2021-05-13T14:37:17-05:00 2020-06-30 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2019-07-01 580705892 AU MEDICAL ASSOCIATES INC AUME 7067241600 1499 WALTON WAY NO 1400 AUGUSTA GA 30901 CHARLES HOWELL CHIEF FINANCIAL OFFICER 7067241600 2021-05-12 1 MEGAN RANDOLPH P00989558 2059794100 2021-05-12 2019 2022-09-23 18:48:47Z CHARLES HOWELL 1499 WALTON WAY NO 1400 AUGUSTA GA 30901 145298033 0 X N/A X 1958 GA TO CONDUCT PROGRAMS IN SUPPORT OF THE RESEARCH, CLINICAL AND EDUCATIONAL MISSIONS OF AUGUSTA UNIVERSITY (AU). 13 0 595 0 0 0 0 2453175 137403723 141327492 1431853 1181942 1069530 335424 139905106 145298033 1096824 0 15325993 17835285 121470523 34768937 0 0 0 32973676 116390254 170867016 168994476 -30961910 -23696443 76400768 85230065 78897211 110673675 -2496443 -25443610 X THE OBJECTS AND PURPOSES OF THIS CORPORATION ARE, EITHER DIRECTLY OR THROUGH SUBSIDIARIES OR PARTNERSHIPS, TO ADMINISTER THE PRACTICE OF MEDICINE, TO MANAGE AMBULATORY CARE SERVICES AND OTHER CLINICAL SERVICES, AND TO ACQUIRE AND ADMINISTER FUNDS AND PROPERTY, WHICH AFTER THE PAYMENT OF NECESSARY EXPENSES, SHALL BE DEVOTED EXCLUSIVELY TO THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL MISSIONS OF AUGUSTA UNIVERSITY AND ITS NONPROFIT AFFILIATES. 0 0 161436517 141529429 THROUGH THE EFFORTS OF THE ORGANIZATION, PRIMARY CARE AS WELL AS SPECIALIZED TERTIARY AND QUATERNARY MEDICAL PROVIDERS HAVE BEEN RECRUITED AND RETAINED TO PROVIDE CARE TO THOUSANDS OF INSURED AND UNINSURED GEORGIA AND SOUTH CAROLINA CITIZENS. EXPANSION TO COMMUNITY PRACTICE SITES HAS PROVIDED THE ORGANIZATION'S MEMBERS AND EMPLOYED PHYSICIANS WITH ADDITIONAL VENUES TO CARE FOR PATIENTS AND GENERATE NEW REFERRALS TO THE SUB SPECIALTY EDUCATIONAL AND CLINICAL PROGRAMS OF AUGUSTA UNIVERSITY (AU). DURING THE FISCAL YEAR ENDING JUNE 30, 2020, THE ORGANIZATION'S MEMBERS AND EMPLOYED PHYSICIANS PROVIDED $19.6 MILLION IN MEDICAL CARE TO UNINSURED AND UNDERINSURED CITIZENS OF GEORGIA AND SOUTH CAROLINA. EXPANSION EFFORTS HAVE BROUGHT THE SERVICES OF AU TO SURROUNDING COMMUNITIES. 161436517 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 311 0 1 595 1 0 1 CJ 0 0 0 0 0 0 0 0 0 0 X 13 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 GA X JENNIFER COURSEY AVP FINANCECONTR 7067219439 1120 15TH STREET AUGUSTA GA 30912 BROOKS KEEL PHD EX-OFFICIO 2.00 40.00 X X 0 886819 62470 DAVID HESS MD CHAIR, EX-OFFICIO 2.75 40.00 X X 9909 571909 49269 JEFF THAD WILKINS MD VICE CHAIR, DELEGATE DIRECTOR 2.75 40.00 X X 17744 206052 68789 DANIEL ALBO MD SECRETARY-TREASURER,DEPT CHAIR 2.75 40.00 X X 40000 720430 49359 JOSEPH HOBBS MD DEPARTMENT CHAIR DIRECTOR 0.75 40.00 X 10865 376750 31259 DAVID MONTE HUNTER MD DEPARTMENT CHAIR DIRECTOR 1.25 40.00 X 8641 709151 68442 STILANOS KOUNTAKIS MD DEPARTMENT CHAIR DIRECTOR 1.25 40.00 X 9513 569472 