their input and approval. FY22 priorities A key CHNA component is identifying the top health priorities the hospital will address over fiscal years 2023, 2024, and 2025. These priorities will guide the hospital's community benefit work. They are, in no order: - Ensure affordable access to health, mental, and dental care - Reduce preventable instances of and deaths from cancer - Promote healthy behaviors to reduce avoidable conditions, diseases, and addiction - Reduce preventable cases of and deaths from heart disease With each priority, Piedmont will work to achieve more significant health equity by reducing the impact of poverty and other socioeconomic indicators, building health equity into its work, which the hospital demonstrates through its implementation strategies. Hospital leadership and staff then developed the subsequent implementation strategy to address the identified priorities in the FY22 community health needs assessment. The implementation strategy was designed to be executed over three years. It included specific metrics by which hospital staff and the community could evaluate its work and impact. Piedmont developed the implementation strategy by utilizing community feedback from the assessment in partnership with the system community benefits department, system leadership, and the hospital's board of directors. Piedmont included proven and successful interventions and programming, investing further in work with the best chance of creating positive, sustainable change. Schedule H, Part VI, Line 3 PATIENT EDUCATION OF ASSISTANCE ELIGIBILITY Piedmont understands that not everyone can pay their hospital bill due to their insurance status or limited income, and because of this, each hospital offers financial assistance to qualifying patients. Notification about financial assistance includes, but is not limited to, a dedicated contact number, notices within inpatient bills, and posted notices in key hospital areas. These locations are the emergency room, admitting and registration departments, business office, and patient financial services offices on site. Piedmont also publishes and widely publicizes a plain language summary of this financial assistance care policy and its full policy on its website. Any staff member can refer a patient to the financial assistance department, including physicians, nurses, financial counselors, social workers, case managers, chaplains, and religious sponsors. The patient may request financial assistance from a family member, close friend, or associate of the patient, subject to applicable privacy laws. Additionally, Piedmont provides copies of its financial assistance policy to partner clinics and others who work closely with low-income populations. Piedmont helps its partners understand the policy and how it relates to their populations, and it receives feedback on improving its financial assistance programming. Schedule H, Part VI, Line 4 COMMUNITY INFORMATION While Piedmont Augusta serves patients throughout Georgia, the hospital considers its community to be Richmond County in recognition of the direct impact of its tax-exempt status on county residents. In Richmond County, an average of approximately 206,153 people lived in the 324-square-mile area each year from 2018 to 2022. The population density for this area, estimated at more than 636 people per square mile, is more than the national average population density of 94 people per square mile. Richmond County is primarily urban, as 92 percent of the population lived in urban settings in 2020. The median age of people in the county from 2018 to 2022 was 35, a little younger than state and national averages. About 23 percent of the population were 17 or younger, 15 percent were over 65, and the rest were between 18 and 64. Three percent of the population identified as being born outside of the US, and about one percent did not possess US citizenship status. The