UNIVERSITY HEALTH SERVICES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: UNIVERSITY HEALTH SERVICES INC (EIN 58-1581103)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202123199349303222
Schema version: 2020v4.1
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 J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T08:31:36-06:00	ReturnTs
Tax Period End	2020-12-31	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	ONE 10TH STREET SUITE 400	AddressLine1Txt
City	AUGUSTA	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30901	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	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	DAVID A BELKOSKI	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7067747710	PhoneNum
Signature	2021-11-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DAVID	PersonFirstNm
Person Last	BELKOSKI	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JESSICA C CAIN	PreparerPersonNm
PTIN	P01276209	PTIN
Phone	7067229090	PhoneNum
Preparation	2021-11-11	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$2,553,601,356	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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	4662	TotalEmployeeCnt
Total Volunteers	149	TotalVolunteersCnt
Total Gross UBI	$3,733,423	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,008,533	PYContributionsGrantsAmt
CY Contributions Grants	$47,655,258	CYContributionsGrantsAmt
PY Program Service Revenue	$549,091,045	PYProgramServiceRevenueAmt
CY Program Service Revenue	$496,318,657	CYProgramServiceRevenueAmt
PY Investment Income	$9,917,339	PYInvestmentIncomeAmt
CY Investment Income	$48,135,670	CYInvestmentIncomeAmt
PY Other Revenue	$12,239,880	PYOtherRevenueAmt
CY Other Revenue	$6,183,221	CYOtherRevenueAmt
PY Total Revenue	$574,256,797	PYTotalRevenueAmt
CY Total Revenue	$598,292,806	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,060,896	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$923,929	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$218,724,823	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$225,983,797	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$320,958,909	PYOtherExpensesAmt
CY Other Expenses	$310,268,948	CYOtherExpensesAmt
PY Total Expenses	$540,744,628	PYTotalExpensesAmt
CY Total Expenses	$537,176,674	CYTotalExpensesAmt
PY Revenues Less Expenses	$33,512,169	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$61,116,132	CYRevenuesLessExpensesAmt
Total Assets BOY	$989,409,248	TotalAssetsBOYAmt
Total Assets EOY	$1,020,272,774	TotalAssetsEOYAmt
Total Liabilities BOY	$360,491,247	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$420,146,668	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$628,918,001	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$600,126,106	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	$502,558,872	ExpenseAmt
Grant	$923,929	GrantAmt
Revenue	$497,692,646	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 2020 WERE 131,722, NEWBORN DAYS WERE 11,297 (FOR BOTH TERM & ICU NURSERY), AND OUTPATIENT VISITS WERE 522,141. EMERGENCY ROOM REGISTRATIONS WERE 71,551, OBSERVATION STAYS WERE 10,917, CARDIOVASCULAR INTERVENTIONAL PROCEDURES WERE 8,785, RADIOLOGY PROCEDURES WERE 256,935, OCCUPATIONAL MEDICINE VISITS WERE 17,615 AND HOME HEALTH VISITS WERE 41,007. WITHIN ALL THESE INDICATORS ARE THE EFFORTS OF UNIVERSITY HEALTH SERVICES, INC TO SERVICE THE NEEDS OF THE COMMUNITY, WHICH INCLUDE THE INDIGENT. IN 2020 THE COST OF INDIGENT AND CHARITY CARE PROVIDED, WITH NO LOCAL FUNDING, WAS $42,744,127. THE HOSPITAL RECEIVED DISPROPORTIONATE SHARE (DSH) PAYMENTS TO HELP WITH THIS SERVICE OF $3,587,248 (NET) AND UPPER PAYMENT LIMITS (UPL) FUNDS OF $4,022,938 (NET). THE $42,744,127 INCLUDES THE COST FOR PROVIDING INPATIENT AND OUTPATIENT SERVICES FOR INDIGENT AND CHARITY CARE PATIENTS OF $21,663,951, $1,114,696 TO HELP SUPPORT COMMUNITY BASED CLINICS AND $19,995,480 FOR UNCOMPENSATED PHYSICIAN SERVICES FOR INDIGENT AND CHARITY CARE PATIENTS. COMMUNITY HEALTH SCREENINGS, SPECIAL EVENTS, SERVICE LINE EDUCATION AND SUPPORT GROUPS HAD MORE THAN 4,694 PARTICIPANTS AND WE ASSISTED MANY CLASSES AND SUPPORT GROUPS IN CONVERTING TO A VIRTUAL SETTING. THE HEART ATTACK & STROKE PREVENTION CENTER HELD 16 TALKS AND 3 SCREENING EVENTS BEFORE COVID, SCREENING 1,300 PARTICIPANTS. ADDITIONALLY, $1.9 MILLION WAS PROVIDED FOR HEALTH PROFESSIONAL EDUCATION FOR CARDIOVASCULAR AND RADIOLOGY SCHOOLS, NURSING STUDENTS AND RESIDENTS IN SUPPORT OF TOMORROW'S CAREGIVERS.	Desc
Total Program Service Expenses	$502,558,872	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	Yes (1)	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	236	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	4662	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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
Other Website	Yes (X)	OtherWebsiteInd
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