82005 W VAUGHN MCCALL DEPARTMENT CHAIR DIRECTOR 0.75 40.00 X 19634 440359 84926 STEFFEN MEILER MD DEPARTMENT CHAIR DIRECTOR 0.50 40.00 X 9447 589302 67818 WALTER PIPKIN MD DELEGATE DIRECTOR 0.75 40.00 X 4096 659758 71187 RICHARD SCHWARTZ MD DEPARTMENT CHAIR DIRECTOR 1.25 40.00 X 39235 481668 14607 MICHAEL GROVES MD DELEGATE DIRECTOR 0.50 40.00 X 3760 175842 39522 CHADBURN RAY MD DELEGATE DIRECTOR 0.50 40.00 X 6092 278359 73883 CHARLES HOWELL MD CEO AUMA EX OFFICIO NON-VOTING 20.00 10.00 X X 32186 198000 1100 KATRINA KEEFER CEO AUMC EX OFFICIO NON-VOTING 1.50 40.00 X X 0 442180 28976 MOUCHAMMED AGKO MD AUMA HC EMPLOYEE 40.00 0.00 X 354830 0 39432 PANTHEA TAGHIZADEH MD AUMA HC EMPLOYEE 40.00 0.00 X 344686 0 41238 ANDREW VANALSTINE MD AUMA HC EMPLOYEE 40.00 0.00 X 311018 0 89124 KLIFFORD ROCUTS MARTINEZ MD AUMA HC EMPLOYEE 40.00 0.00 X 300502 52981 60460 MANAN SHAH MD AUMA HC EMPLOYEE 40.00 0.00 X 288359 0 55503 1810517 7359032 1079369 40 0 1 0 RADAR HEALTHCARE PROVIDERS 1741 HOG MOUNTAIN RD WATKINSVILLE GA 30677 PHYSICIAN SERVICES 2844885 LOCUM TENENS PO BOX 405547 ATLANTA GA 303845547 PHYSICIAN SERVICES 2471253 RAMI HRITANI 1018 BARRETT DR EVANS GA 30809 PHYSICIAN SERVICES 194850 COMPHEALTH 6451 NORTH FEDERAL HWY SUITE 700 FORT LAUDERDALE FL 33308 CONTRACTED LABOR 191092 HENRY ALPERIN 1 EAGLETON COURT AUGUSTA GA 30909 PHYSICIAN SERVICES 180600 51 X 2453175 2453175 PATIENT RECEIPTS 900099 134068511 134068511 MEDICAL ADMIN SERVICES 900099 5174891 5174891 SUPPORTED ORGANIZATION SERVICES 900099 2084090 2084090 141327492 1181942 1181942 133487 0 133487 133487 133487 OTHER INCOME 900099 201937 201937 201937 145298033 141529429 0 1315429 17835285 17835285 1985985 1886686 99299 21899486 20804512 1094974 1057465 1004592 52873 4419987 4198988 220999 5406014 5135713 270301 307949 292552 15397 21100 20045 1055 100756 95718 5038 14522399 13796279 726120 339854 322861 16993 4216038 4005236 210802 1560327 1482311 78016 1578966 1500018 78948 120284 114270 6014 109066 103613 5453 832371 790752 41619 933561 886883 46678 87722 83336 4386 EARLY RETIREMENT FUNDIN 1099147 1044190 54957 SOCIETY DUES & MEMBERSH 215044 204292 10752 OPEB ADJUSTMENT -117294 -111429 -5865 PURCHASED/TRANSFERRED S -23325716 -22159430 -1166286 113788680 108099244 5689436 168994476 161436517 7557959 0 5900706 5954745 1121058 1235937 14245872 16953082 423194 533338 21709687 9464519 7544360 12245168 21749338 22850429 24822884 23840345 593356 1617021 76400768 85230065 44539007 7807108 14479 5360754 22584696 25601752 11759029 71904061 78897211 110673675 X -2736381 -25683548 239938 239938 -2496443 -25443610 76400768 85230065 -23696443 740242 9034 0 X 0 1 X 1 0 X X X 1 AUGUSTA UNIVERSITY (FORMERLY GEORGIA REGENTS UNIVERSITY) 586002053 2 1 101038853 0 1 101038853 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 