Hispanic population within the community is growing and now represents more than five percent of the community. An average of about 12 percent of county residents were veterans each year from 2018 to 2022. The majority were under 65, with the highest percentage between 25 and 54. About 18 percent of the county population lived with a disability, and most were over the age of 65. The community is growing, and more than 6,000 people moved into Richmond County between 2010 and 2020, representing a three percent growth rate. With this growth comes increased diversity, as white populations decreased and those of all other races and ethnicities increased. Specifically, there was a 10 percent decrease in white populations, a five percent increase in Black or African American populations, a 19 percent increase in Asian populations, and a 40 percent increase in Hispanic or Latino populations. Between 2018 and 2022, the median household income was $50,605, significantly lower than the state and national median incomes of $71,355 and $75,149, respectively. Income disparities are evident when broken down by the four dominant races in the community. Of employers in the community, the largest sector by number of employees was government and government enterprises, which employed about 41,974 people at an average wage of $94,700 in 2022. Health care and social assistance was the next largest sector, employing 18,114 people at an average salary of $69,351. Administrative and support, waste management, and remediation service was the third largest sector, employing 13,479 people at an average wage of $31,938. According to the 2018-2022 American Community Survey, of the more than 163,800 working-age adults in the county, approximately 101,400 were part of the labor force, yielding a labor force participation rate of roughly 62 percent. Total unemployment in the county in November 2024 equaled about 4,700 people, or six percent of the civilian non-institutionalized population aged 16 and older. Low food access means living more than one mile (urban) or 10 miles (rural) from the nearest supermarket, supercenter, or large grocery store. This indicator is relevant because it highlights populations and geographies facing food insecurity. According to the 2019 Food Access Research Atlas database, nearly 50 percent of the total population in the county has low food access, meaning about 95,418 county residents may struggle to access healthy foods. In 2022, the county had a food insecurity rate of about 16 percent, meaning more than 32,300 people had been unsure how they would access adequate food at some point during the year. Unfortunately, many of these community members are ineligible for public assistance via SNAP, WIC (Special Supplemental Nutrition Program for Women, Infants and Children), free or reduced-cost school meals, the Commodity Supplemental Food Program (CSFP), or The Emergency Food Assistance Program (TEFAP). In 2022, of the 15,240 food-insecure children in the county, 20 percent were ineligible for public assistance programs. In 2022, about 79 percent of adults aged 18 or older saw a doctor for a routine check-up the previous year, a measure higher than state and national averages. For Medicare recipients, this number drops to nearly 68 percent of adult beneficiaries, below both state and national averages. Routine check-ups are critical to maintaining good health and identifying conditions that can be treated affordably in a community-based setting. Absent that, even simple-to-treat conditions can escalate to deeper issues, eventually requiring more intensive care, later-stage diagnoses, or reduced life expectancy. Heart disease is the leading cause of death in Richmond County. Between 2018 and 2022, there were nearly 2,800 deaths due to heart disease, resulting in an age-adjusted death rate of approximately 272 deaths for every 100,000 people, which is worse