Form990 Part VII Section A Form990PartVIISectionAGrp (33 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
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
W CRAIG SMITH
BOARD MEMBER	2.00	1.00	Yes (X)	$0	$0	$0
NATALIE D SCHWEERS
BOARD MEMBER	2.00	1.00	Yes (X)	$0	$0	$0
SANFORD LOYD
BOARD MEMBER	2.00	1.00	Yes (X)	$0	$0	$0
BRIAN J MARKS
BOARD VICE CHAIRMAN	2.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
EUGENE F MCMANUS
BOARD MEMBER	2.00	1.00	Yes (X)	$0	$0	$0
HUGH L HAMILTON
BOARD CHAIRMAN	2.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
JEFFREY L FOREMAN
BOARD MEMBER	2.00	1.00	Yes (X)	$0	$0	$0
JAMES W BENNETT JR
BOARD MEMBER	2.00	1.00	Yes (X)	$0	$0	$0
DANIEL H BOONE MD
BOARD MEMBER	2.00	50.00	Yes (X)	$0	$322,280	$14,510
CHARLES G PETE CAYE JR
BOARD MEMBER	2.00	1.00	Yes (X)	$0	$0	$0
CATHERINE D KNOX
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	50.00	Yes (X)	$125,136	$0	$0
DAVID A BELKOSKI
UHS CFO	50.00	5.00		$665,796	$0	$11,053	Yes (X)
JAMES R DAVIS
UHS PRESIDENT & CEO	50.00	5.00		$979,002	$0	$435,454	Yes (X)
WILLIAM L FARR JR
CMO	50.00	5.00		$532,459	$0	$24,500	Yes (X)
EDWARD L BURR
SR. VP LEGAL & REGULATORY	50.00	5.00		$690,965	$0	$24,697	Yes (X)
ELIZABETH R GALLUP
COO ACUTE CARE SERVICES	50.00	5.00		$602,282	$0	$24,622	Yes (X)
LAURIE OTT SMITH
PRES UHCF-VP HR & COMM SVC	30.00	25.00		$365,392	$0	$14,539		Yes (X)
THOMAS E LOWENCAMP
VP - CONTINUING CARE	25.00	25.00		$446,944	$0	$20,664		Yes (X)
SHIRLEY K GABRIEL
VP CHIEF INFORMATION OFFIC	50.00			$418,646	$0	$16,017		Yes (X)
TERESA BUSCHBACHER
VP -HVI	50.00			$333,012	$0	$23,207		Yes (X)
SCOTT ANSEDE
COO UHCP	1.00	50.00		$446,487	$0	$21,039		Yes (X)
LISA RITCH
VP FINIANCE	50.00			$296,838	$0	$17,231		Yes (X)
JANEE S DOCK
VP NURSING CNO	50.00			$342,513	$0	$13,020		Yes (X)
KELLY DUNAVANT
VP SUPPORT SERVICES	50.00			$236,701	$0	$20,514		Yes (X)
ROBERT J KEPSHIRE
ADMINISTRATIVE CNO - MCDUF	0.00	50.00		$200,897	$0	$11,062			Yes (X)
JACKIE KENDINGER
EMPLOYEE	50.00			$261,025	$0	$2,781			Yes (X)
DOUGLAS D PUGH II
RN	50.00			$240,765	$0	$18,730			Yes (X)
VELVETTE L JONES
DIRECTOR UCA	50.00			$207,340	$0	$12,430			Yes (X)
AMY D PRESLEY
RN	50.00			$221,120	$0	$8,202			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,613,320	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$322,280	TotReportableCompRltdOrgAmt
Total Other Compensation	$734,272	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	19	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	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
CROTHALL HEALTHCARE
13028 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	HOUSEKEEPING/LAUNDRY SERVICES	$13,777,975
QUALIVIS
PO BOX 123847	DALLAS	TX	753123847	AGENCY - HEALTHCARE/WORKFORCE SOLUTIONS	$10,197,036
MORRISONS HEALTH CARE DIVISION
PO BOX 102289	ATLANTA	GA	30368	FOOD SERVICES	$8,177,452
TRIMEDX
PO BOX 636129	CINCINNATI	OH	45263	BIOMED CONTRACT	$5,155,458
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	532880314	SOFTWARE MAINTENANCE/SERVICES	$3,113,631