4020757 4020757 2093934 1125128 968806 2185420 1447923 737497 8804700 6684625 2120075 4604876 206843 4398033 12245168 DIRECT FINANCING LEASE 21292862 C JOINT VENTURE 2547483 C 23840345 DUE TO RELATED PARTIES 65189677 OPEB LIABILITY 6641329 DEFERRED RENT BENEFIT 73055 71904061 X 146038275 740242 740242 145298033 0 145298033 168994476 0 168994476 0 168994476 PART X, LINE 2: THE HEALTH SYSTEM HAS BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) AND, THEREFORE, RELATED INCOME IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. AU HEALTH SPC, AU HEALTH SPC-AU MEDICAL CENTER SP AND AU HEALTH SPC-AU MEDICAL ASSOCIATES SP OPERATE IN THE CAYMAN ISLANDS WHERE NO INCOME, PROFIT OR CAPITAL GAINS TAXES ARE CURRENTLY LEVIED. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. X X X X 0 0 0 0 0 0 0 0 0 BROOKS KEEL PHD EX-OFFICIO 0 847102 0 39717 0 0 0 24954 0 37516 0 949289 0 0 DAVID HESS MD CHAIR, EX-OFFICIO 9909 570134 0 1775 0 0 0 2083 6348 40838 16257 614830 0 0 JEFF THAD WILKINS MD VICE CHAIR, DELEGATE DIRECTOR 17744 205201 0 851 0 0 0 18000 15138 35651 32882 259703 0 0 DANIEL ALBO MD SECRETARY-TREASURER,DEPT CHAIR 40000 720405 0 25 0 0 0 6000 1771 41588 41771 768018 0 0 JOSEPH HOBBS MD DEPARTMENT CHAIR DIRECTOR 10865 376725 0 25 0 0 0 20000 365 10894 11230 407644 0 0 DAVID MONTE HUNTER MD DEPARTMENT CHAIR DIRECTOR 8641 708207 0 944 0 0 0 24000 6926 37516 15567 770667 0 0 STILANOS KOUNTAKIS MD DEPARTMENT CHAIR DIRECTOR 9513 569472 0 0 0 0 0 24000 16417 41588 25930 635060 0 0 W VAUGHN MCCALL DEPARTMENT CHAIR DIRECTOR 19634 437583 0 2776 0 0 0 25000 20374 39552 40008 504911 0 0 STEFFEN MEILER MD DEPARTMENT CHAIR DIRECTOR 9447 587352 0 1950 0 0 0 24710 1987 41121 11434 655133 0 0 WALTER PIPKIN MD DELEGATE DIRECTOR 4096 464576 0 195182 0 0 0 18620 10979 41588 15075 719966 0 0 RICHARD SCHWARTZ MD DEPARTMENT CHAIR DIRECTOR 39235 477813 0 3855 0 0 0 0 3628 10979 42863 492647 0 0 MICHAEL GROVES MD DELEGATE DIRECTOR 3760 165330 0 10512 0 0 0 0 8062 31460 11822 207302 0 0 CHADBURN RAY MD DELEGATE DIRECTOR 6092 259309 0 19050 0 0 0 0 3437 70446 9529 348805 0 0 CHARLES HOWELL MD CEO AUMA EX OFFICIO NON-VOTING 32186 198000 0 0 0 0 0 1100 0 0 32186 199100 0 0 KATRINA KEEFER CEO AUMC EX OFFICIO NON-VOTING 0 342180 0 100000 0 0 0 19000 0 9976 0 471156 0 0 MOUCHAMMED AGKO MD AUMA HC EMPLOYEE 354830 0 0 0 0 0 15024 0 24408 0 394262 0 0 0 PANTHEA TAGHIZADEH MD AUMA HC EMPLOYEE 344686 0 0 0 0 0 28000 0 13238 0 385924 0 0 0 ANDREW VANALSTINE MD AUMA HC EMPLOYEE 296324 0 14694 0 0 0 23520 0 65604 0 400142 0 0 0 KLIFFORD ROCUTS MARTINEZ MD AUMA HC EMPLOYEE 285585 52981 0 0 14917 0 28000 0 29894 2566 358396 55547 0 0 MANAN SHAH MD AUMA HC EMPLOYEE 288359 0 0 0 0 0 27518 0 27985 0 343862 0 0 0 PART I, LINE 3 THE CEO'S COMPENSATION IS PAID BY RELATED ORGANIZATION AUGUSTA UNIVERSITY AND THE