than both state and national averages. Like heart disease, we see a significant trend in stroke deaths in Richmond County. Between 2018 and 2022, there were a little over 500 deaths due to stroke, resulting in an age-adjusted death rate of 51 deaths per every 100,000 people, worse than the state and national rates of about 45 and 48 deaths, respectively. The hospitalization rates for heart disease and stroke among Medicare recipients have been decreasing steadily over the past five years. Each year from 2019 to 2021, there were approximately nine hospitalizations for cardiovascular disease for every 1,000 Medicare beneficiaries. This rate is lower than the state average of 10 hospitalizations per 1,000 beneficiaries but on par with the national average. Furthermore, the hospitalization rate for stroke is also lower than the state average, with eight hospitalizations per 1,000 Medicare beneficiaries, compared to the state average of nine. While heart disease remains the leading cause of death in the county, cancer remains a critical issue within the community. The cancer incidence rate for Richmond County averaged more than 480 cases per 100,000 people annually between 2016 and 2020, resulting in more than 1,000 new cases each year. When broken down by cancer site, the breast cancer incidence rate stood at 135 diagnoses per 100,000 females, which was notably higher than both the state and national averages of 129 and 127, respectively. Additionally, other diagnosed cancer sites were also higher than the state and national averages, apart from colon cancer. In 2021, about 22,000 adults aged 20 and older had diabetes, equaling 14 percent of the county's population. This rate is higher than the state average of 10 percent. Diabetes is a prevalent issue in the US, often linked to an unhealthy lifestyle, and it poses risks for various health problems. This figure has fluctuated over the last five years. In 2021, about four percent of the county's population had a diagnosis of kidney disease, a rate higher than the state and national percentages of three. That same year, 32 percent of the county's adult population of adults 18 and older reported high cholesterol. Too much cholesterol puts one at risk for heart disease and stroke, two of the leading causes of death within the county. High blood pressure can damage the arteries by making them less elastic, which decreases blood and oxygen flow to the heart and leads to heart disease. In 2021, 43 percent of adults 18 and older in Richmond County had a diagnosis of high blood pressure. Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH Piedmont actively promoted the health of our community through clinic-hospital partnerships, community-based health screenings, educational activities, community-building activities, the operation of a 24-hour emergency department available to the entire community, the operation of an emergency room open to all members of the community without regard to ability to pay, a governance board composed of community members, use of surplus revenue for facilities improvement, patient care, and medical training, education, and research, the provision of inpatient hospital care for all persons in the community able to pay, including those covered by Medicare and Medicaid, and an open medical staff with privileges available to all qualifying physicians. In FY24, Piedmont Augusta provided $19.2 million in care for low-income populations, including nearly $9 million in direct financial assistance and $10.3 million in coverage for Medicaid shortfalls. To help these - and all - patients, Piedmont continued to build the Empowering You platform to connect community members and patients with resources to address social determinant of health issues. Powered by FindHelp.org, Piedmont clinicians and case managers can search and refer patients to supporting organizations. Also, in FY24, Piedmont Augusta