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	115	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$502,842	FederatedCampaignsAmt
Government Grants	$65,800	GovernmentGrantsAmt
All Other Contributions	$47,086,616	AllOtherContributionsAmt
Total Contributions	$47,655,258	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	900099	$489,105,261	$489,105,261
HOME HEALTH SERVICES	621610	$6,558,001	$6,558,001
PHYSICIAN ANSWERING SERVICE	541900	$384,840	$384,840
OTHER PROGRAM SERVICES	900099	$231,687	$231,687
ASK-A-NURSE	541900	$23,100	$23,100

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,768	TotalRevenueColumnAmt
Related Or Exempt Func Income	$15,768	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$496,318,657	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,614,477	TotalRevenueColumnAmt
Exclusion	$10,614,477	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,363,789	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,196,529	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,167,260	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,167,260	TotalRevenueColumnAmt
Unrelated Business Revenue	$91,451	UnrelatedBusinessRevenueAmt
Exclusion	$1,075,809	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,148	SecuritiesAmt
Other	$1,989,630,066	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$37,286	SecuritiesAmt
Other	$1,952,074,735	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$34,138	SecuritiesAmt
Other	$37,555,331	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,521,193	TotalRevenueColumnAmt
Exclusion	$37,521,193	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OUTREACH LAB	900099	$3,641,965	$3,641,965
MISCELLANEOUS	900099	$813,575		$813,575
RESEARCH REVENUE	900099	$257,329		$257,329

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$303,092	TotalRevenueColumnAmt
Related Or Exempt Func Income	$303,085	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$7	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,015,961	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$598,292,806	TotalRevenueColumnAmt
Related Or Exempt Func Income	$497,692,646	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,733,423	UnrelatedBusinessRevenueAmt
Exclusion	$49,211,479	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$861,030	TotalAmt
Program Services	$861,030	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$62,899	TotalAmt
Program Services	$62,899	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$7,485,524	TotalAmt
Program Services	$1,992,280	ProgramServicesAmt
Management And General	$5,493,244	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$165,229,879	TotalAmt
Program Services	$162,018,267	ProgramServicesAmt
Management And General	$3,211,612	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,215,289	TotalAmt
Program Services	$2,103,638	ProgramServicesAmt
Management And General	$111,651	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,044,711	TotalAmt
Program Services	$34,228,058	ProgramServicesAmt
Management And General	$1,816,653	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,008,394	TotalAmt
Program Services	$14,251,971	ProgramServicesAmt
Management And General	$756,423	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$17,248,301	TotalAmt
Program Services	$16,378,987	ProgramServicesAmt
Management And General	$869,314	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$958,667	TotalAmt
Management And General	$958,667	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$311,975	TotalAmt
Management And General	$311,975	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$196,046	TotalAmt
Management And General	$196,046	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$891,711	TotalAmt
Management And General	$891,711	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$40,438,757	TotalAmt
Program Services	$38,400,644	ProgramServicesAmt
Management And General	$2,038,113	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$617,340	TotalAmt
Program Services	$586,226	ProgramServicesAmt
Management And General	$31,114	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,240,479	TotalAmt
Program Services	$1,177,959	ProgramServicesAmt
Management And General	$62,520	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,308,525	TotalAmt
Program Services	$8,839,375	ProgramServicesAmt
Management And General	$469,150	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,471,436	TotalAmt
Program Services	$6,145,276	ProgramServicesAmt
Management And General	$326,160	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$391,926	TotalAmt
Program Services	$372,173	ProgramServicesAmt
Management And General	$19,753	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$23,228	TotalAmt
Management And General	$23,228	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,324,480	TotalAmt
Management And General	$6,324,480	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,561,279	TotalAmt
Program Services	$36,617,791	ProgramServicesAmt
Management And General	$1,943,488	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,649,825	TotalAmt
Program Services	$5,365,074	ProgramServicesAmt
Management And General	$284,751	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MED SURG SUPPLIES	$117,889,029	$117,889,029
BAD DEBT EXPENSE	$31,505,252	$31,505,252
REPAIRS AND MAINTENANCE	$14,722,215	$13,980,215	$742,000
GA DCH HOSPITAL TAX	$7,109,644		$7,109,644