COMPENSATION COMMITTEE OF THAT ORGANIZATION FOLLOWS THE PROCESSES OUTLINED IN THE EXPLANATION FOR FORM 990, PART VI, LINE 15 AND SCHEDULE J, LINE 3. THE FOLLOWING ARE INCLUDED IN THAT PROCESS: USE OF A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. A DEVELOPMENT AUTHORITY OF RICHMOND COUNTY 521309430 764595CX0 2014-10-30 26877101 CONSTRUCTION CANCER RESEARCH BLDG 0 0 0 A 865000 26877101 411654 80734 26384712 2006 1 0 1 1 A 0 0 0 1 1 1 0 1 A 0 1 0 0 0 0 0 0 1 A 1 SCH K, PART I, LINE A, COLUMN (F) USE OF FUNDS: REFUNDED THE 2004 BONDS WHICH WERE USED TO CONSTRUCT A CANCER RESEARCH BUILDING. THE FACILITY FUNDED BY THE TAX-EXEMPT BONDS, THE CANCER RESEARCH CENTER, IS AN AUGUSTA UNIVERSITY (AU) FACILITY THROUGH A LEASE ARRANGEMENT WITH THIS ORGANIZATION. AU HAS A PROCESS THROUGH WHICH ANY CHANGE IN THE USE OF A UNIVERSITY FACILITY HAS TO BE REVIEWED AND APPROVED BY THE UNIVERSITY SPACE MANAGEMENT COMMITTEE. SENIOR STAFF MEMBERS, WHO PREPARE RECOMMENDATIONS FOR THE COMMITTEE'S REVIEW AND APPROVAL, ARE AWARE OF THE PRIVATE BUSINESS USE LIMITATIONS FOR THE CRC AND WILL NOT RECOMMEND THE UNIVERSITY'S SPACE COMMITTEE APPROVE SUCH REQUESTS IF THEY ARE EVER PROPOSED. BOND COUNSEL WILL BE CONSULTED IN THE EVENT A PRIVATE BUSINESS USE OF THE FACILITY IS PROPOSED. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF AUMA IS AU HEALTH SYSTEM INC, A NONPROFIT CORPORATION ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC LITERARY AND/OR EDUCATIONAL PURPOSES. THE MEMBER HAS THE AUTHORITY TO 1) REVIEW AND APPROVE ALL PROPOSED CAPITAL AND OPERATING BUDGETS FOR AUMA AND EXPENDITURES IN EXCESS OF $2M, WHEN SUCH EXPENDITURE HAS NOT BEEN INCLUDED IN A BUDGET PREVIOUSLY APPROVED; 2) REVIEW AND APPROVE ANY PROPOSED ACQUISITION OR SALE BY AUMA OF ANY PHYSICAL FACILITY OR OTHER REAL PROPERTY WHICH INVOLVES AN EXPENDITURE IN EXCESS OF $1M; 3) REVIEW AND APPROVE ANY PROPOSED DEVELOPMENT PLAN OR ANY PROPOSED CONTRACT FOR THE DESIGN, CONSTRUCTION, ALTERATION, OR RENOVATION OF ANY PHYSICAL FACILITY OF AUMA WHERE SUCH PLAN, DESIGN, CONSTRUCTION, ALTERATION OR RENOVATION WOULD REQUIRE AN EXPENDITURE IN EXCESS OF $1M; 4) REVIEW AND APPROVE ANY TRANSACTION PURSUANT TO WHICH AUMA WOULD INCUR NEW DEBT IN EXCESS OF $2M. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE AUTHORITY TO APPOINT INDIVIDUALS FROM AMONG THE FULL-TIME AND INTERIM CHAIRPERSONS OF CLINICAL DEPARTMENTS OF MCG TO SERVE AS MEMBERS OF THE BOARD OF DIRECTORS, AND APPOINT (4) DELEGATE DIRECTORS FROM THE DELEGATE SLATE OR THE ALTERNATIVE DELEGATE SLATE PRESENTED TO THE MEMBER BY THE DELEGATES. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE AUTHORITY TO 1) REVIEW AND APPROVE ALL PROPOSED CAPITAL AND OPERATING BUDGETS FOR AUMA AND EXPENDITURES IN EXCESS OF $2M, WHEN SUCH EXPENDITURE HAS NOT BEEN INCLUDED IN A BUDGET PREVIOUSLY APPROVED; 2) REVIEW AND APPROVE ANY PROPOSED ACQUISITION OR SALE BY AUMA OF ANY PHYSICAL FACILITY OR OTHER REAL PROPERTY WHICH INVOLVES AN EXPENDITURE IN EXCESS OF $1M; 3) REVIEW AND APPROVE ANY PROPOSED DEVELOPMENT PLAN OR ANY PROPOSED CONTRACT FOR THE DESIGN, CONSTRUCTION, ALTERATION, OR RENOVATION OF ANY PHYSICAL FACILITY OF AUMA WHERE SUCH PLAN, DESIGN, CONSTRUCTION, ALTERATION OR RENOVATION WOULD REQUIRE AN EXPENDITURE IN EXCESS OF $1M; 4) REVIEW AND APPROVE ANY TRANSACTION PURSUANT TO WHICH AUMA WOULD INCUR NEW DEBT IN EXCESS OF $2M. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED IN DETAIL FIRST BY MANAGEMENT AND THEN AT A HIGHER LEVEL BY THE WAYS AND MEANS COMMITTEE, A COMMITTEE OF THE BOARD CHARGED IN THE BY LAWS TO OVERSEE THE FINANCIAL OPERATIONS OF THE FOUNDATION. THE FINANCE AND BUDGET COMMITTEE MAKES A REPORT CONCERNING ITS REVIEW TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST FORMS ARE COMPLETED BY ALL TRUSTEES, DIRECTORS, OFFICERS, KEY EMPLOYEES AND OTHER MEMBERS OF MANAGEMENT OR INDIVIDUALS WITH SIGNATURE AUTHORITY TO EXPEND FUNDS OF AUMA. THE FORMS ARE REVIEWED FOR CONFLICTS BY THE CHIEF INTEGRITY OFFICER, AND IF CONFLICTS EXIST, PROCESSES ARE PUT IN PLACE TO ENSURE THE INDIVIDUAL WITH THE CONFLICT IS NOT ALLOWED TO MAKE DECISIONS ON BEHALF OF THE ORGANIZATION WHEN THE CONFLICT IS INVOLVED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDIVIDUALS WITH NO CONFLICTS OF INTEREST WITH RESPECT TO THE CEO AND OFFICERS' SALARIES, REVIEWS THE SALARY AT RISK COMPONENT OF THE ORGANIZATION'S CEO, COO AND CFO. INDEPENDENT DATA IS USED TO EVALUATE TOTAL SALARY AND MINUTES OF THE MEETING ARE KEPT. IN ADDITION, COMPENSATION CONSULTANTS SULLIVAN COTTER PARTICIPATED IN THE REVIEW OF THE CEO'S TOTAL COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VIII, LINE 1E THE ORGANIZATION RECEIVED A GRANT FROM THE HHS GRANT STIMULUS PROGRAM IN THE AMOUNT OF $2,453,175 TO BE USED FOR COVID RELATED EXPENSES OR LOSS IN REVENUE DUE TO COVID. UNDER GUIDANCE OF THE AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS, THE GRANT FUNDS ARE TO BE RECOGNIZED AS INCOME ONCE ALL CONDITIONS OF THE GRANT ARE SUBSTANTIALLY MET OR EXPLICITLY WAIVED. AT JUNE 30, 2020, THE ORGANIZATION HAD SUBSTANTIALLY MET ALL CONDITIONS OF THE GRANT AND RECORDED THE PROCEEDS AS GRANT INCOME ON THE INCOME STATEMENT. AUMA ANESTHESIA BILLING SERVICES LLC 1499 WALTON WAY AUGUSTA GA 30901 550789220 BILLING GA 0 459045 N/A PPG PROPERTIES LLC 1499 WALTON WAY AUGUSTA GA 30901 580705892 REAL ESTATE GA 84455 6536810 N/A GEORGIA ESOTERIC & MOLECULAR LAB LLC 1499 WALTON WAY AUGUSTA GA 30901 900184186 PATHOLOGY LAB GA 582101 547477 N/A MCG-PPG CANCER RESEARCH CENTER LLC 1499 WALTON WAY AUGUSTA GA 30901 580705892 CANCER RSRCH. 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