trained future health professionals at a cost of approximately $7.2 million. This included the inhouse training for residents, physician's assistants, nurse practitioners, nurses, pharmacy technicians, and other critical specialties. In FY24, Piedmont Augusta offered financial and medical support to several community clinics, improving access to care in the region. Benefiting from this support were Harrisburg Family Health Care, Miracle Ministries, Belle Terrace, Christ Community Health Services, St. Vincent Paul, and Lamar Medical Center. The hospital contributed medical services, including labs and x-rays, to these clinics, costing nearly $650,000. In FY24, Piedmont Augusta provided health education on stroke prevention, diabetes, hypertension, cholesterol, and breast health to the broader community. Piedmont Augusta participated in health fairs, back-to-school nights, and other health events and provided educational material on heart health, hypertension, diabetes, breast health, and cholesterol. Piedmont Augusta also offered free plaque scans, blood pressure checks, and cholesterol screening throughout the community. In November 2023, Piedmont Augusta offered health screenings and education to the community at an event hosted by Williams Memorial CME Church, a historic church just two blocks from our main hospital. PAG offered BP checks, Cholesterol and A1c labs, and educational material on stroke prevention, diabetes, hypertension, cholesterol, and breast cancer. Approximately 75 people attended the event. In FY24, Piedmont Augusta partnered with the Hub for Community Innovation, a nonprofit organization that houses five nonprofits, including Harrisburg Family Health Care. Piedmont Augusta worked with all groups to bring health education and screenings to this community facility. Piedmont Augusta and Piedmont McDuffie also partnered with The Family Connection of Warren County, the Georgia Department of Public Health, and the East Georgia Housing Authority to bring screenings and health education to this rural, underserved area. PAG offered carotid artery scans, blood pressure checks, mammograms, cholesterol screening, and A1c labs, as well as health information on stroke prevention, diabetes, hypertension, and heart health to the community. In March 2024, hospital staff collected food for GAP ministries and reached "Beyond the Table" to raise awareness of our patients' food insecurity, as well as local resources to help address the need. Representatives from Golden Harvest Food Bank, GAP Ministries, Salvation Army, CSRA Regional Commission, Augusta Locally Grown, and I Am My Brother's Keeper were on hand to discuss local resources. In January 2024, Piedmont Augusta partnered with Lucy Craft Laney Museum of Black History and provided bags with health-related items for giveaways at a local mental health summit attended by more than 150 community members. In May 2024, Piedmont Augusta supported a local organization that enables mentally challenged citizens to become productive citizens by donating $1,000. The Augusta Training Shop's mission is to provide permanent employment for disabled adults within our community while teaching them valuable life skills. In June 2024, Piedmont Augusta supported two summer camps at the Lucy Craft Laney Museum of Black History. Over 35 students received notebooks for daily journaling at camp and an After School pack containing a health-related word search and other activities. We also donated a case of 144 granola bars that were available from a previous event. In June 2024, Piedmont Augusta sponsored the Augusta Pride Festival and parade, with more than 30 Piedmont Augusta staff participating. Piedmont Augusta was a sponsor for this Columbia County event focusing on babies and women's health. Community Relations partnered with Women's Services and Family Care Center to bring education and awareness to this audience. A total of $703 was sponsored. Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM Piedmont Augusta is part of Piedmont Healthcare, a regional not-for-profit organization and the parent company of 19 hospitals, the Piedmont Physicians Group, the Piedmont Heart Institute, the Piedmont Clinic, and the Piedmont Healthcare Foundation. The Piedmont Community Benefit Department oversees the community benefit activities on behalf of all hospitals throughout the system, and this includes conducting the triennial CHNA and subsequent implementation strategy, ensuring the financial assistance policy is communicated to the community, maintaining the community benefit webpage, authoring the community benefit annual report, preparing board materials, developing and executing the community benefit grants program and compiling all community benefit figures. Each hospital and specific departments of Piedmont Healthcare execute community benefit programming, such as its revenue department, which oversees the financial assistance program. Schedule H, Part VI, Line 7 STATE OF FILING OF COMMUNITY BENEFIT REPORT Piedmont is not required to file a community benefit report; however, Piedmont must file information on its indigent and charity care, as well as its Medicaid and Medicare shortfalls, with the Georgia Department of Community Health. Schedule H, Part V, Section B, Line 16a FAP website - UNIVERSITY HEALTH SERVICES INC: Line 16a URL: https://www.piedmont.org/media/file/2024-05-PHC-Financial-Assistance-Policy-English.pdf; Schedule H, Part V, Section B, Line 16b FAP Application website - UNIVERSITY HEALTH SERVICES INC: Line 16b URL: https://www.piedmont.org/media/file/2024-05-PHC-Financial-Assistance-Application-English.pdf; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - UNIVERSITY HEALTH SERVICES INC: Line 16c URL: www.piedmont.org/media/file/2020-10-PHC-Financial-Assistance-Plain-Language-Summary-English.pdf; true CHRIST COMMUNITY HEALTH SERVICES 519 SCOTTS WAY AUGUSTA GA 30909 205404353 501(C)(3) 150000 CLINIC FINANCIAL SUPPORT Harrisburg Family Health Care 423 Crawford Ave AUGUSTA GA 30904 264366421 501(C)(3) 120000 CLINIC FINANCIAL SUPPORT Coordinated Health Services 2110 Broad Street AUGUSTA GA 30904 582060572 501(C)(3) 60000 CLINIC FINANCIAL SUPPORT Neighborhood Improvement Project 2467 Golden Camp Rd AUGUSTA GA 30906 311491242 501(C)(3) 90000 CLINIC FINANCIAL SUPPORT Beulah Grove Community Resource 1446 Lee Beard Way AUGUSTA GA 30904 582159621 501(C)(3) 20000 CLINIC FINANCIAL SUPPORT Miracle Making Ministries 1127 Druid Park Ave AUGUSTA GA 30904 582358527 501(C)(3) 20000 CLINIC FINANCIAL SUPPORT Augusta Symphony Inc 209 7th St Suite 201 AUGUSTA GA 30901 581806334 501(C)(3) 100000 PROGRAM SUPPORT American Heart Association 7272 Greenville Ave DALLAS TX 75231 135613797 501(C)(3) 100000 PROGRAM SUPPORT Chamber of Commerce of Greater Augusta Georgia Inc PO Box 1837 AUGUSTA GA 30903 580188650 501(C)(6) 21950 PROGRAM SUPPORT Band of Brothers Augusta Inc 802 Ellis St AUGUSTA GA 30901 842012431 501(C)(3) 7500 PROGRAM SUPPORT City of North Augusta 100 Georgia Ave NORTH AUGUSTA SC 29841 576001089 Government 10000 PROGRAM SUPPORT Columbia County Chamber of Commerce 1000 Business Blvd EVANS GA 30809 020656710 501(C)(6) 27500 PROGRAM SUPPORT CSRA Alliance for Fort Gordon Inc PO Box 670 AUGUSTA GA 30903 200109015 501(C)(3) 10000 PROGRAM SUPPORT Junior Achievement of Georgia Inc 275 Northside Dr NW ATLANTA GA 30314 580598050 501(C)(3) 65000 PROGRAM SUPPORT Morris Museum of Art 1 Tenth St Ste 320 AUGUSTA GA 30901 586189260 501(C)(3) 10000 PROGRAM SUPPORT WJBF News Channel 6 1336 Augusta West Pkwy AUGUSTA GA 30909 233063152 89186 PROGRAM SUPPORT 13 3 NURSING SCHOLARSHIP AND AWARD DISBURSEMENTS 54 402500 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. MONEY IS GIVEN TO CHARITABLE ORGANIZATIONS WHICH PRIMARILY PROMOTE HEALTH CARE CAUSES. THE GRANTS ARE ADMINISTERED AND MONITORED