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,408,833	TotalAmt
Program Services	$9,782,728	ProgramServicesAmt
Management And General	$626,105	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$537,176,674	TotalAmt
Program Services	$502,558,872	ProgramServicesAmt
Management And General	$34,617,802	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,759,254	BOYAmt
EOY	$15,553,694	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$101,309,066	BOYAmt
EOY	$95,397,524	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$10,990,249	BOYAmt
EOY	$7,434,821	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,491,789	BOYAmt
EOY	$12,933,187	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,600,261	BOYAmt
EOY	$10,145,500	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$800,116,490	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$510,836,149	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$291,003,411	BOYAmt
EOY	$289,280,341	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$508,875,659	BOYAmt
EOY	$517,126,934	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$41,379,559	BOYAmt
EOY	$72,400,773	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$989,409,248	BOYAmt
EOY	$1,020,272,774	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$23,839,838	BOYAmt
EOY	$24,822,640	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$137,446,325	BOYAmt
EOY	$133,394,367	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$66,214,968	BOYAmt
EOY	$80,726,752	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$132,990,116	BOYAmt
EOY	$181,202,909	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$360,491,247	BOYAmt
EOY	$420,146,668	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	$628,883,001	BOYAmt
EOY	$600,091,106	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	$628,918,001	BOYAmt
EOY	$600,126,106	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$989,409,248	BOYAmt
EOY	$1,020,272,774	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$61,116,132	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$69,905,461	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$20,002,566	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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	0	FederalGrantAuditPerformedInd

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	$196,046	OtherActivitiesAmt
Total Lobbying Expenditures	$196,046	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 HOSPITAL ASSOCIATION, THE GEORGIA ALLIANCE OF COMMUNITY HOSPITALS, THE GEORGIA INITIATIVE, THE GEORGIA CHAMBER OF COMMERCE, AND OTHER HEALTH ASSOCIATIONS ALL HAVE A LOBBYING COMPONENT. FOR 2020, THESE FEES AMOUNTED TO $148,046. ADDITIONALLY, OGLETHORPE CONSULTING GROUP WAS CONTRACTED DURING 2020 TO REVIEW AND ADVISE THE HOSPITAL ON LEGISLATIVE ISSUES. DURING 2020, $48,000 WAS PAID TO OGLETHORPE CONSULTING GROUP.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,553,862	OtherCostOrOtherBasisAmt
Book Value	$24,553,862	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$347,621,701	OtherCostOrOtherBasisAmt
Depreciation	$178,307,663	DepreciationAmt
Book Value	$169,314,038	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,105,060	OtherCostOrOtherBasisAmt
Depreciation	$6,212,121	DepreciationAmt
Book Value	$892,939	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$407,022,808	OtherCostOrOtherBasisAmt
Depreciation	$317,758,082	DepreciationAmt
Book Value	$89,264,726	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,813,059	OtherCostOrOtherBasisAmt
Depreciation	$8,558,283	DepreciationAmt
Book Value	$5,254,776	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$289,280,341	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (14 entries)

DescDesc	Book ValueBookValueAmt
457(B) DEFERRED COMP ASSET	$432,050
AMOUNTS DUE FROM AFFILIATES	$30,077,890
LEASEHOLD RIGHTS	$230,276
PHOENIX HEALTH CARE MGMT SVCS	$84,169
PHYSICAN GUARANTEE ASSET	$759,755
PHYSICIANS LIFE INSURACE COLI	$8,544,318
SOFTWARE LICENSE	$1,196,289
VHA STOCK INVESTMENT	$138,416
WORK FORCE IN PLACE	$734,777
WC ESCROW - SANFORD	$131,608
PL GI ESCROW - SANFORD	$143,646
BOND ESCROW	$3,075,000
BANK ESCROW	$12,821,376
TD BANK DEPOSITORY ACCOUNT	$14,031,203