THROUGH THE ORGANIZAITON'S PUBLIC RELATIONS DEPARTMENT. X X true true true true false false false false false true false MR JAMES R DAVIS FORMER CEO & PRESIDENT 48965 0 75324 0 2027745 0 0 0 0 0 2152034 0 0 0 DR LILY HENSON CEO (AS OF 1/2023) 493296 16781 207269 0 148956 2833 19800 0 8491 307 877812 19921 0 0 DR CHARLES BROWN III BOARD MEMBER 0 682357 0 395033 0 199734 0 19800 0 14429 0 1311353 0 104118 MR KEVIN BROWN BOARD MEMBER 0 1907322 0 1442934 0 683701 0 19800 0 25032 0 4078789 0 462723 DR DANIEL BOONE BOARD MEMBER 0 287130 0 0 0 24218 0 17020 0 17076 0 345444 0 0 MS ELIZABETH GALLUP FORMER COO 330322 0 67227 0 287199 0 19800 0 14799 0 719347 0 0 0 MR BARRY JENKINS CMO 406830 0 70271 0 40633 0 19800 0 26056 0 563590 0 0 0 MR THOMAS ARNOLD TREASURER/CFO PHC 0 711656 0 360250 0 196192 0 19800 0 19710 0 1307608 0 107975 MS ELIZABETH LEDDY SECRETARY/CLO PHC 0 612535 0 395529 0 156459 0 19800 0 20550 0 1204873 0 93683 MS TERESA BUSCHBACHER FORMER EXEC. DIR. HVI & RADIOLOGY SVCS 159545 0 24648 0 199055 0 10558 0 11690 0 405496 0 0 0 MS KELLY DUNAVANT FORMER VP SUPPORT SVCS 46704 0 5858 0 73440 0 2886 0 5961 0 134849 0 0 0 MR SCOTT ANSEDE EXEC. DIR. PIEDMONT AUGUSTA CARDIOLOGY 323499 0 33509 0 17577 0 19800 0 8980 0 403365 0 0 0 MS LAURIE OTT SMITH EXEC. DIR. PHILANTHROPY 278852 0 28870 0 15657 0 16445 0 8880 0 348704 0 0 0 MS SHIRLEY GABRIEL EXEC. DIR. INFO SVCS 164208 162916 19525 24690 8232 47561 0 19800 8325 8424 200290 263391 0 0 MS JANEE DOCK CNO 292544 0 50068 0 4370 0 19420 0 16571 0 382973 0 0 0 MS LISA RITCH EXEC. DIR. FINANCE 111430 112335 13662 15248 7835 32307 0 16401 12981 13050 145908 189341 0 0 MR BRENT ROBINSON COO 81593 148120 11819 24495 88328 2139 16142 0 2409 5655 200291 180409 0 0 MR DAVID BELKOSKI CFO 511284 0 87759 0 108013 0 19800 0 16497 0 743353 0 0 0 DR HOUMAN TAMADDON PHYSICIAN 0 595300 0 0 0 1032636 0 18300 0 23957 0 1670193 0 0 DR GREGORY OETTING PHYSICIAN 0 1015631 0 0 0 267546 0 19800 0 24153 0 1327130 0 0 DR CARGILL ALLEYNE PHYSICIAN 0 775593 0 0 0 385379 0 12370 0 15808 0 1189150 0 0 DR SANTOSH VARKEY PHYSICIAN 0 776220 0 0 0 445794 0 0 0 35498 0 1257512 0 0 DR DAVID CLARK PHYSICIAN 0 742158 0 0 0 311640 0 0 0 43890 0 1097688 0 0 Schedule J, Part I, Line 1a Discretionary spending account CHARLES BROWN, THOMAS ARNOLD, ELIZABETH LEDDY, AND DR. LILY HENSON RECEIVED A DISCRETIONARY SPENDING ACCOUNT TOTALING $12,000, A FIXED AMOUNT DETERMINED BY THEIR JOB LEVEL. KEVIN BROWN RECEIVED A DISCRETIONARY SPENDING ACCOUNT TOTALING $37,700. THIS SPENDING ACCOUNT WAS INCLUDED IN THEIR TAXABLE WAGES. Schedule J, Part I, Line 1a Health or social club dues or initiation fees THE ORGANIZATION PAYS MEMBERSHIP FEES FOR THE CEO TO SAGE VALLEY AND THE AUGUSTA COUNTRY CLUB. THESE MEMBERSHIP FEES ARE PAID SO THE ORGANIZATION CAN HAVE ACCESS TO THE MEETING FACILITIES AND CATERING SERVICES THESE ORGANIZATIONS PROVIDE FOR MEETINGS THAT ARE HELD OFF CAMPUS. ANY PERSONAL USE, RELATED TO THESE MEMBERSHIPS, IS REIMBURSED BY THE CEO. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE COMPENSATION FOR THE PRESIDENT/CEO OF UNIVERSITY HEALTH SERVICES, INC. IS SET BY THE ENTITY'S PARENT, PIEDMONT HEALTHCARE, INC. PLEASE SEE THE SCHEDULE O NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 15A & 15B FOR ADDITIONAL INFORMATION. Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2023: JAMES R. DAVIS $1,868,723 ELIZABETH GALLUP $198,951 TERESA BUSCHBACHER $116,354 KELLY DUNAVANT $56,320 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THEIR SUPPLEMENTARY EXECUTIVE RETIREMENT PLANS: KEVIN BROWN $462,723 CHARLES BROWN $104,118 THOMAS ARNOLD $107,975 ELIZABETH LEDDY $93,683 DR. LILY HENSON PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BUT DID NOT RECEIVE A CURRENT YEAR PAYMENT. Schedule J, Part I, Line 7 Non-fixed payments CERTAIN EMPLOYEES PARTICIPATED IN AN "ANNUAL INCENTIVE PLAN" UNDER WHICH THEY RECEIVED NON-FIXED BONUS PAYMENTS BASED ON JOB