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$72,400,773	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)

DescDesc	AmtAmt
ACCRUED COMPENSATION, BENEFITS, & WITHOLDINGS	$17,320,219
ACCRUED POSTRETIREMENT BENEFIT COST	$37,980,019
ASSET RETIREMENT OBLIGATION	$4,731,800
EST THIRD PARTY PAYOR SETTLEMENTS	$14,604,440
OTHER CURRENT LIABILITIES	$2,348,213
RESERVE FOR SELF INSURED LOSSES	$17,749,958
DUE TO AFFILIATES	$18,603,763
CAPITALIZED BOND COSTS	-$1,318,157
ACCRUED PENSION COST	$5,107
LONG TERM OPERATING LEASE OBLIGATION	$2,815,085
CURRENT PORTION - OPERATING LEASES	$1,445,168
MEDICARE ADVANCE PAYMENTS	$64,917,294

Field	Value	IRS element (for citing)
Total Liability	$181,202,909	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 DECEMBER 31, 2020. FISCAL YEARS ENDED ON OR AFTER DECEMBER 31, 2017 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	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	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	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$21,167,915	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,681,441	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,486,474	NetCommunityBenefitExpnsAmt
Total Expense	0.03650	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,900,567	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,501,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,398,987	NetCommunityBenefitExpnsAmt
Total Expense	0.02850	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,103	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,740	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,363	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,120,585	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,224,761	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,895,824	NetCommunityBenefitExpnsAmt
Total Expense	0.06500	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,817,525	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,667,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,150,338	NetCommunityBenefitExpnsAmt
Total Expense	0.02600	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,565,849	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,023,582	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$542,267	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$896,056	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$896,056	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,279,430	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,690,769	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,588,661	NetCommunityBenefitExpnsAmt
Total Expense	0.02890	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,400,015	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,915,530	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,484,485	NetCommunityBenefitExpnsAmt
Total Expense	0.09390	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,628	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,628	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,628	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,628	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$31,505,252	BadDebtExpenseAmt
Bad Debt Expense Attributable	$86,198	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$122,531,776	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$163,953,710	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$41,421,934	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
Other	3 HOME HEALTH AGENCIES	OtherDesc

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	19	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
Other Reason	Yes (X)	OtherReasonInd
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.
PART V, LINE 21D:	EMTALA FOLLOWED AND INCLUDED IN POLICY B130.

Supplemental Information Detail SupplementalInformationDetail (13 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), UHS 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 PROVISION FOR BAD DEBT EXPENSE WHEN RECEIVED.
PART III, LINE 3:	UNIVERSITY PROVIDES ALL UNINSURED PATIENTS A DISCOUNT TO MATCH THE UNWEIGHTED AVERAGE OF DISCOUNT GIVEN TO COMMERCIAL AND MEDICARE PATIENTS . IN ADDITION UH USES ELECTRONIC ELIGIBILITY SYSTEM TO DETERMINE IF PATIENTS COULD QUALITY FOR INDIGENT STATUS AND THEN COMPARES DENIED PATIENTS WITH APPLICATIONS IN THE STATE DFCS SYSTEM. PLUS THE COLLECTIONS PERSONNEL, WHEN CONTACTING PATIENTS WILL SEND PATIENT APPLICATIONS TO COMPLETE FOR A PERSONNAL REVIEW. HOWEVER, EVEN WITH THE ABOVE SOME PATIENTS MAY SLIP THROUGH---- THE ESTIMATE ASSUMES THE SAME % OF BAD DEBT EXPENSE TO TOTAL CHARGES IS THE SAME % OF PATIENTS THAT MAY SLIP THROUGH OUR PROCESSES AND NOT GET CLAIMED AS INDIGENT.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 RELIEVE THE HEALTH CARE BURDENS OF THE LOCAL GOVERNMENTS.
PART III, LINE 4:	PAGE 11 OF THE AUDITED FINANCIAL STATEMENTSTHE CORPORATION DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE CORPORATION'S POLICY AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. THE CORPORATION DETERMINES ITS ESTIMATES OF EXPLICIT PRICE CONCESSIONS FOR CONTRACTUAL ADJUSTMENTS BASED ON CONTRACTUAL AGREEMENTS, OR DISCOUNT POLICIES AND HISTORICAL EXPERIENCE. THE CORPORATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS COLLECTIVE GROUPS RATHER THAN INDIVIDUALLY. MANAGEMENT BELIEVES THAT THE FINANCIAL EFFECTS OF USING THIS PRACTICAL EXPEDIENT ARE NOT MATERIALLY DIFFERENT FROM AN INDIVIDUAL CONTRACT APPROACH.
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:	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 (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
NEIGHBORHOOD IMPROVEMENT PROJECT
2467 GOLDEN CAMP ROAD	AUGUSTA	GA	30906	311491242	501(C)(3)	$178,380	CLINIC FINANCIAL SUPPORT
MIRACLE MAKING MINISTRIES
1127 DRUID PARK AVE	AUGUSTA	GA	30904	582358627	501(C)(3)	$43,200	CLINIC FINANCIAL SUPPORT
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NW	ATLANTA	GA	30303	131788491	501(C)(3)	$5,500	FINANCIAL SUPPORT
COORDINATED HEALTH SERVICES
2110 BROAD STREET	AUGUSTA	GA	30904	582060572	501(C)(3)	$138,756	CLINIC FINANCIAL SUPPORT	$5,912	COST OF LAB TESTS	LAB TESTS
BEULAH GROVE COMMUNITY RESOURCE
1446 LEE BEARD WAY	AUGUSTA	GA	30904	582159621	501(C)(3)	$39,644	CLINIC FINANCIAL SUPPORT	$13,926	COST	EPIC CLINICAL SYSTEM & LAB TESTS
CHRIST COMMUNITY HEALTH SERVICES
519 SCOTTS WAY	AUGUSTA	GA	30909	205404353	501(C)(3)	$356,790	CLINIC FINANCIAL SUPPORT	$69,972	MEDICARE COST REPORT	DONATED FACILITIES
HARRISBURY FAMILY HEALTH CARE
423 CRAWFORD AVE	AUGUSTA	GA	30904	264366421	501(C)(3)	$6,000	FINANCIAL SUPPORT