LEVEL AND SEVERAL DIFFERENT PERFORMANCE METRICS. A THE RICHMOND COUNTY HOSPITAL AUTHORITY 586001901 764603BV7 2016-10-25 135745000 ADVANCE REFUNDING false false false A 34515000 154488348 152829733 1658615 2016 false true true true A false true true true true true 0.027 0.002 0.029 false false true A false false false true false false false false true A true Schedule K, Part I BOND ISSUES (A) ISSUER NAME: THE RICHMOND COUNTY HOSPITAL AUTHORITY (F) DESCRIPTION OF PURPOSE: REFUND BOND CERTIFICATES (SERIES 2009) ISSUED 12/09/2009 Schedule K, Part IV, Line 2c COLUMN A Issuer name: THE RICHMOND COUNTY HOSPITAL AUTHORITY The calculation for computing no rebate due was performed on 12/16/2021 Form 990, Part V, Line 1a NUMBER OF FORMS 1099 FILED ALL CALENDAR YEAR 2023 FORMS 1099 WERE FILED ON BEHALF OF UNIVERSITY HEALTH SERVICES, INC. BY ITS SOLE MEMBER, PIEDMONT HEALTHCARE, INC. (EIN 58-1503902), PURSUANT TO AN AGREEMENT WITH THE IRS TO FILE ALL FORMS 1099 FOR THE PIEDMONT HEALTHCARE SYSTEM ON A COMBINED BASIS. Form 990, Part VI, Line 6 Classes of members or stockholders PIEDMONT HEALTHCARE, INC., (EIN 58-1503902) IS THE SOLE MEMBER OF UNIVERSITY HEALTH SERVICES, INC. ("PAG"). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE BOARD OF PIEDMONT HEALTHCARE, UNIVERSITY HEALTH SERVICES, INC.'S SOLE MEMBER, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF UNIVERSITY HEALTH SERVICES, INC. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders UNIVERSITY HEALTH SERVICES INC.'S BOARD POLICIES AND DECISIONS MUST BE FILED, IMMEDIATELY AFTER ADOPTION, WITH THE SECRETARY OF THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS. SUCH POLICIES AND DECISIONS OF THE UNIVERSITY HEALTH SERVICES BOARD OF DIRECTORS ARE NOT SUBJECT TO THE APPROVAL OF OR RATIFICATION BY THE PIEDMONT HEALTHCARE BOARD, BUT SHOULD THE NEED ARISE, THEY MAY BE RESCINDED BY THE PIEDMONT HEALTHCARE BOARD THROUGH A MAJORITY VOTE OF ITS DIRECTORS. Form 990, Part VI, Line 11b Review of form 990 by governing body INFORMATION NEEDED TO PREPARE UNIVERSITY HEALTH SERVICES INC.'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT. THE INFORMATION IS REVIEWED BY UNIVERSITY HEALTH SERVICES INC.'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE, INC.'S TAX DEPARTMENT AND SUBMITTED TO AN EXTERNAL TAX PREPARER FOR REVIEW. PRIOR TO FILING, COPIES OF FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE, INC., THE ORGANIZATION'S SOLE MEMBER, FOR BOARD REVIEW. Form 990, Part VI, Line 12c Conflict of interest policy COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY ORGANIZATION MANAGEMENT IN COORDINATION WITH PIEDMONT HEALTHCARE'S CHIEF COMPLIANCE OFFICER. ALL SENIOR LEADERS, BOARD MEMBERS, PHYSICIAN EMPLOYEES, NURSE PRACTITIONERS/PHYSICIAN ASSISTANTS AND EMPLOYEES AND NON-EMPLOYEES ENGAGED IN RESEARCH ARE REQUIRED TO ANNUALLY DISCLOSE ALL MATTERS WHICH COULD POTENTIALLY CONSTITUTE A CONFLICT OF INTEREST. MATTERS DISCLOSED UNDER THE POLICY MUST BE REVIEWED IN WRITING BY THE PIEDMONT HEALTHCARE CONFLICT OF INTEREST COMMITTEE IN ORDER TO DETERMINE WHETHER A CONFLICT EXISTS AND, IF SO, WHETHER TO ELIMINATE OR MANAGE THE CONFLICT. ALL BOARD MEMBERS AND EMPLOYEES OF UNIVERSITY HEALTH SERVICES ARE PROVIDED TRAINING ON CONFLICT OF INTEREST ISSUES, INCLUDING REPORTING REQUIREMENTS, AT NEW EMPLOYEE ORIENTATION AND AT LEAST ANNUALLY THEREAFTER. NONCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY MUST BE REPORTED TO PIEDMONT HEALTHCARE'S CHIEF COMPLIANCE OFFICER FOR INVESTIGATION, AND REMEDIAL STEPS MUST BE TAKEN AS APPROPRIATE UNDER THE PIEDMONT HEALTHCARE DISCIPLINARY POLICIES. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION FOR EXECUTIVES OF PIEDMONT NEWTON HOSPITAL IS SET BY THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE, INC. THE PIEDMONT HEALTHCARE, INC., BOARD OF DIRECTOR'S EXECUTIVE PERFORMANCE AND COMPENSATION COMMITTEE ("THE COMMITTEE") IS COMPOSED OF AT LEAST THREE MEMBERS OF THE PHC BOARD OF DIRECTORS, SERVING TERMS OF THREE YEARS, AND THE MAJORITY OF WHICH ARE COMMUNITY DIRECTORS WHO GENERALLY DO NOT HAVE CONFLICTS OF INTEREST RELATED TO FULFILLMENT OF THE DUTIES AS OUTLINED BELOW. THE COMMITTEE OVERSEES EXECUTIVE PERFORMANCE AND COMPENSATION ON BEHALF OF THE PHC BOARD, SUBJECT TO THE ULTIMATE AUTHORITY AND OVERSIGHT OF THE BOARD. THE COMMITTEE ALSO FORMULATES POLICIES AND MAKES DECISIONS IN ORDER TO ENSURE A HIGH LEVEL OF EXECUTIVE PERFORMANCE. THE COMMITTEE IS AUTHORIZED TO ACT ON BEHALF OF THE PHC BOARD AS SET OUT IN ITS CHARTER, AND THE COMMITTEE IS ALSO CHARGED WITH PROVIDING RECOMMENDATIONS AND PERIODIC REPORTS TO THE PHC BOARD REGARDING EXECUTIVE PERFORMANCE AND COMPENSATION. ALL DECISIONS AND COMPARABILITY DATA ARE DOCUMENTED IN THE COMMITTEE MEETING MINUTES. FUNCTIONS OF THE COMMITTEE - ASSESS AND IMPLEMENT POLICIES REGARDING PERFORMANCE, COMPENSATION AND BENEFITS OF THE PRESIDENT/CEO AND OTHER EXECUTIVES AS DETERMINED BY THE COMMITTEE - SELECT AN EXECUTIVE COMPENSATION CONSULTANT WHO REPORTS TO THE COMMITTEE - ANNUALLY REVIEW THE PRESIDENT/CEO SUCCESSION PLAN - FORMULATE AND IMPLEMENT ANNUAL PERFORMANCE OBJECTIVES FOR THE PRESIDENT/CEO, AND REVIEW AND APPROVE ANNUALLY RECOMMENDATIONS FROM THE PRESIDENT/CEO RELATING TO COMPENSATION, PERFORMANCE OBJECTIVES, AND SUCCESSION PLANS FOR EVP EXECUTIVES - ANNUALLY ASSESS PRESIDENT/CEO PERFORMANCE; IF NECESSARY, IMPLEMENT ACTION PLAN WITH PRESIDENT/CEO INPUT TO IMPROVE HIS/HER PERFORMANCE; ADJUST COMPENSATION AS APPROPRIATE; THE COMMITTEE CHAIR SHALL CONSULT WITH THE PHC GOVERNANCE COMMITTEE CHAIR AND THE PHC BOARD CHAIR AND SHALL COORDINATE THE ANNUAL PERFORMANCE REVIEW OF THE PHC PRESIDENT/CEO, UNLESS THE PHC BOARD CHAIR HAS A REAL OR PERCEIVED CONFLICT OF INTEREST, IN WHICH CASE THE COMMITTEE CHAIR SHALL DETERMINE THE PROPER REVIEW PROCESS - REVIEW AND APPROVE LONG-TERM AND SHORT-TERM GOALS TO BE USED IN CONNECTION WITH EVP COMPENSATION PROGRAMS AS RECOMMENDED BY THE PRESIDENT/CEO AND VALIDATED BY THE COMPENSATION CONSULTANT - PERIODICALLY REVIEW COMPENSATION, IF ANY, FOR THE PHC BOARD CHAIR AND ALL BOARD CHAIRS OF THE PHC SUBSIDIARIES - ESTABLISH OTHER POLICIES AND PROCEDURES, AND PERFORM OTHER TASKS, RELATED TO EXECUTIVE PERFORMANCE AND COMPENSATION, INCLUDING BUT NOT LIMITED TO, APPROVAL OF EXECUTIVE EMPLOYMENT CONTRACTS AND BENEFITS - PERIODICALLY REPORT SIGNIFICANT DECISIONS AND ANY ADDITIONAL REQUESTED INFORMATION TO THE PHC BOARD. Form 990, Part VI, Line 15b Process to establish compensation of other employees PLEASE SEE DISCLOSURE FOR FORM 990, PART VI, LINE 15A, ABOVE. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS SHOULD BE REQUESTED FROM PIEDMONT HEALTHCARE, INC.'S LEGAL COUNSEL. Form 990, Part IX, Line 11g Other Fees GENERAL CONTRACT SERVICES - Total Expense: 59041132, Program Service Expense: 59041132, Management and General Expenses: 0, Fundraising Expenses: 0; CONTRACTED PROFESSIONAL SERVICES - Total Expense: 34760648, Program Service Expense: 34760648, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER FEES - Total Expense: -42477, Program Service Expense: -42477, Management and General Expenses: 0, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances BOOK/TAX DIFFERENCES - 475643; CHANGES IN TEMP. - 18419; INTERCOMPANY TRANSFERS - -XXX-XX-XXXX; CHANGES IN UNRESTRICTED FUND - -19970448; UNALLOCATED AMOUNTS - -4723721; UNIVERSITY HEALTHCARE PHYSICIANS LLC 1350 WALTON WAY AUGUSTA GA 30901 272042386 PHYSICIAN OFFICE GA 0 0 UHS UNIVERSITY MEDICAL GROUP LLC 1350 WALTON WAY AUGUSTA GA 30901 274467379 PHYSICIAN OFFICE GA 0 0 UHS UNIVERSITY CARDIOLOGY ASSOCIATES 1350 WALTON WAY AUGUSTA GA 30901 451437971 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SEPARATE BOOKS AND RECORDS ARE NOT MAINTAINED FOR THE LIMITED LIABILITY COMPANIES AND ASSETS AND INCOME CANNOT BE READILY DETERMINED. AS SUCH, COLUMNS (D) AND (E) IN PART I HAVE BEEN LEFT BLANK.