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIP AND AWARD DISBURSEMENTS	GrantTypeTxt
Recipient	8	RecipientCnt
Cash Grant	$62,899	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 J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES R DAVIS
UHS PRESIDENT & CEO	$805,317	$0	$144,200	$0	$29,485	$0	$418,619	$0	$16,835	$0	$1,414,456	$0	$0	$0
EDWARD L BURR
SR. VP LEGAL & REGULATORY	$418,171	$0	$73,500	$0	$199,294	$0	$7,643	$0	$17,054	$0	$715,662	$0	$0	$0
DAVID A BELKOSKI
UHS CFO	$480,920	$0	$97,606	$0	$87,270	$0	$0	$0	$11,053	$0	$676,849	$0	$0	$0
ELIZABETH R GALLUP
COO ACUTE CARE SERVICES	$454,176	$0	$81,671	$0	$66,435	$0	$7,338	$0	$17,284	$0	$626,904	$0	$0	$0
WILLIAM L FARR JR
CMO	$403,963	$0	$79,310	$0	$49,186	$0	$7,296	$0	$17,204	$0	$556,959	$0	$0	$0
THOMAS E LOWENCAMP
VP - CONTINUING CARE	$100,130	$0	$59,898	$0	$286,916	$0	$2,857	$0	$17,807	$0	$467,608	$0	$0	$0
SCOTT ANSEDE
COO UHCP	$327,154	$0	$72,444	$0	$46,889	$0	$6,189	$0	$14,850	$0	$467,526	$0	$0	$0
SHIRLEY K GABRIEL
VP CHIEF INFORMATION OFFIC	$318,177	$0	$59,771	$0	$40,698	$0	$5,924	$0	$10,093	$0	$434,663	$0	$0	$0
LAURIE OTT SMITH
PRES UHCF-VP HR & COMM SVC	$253,358	$0	$56,753	$0	$55,281	$0	$5,011	$0	$9,528	$0	$379,931	$0	$0	$0
TERESA BUSCHBACHER
VP -HVI	$245,990	$0	$53,438	$0	$33,584	$0	$4,614	$0	$18,593	$0	$356,219	$0	$0	$0
JANEE S DOCK
VP NURSING CNO	$290,781	$0	$38,340	$0	$13,392	$0	$2,997	$0	$10,023	$0	$355,533	$0	$0	$0
DANIEL H BOONE MD
BOARD MEMBER	$0	$288,213	$0	$9,500	$0	$24,567	$0	$4,085	$0	$10,425	$0	$336,790	$0	$0
LISA RITCH
VP FINIANCE	$218,252	$0	$40,818	$0	$37,768	$0	$3,910	$0	$13,321	$0	$314,069	$0	$0	$0
JACKIE KENDINGER
EMPLOYEE	$198,692	$0	$38,729	$0	$23,604	$0	$2,781	$0	$0	$0	$263,806	$0	$0	$0
DOUGLAS D PUGH II
RN	$235,139	$0	$337	$0	$5,289	$0	$2,003	$0	$16,727	$0	$259,495	$0	$0	$0
KELLY DUNAVANT
VP SUPPORT SERVICES	$201,036	$0	$0	$0	$35,665	$0	$3,296	$0	$17,218	$0	$257,215	$0	$0	$0
AMY D PRESLEY
RN	$220,183	$0	$547	$0	$390	$0	$1,629	$0	$6,573	$0	$229,322	$0	$0	$0
VELVETTE L JONES
DIRECTOR UCA	$169,261	$0	$33,347	$0	$4,732	$0	$3,097	$0	$9,333	$0	$219,770	$0	$0	$0
ROBERT J KEPSHIRE
ADMINISTRATIVE CNO - MCDUF	$182,269	$0	$16,414	$0	$2,214	$0	$3,231	$0	$7,831	$0	$211,959	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	SOCIAL CLUB DUES- THE RELATED ORGANIZATION PAYS MEMBERSHIP FEES FOR THE CEO (JAMES DAVIS) TO SAGE VALLEY AND THE AUGUSTA COUNTRY CLUB. THESE MEMBERSHIP FEES ARE PAID SO THE ORGANIZATION CAN HAVE ACCESS TO THE MEETING FACILITIES AND CATERING SERVICES THESE ORGANIZATIONS PROVIDE FOR MEETINGS THAT ARE HELD OFF CAMPUS. ANY PERSONAL USE, RELATED TO THESE MEMBERSHIPS, IS REIMBURSED BY THE CEO.
PART I, LINE 4B	JAMES R DAVIS - SERP - $410,069 DAVID A BELKOSKI - ROTH IUL - $65,475 ELIZABETH R GALLUP - ROTH IUL - $43,500, SEC. 162 - $3,188 WILLIAM L FARR - CAA BENEFITS - $41,600 EDWARD L BURR - CAA REDEMPTION - $192,689 LAURIE OTT SMITH - ROTH IUL - $28,200, SEC. 162 - $2,541 THOMAS E LOWENCAMP - SEC. 162 - $5,946, ROTH IUL - $32,161 SHIRLEY K GABRIEL - ROTH IUL - $32,300, SEC. 162 - $7,036 THERESA BUSCHBACHER - ROTH IUL - $25,000, SEC. 162 - $7,043 SCOTT ANSEDE - ROTH IUL - $33,500, SEC. 162 - $6,626 LISA RITCH - ROTH IUL - $21,500, SEC. 162 - $6,876 KELLY DUNAVANT - ROTH IUL - $20,871 PLEASE NOTE THAT ALL OF THE BENEFITS LISTED ABOVE ARE INCLUDED IN THE TOTALS REPORTED ON FORM 990, SCHEDULE VII AS REPORTABLE COMPENSATION OR OTHER COMPENSATION AND HAVE BEEN INCLUDED IN THE INDIVIDUALS W-2, WITH THE EXCEPTION OF THE SERP FOR JAMES R DAVIS.
PART I, LINE 6	THE BONUS PLAN FOR MANAGEMENT IS CALCULATED BASED ON STRATEGIC INITIATIVES AS DETERMINED BY THE COMPENSATION COMMITTEE. THESE INITIATIVES ARE GOALS THAT MUST BE ACHIEVED DURING THE YEAR IN ORDER FOR BONUS PAYOUT. FOR 2020 THESE INITIATIVES WERE WEIGHTED AS DISPLAYED IN THE FOLLOWING SCHEDULE: UNIVERSITY HEALTH SERVICES, INC 2020 STRATEGIC INITIATIVES WEIGHT QUALITY 25% ACHIEVE NRC OVERALL RATING OF CARE RAW SCORE 25% MINIMIZE HOSPITAL ACQUIRED CONDITIONS PER 1,000 MEDICARE DISCHARGES GROWTH 10% INCREASE GROSS CHARGES FROM AIKEN AND COLUMBIA COUNTIES OVER 2019 LEVELS PEOPLE 10% ACHIEVE RN TURNOVER RATE FOR UH AFFORDABILITY 25% ACHIEVE OPERATING MARGIN FOR UNIVERSITY HEALTH, INC 5% IMPROVE THE ALL-MEDICARE OPERATING MARGIN LOSS 100% EACH GOAL THAT WAS ACHIEVED REPRESENTED THAT PERCENTAGE OF BONUS PAYOUT OUT OF A POSSIBLE 100% BASED ON A THRESHOLD LEVEL, TARGET LEVEL, OR AN EXCEED LEVEL.

Schedule 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	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	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:	CHANGE IN UNFUNDED PENSION GAINS -1,622,646. OTHER CUMULATIVE EFFECT ON ASSET RETIREMENT OBLIGATIONS -128,611. TRANSFER TO AFFILIATE -28,587,942. PTP INVESTMENT - UBTI NOT ON BOOKS -7. TRANSFER FROM AFFILIATE 10,336,640.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. UNIVERSITY HEALTH SERVICES, INC. SPENT MORE THAN $750,000 IN PROVIDER RELIEF FUNDS IN 2020. HOWEVER, THE SINGLE AUDIT IS NOT DUE UNTIL 2022 BECAUSE THE ENTITY HAS A 12/31 FISCAL YEAR END.
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

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	WALTON WAY INDEMNITY SPC	BusinessNameLine1Txt

Foreign Address ForeignAddress

Field	Value	IRS element (for citing)
Address Line1	2ND FL GOVERNORS SQ 23 LIME TREE	AddressLine1Txt
City	WEST BAY	CityNm
Province Or State	GRAND CAYMAN	ProvinceOrStateNm
Country	CJ	CountryCd

Field	Value	IRS element (for citing)
Primary Activities	INSURANCE CAPTIVE	PrimaryActivitiesTxt
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountryCd
Total Income	-$230,105	TotalIncomeAmt
End Of Year Assets	$26,509,029	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY HEALTH SERVICES INC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
UNIVERSITY EXTENDED CARE INC
1350 WALTON WAY	AUGUSTA	GA	30901	581581105	SKILLED NURSING HOMES	GA	501(C)(3)	3	UNIVERSITY HEALTH INC	0
RICHMOND COUNTY HOSPITAL AUTHORITY
1350 WALTON WAY	AUGUSTA	GA	30901	586001901	LEASED FACILITIES	GA	501(C)(3)	3		0	N/A
AUGUSTA RESOURCE CENTER ON AGING I
1350 WALTON WAY	AUGUSTA	GA	30901	581728812	NON PROFIT LIFE CARE COMMUNITY	GA	501(C)(3)	11	UNIVERSITY HEALTH INC	0
UNIVERSITY HEALTH CARE FOUNDATION
2260 WRIGHTSBORO ROAD	AUGUSTA	GA	30904	581343550	PHILANTHROPY	GA	501(C)(3)	7	UNIVERSITY HEALTH INC	0
UNIVERSITY HEALTH INC
1350 WALTON WAY	AUGUSTA	GA	30901	581581102	CONSOLIDATING PARENT	GA	501(C)(3)	11		0	N/A
UNIVERSITY MCDUFFIE COUNTY REGIONAL
1350 WALTON WAY	AUGUSTA	GA	30901	454166209	HOSPITAL	GA	501(C)(3)	3	UNIVERSITY HEALTH INC	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
UNIVERSITY HEALTH RESOURCES INC
1350 WALTON WAY	AUGUSTA	GA	30901	581601372	SVC TO PHYSICIANS	GA	UNIVERSITY HEALTH INC	C	0
UNIVERSITY HOSPITAL AIKEN INC
1350 WALTON WAY	AUGUSTA	GA	30901	472713774	HOSPITAL	SC	UNIVERSITY HEALTH INC	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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	AUGUSTA RESOURCE CENTER ON AGING INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	S	TransactionTypeTxt
Involved	$10,336,640	InvolvedAmt
Method Of Amount Determination	BOOK VALUE	MethodOfAmountDeterminationTxt