STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

Augusta Resource Center on Aging Inc: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
Augusta Resource Center on Aging Inc (EIN 58-1728812)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201803199349302200
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-15T08:18:19-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN570381582PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ELLIOTT DAVIS LLCPLLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE 10TH STREET SUITE 400AddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581728812EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AUGUSTA RESOURCE CENTER ON AGING INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAUGUBusinessNameControlTxt
Phone7068689800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14275 OWENS ROADAddressLine1Txt
CityEVANSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30809ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVE BELKOSKIPersonNm
Person TitleUHS CFOPersonTitleTxt
Phone7068689800PhoneNum
Signature2018-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJESSICA C CAINPreparerPersonNm
PTINP01276209PTIN
Phone7067229090PhoneNum
Preparation2018-11-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.181.201.165IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-12IPDt
IP Tm12:41:57IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdD9C45B12E74E3E126437FD430A1A3CA8815D446FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES R DAVISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1Txt
CityEVANSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$20,396,925GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BRANDONWILDE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO DEVELOP AND OPERATE COMPREHENSIVE PROGRAMS FOR THE AGING POPULATION IN THE AREA SURROUNDING AUGUSTA, GA INCLUDING DEVELOPMENT AND OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY AND NURSING HOME.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee316TotalEmployeeCnt
Total Volunteers83TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$132,749PYContributionsGrantsAmt
CY Contributions Grants$17,090CYContributionsGrantsAmt
PY Program Service Revenue$18,895,859PYProgramServiceRevenueAmt
CY Program Service Revenue$19,319,948CYProgramServiceRevenueAmt
PY Investment Income$718,899PYInvestmentIncomeAmt
CY Investment Income$1,016,177CYInvestmentIncomeAmt
PY Other Revenue$10,725PYOtherRevenueAmt
CY Other Revenue$25,177CYOtherRevenueAmt
PY Total Revenue$19,758,232PYTotalRevenueAmt
CY Total Revenue$20,378,392CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,678,795PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,758,828CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,183,894PYOtherExpensesAmt
CY Other Expenses$9,198,724CYOtherExpensesAmt
PY Total Expenses$15,862,689PYTotalExpensesAmt
CY Total Expenses$15,957,552CYTotalExpensesAmt
PY Revenues Less Expenses$3,895,543PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,420,840CYRevenuesLessExpensesAmt
Total Assets BOY$81,485,811TotalAssetsBOYAmt
Total Assets EOY$85,753,763TotalAssetsEOYAmt
Total Liabilities BOY$55,647,766TotalLiabilitiesBOYAmt
Total Liabilities EOY$52,963,165TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,838,045NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$32,790,598NetAssetsOrFundBalancesEOYAmt
MissionRETIREMENT COMMUNITY - RETIREMENT CENTER SPECIFICALLY DESIGNED TO SATISFY THREE PRIMARY NEEDS OF THE AGING - HOUSING, HEALTH CARE, AND FINANCIAL SECURITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,335,726ExpenseAmt
Revenue$18,530,464RevenueAmt
DescRETIREMENT COMMUNITY - RETIREMENT CENTER SPECIFICALLY DESIGNED TO SATISFY THREE PRIMARY NEEDS OF THE AGING - HOUSING, HEALTH CARE, AND FINANCIAL SECURITY.Desc
Total Program Service Expenses$13,335,726TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document38IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee316EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MIKE BYRDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7068282406PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
TOM DOZIER
CHAIRMAN1.00Yes (X)$0$0$0
GERALD MATHEIS
BOARD MEMBER1.00Yes (X)$0$0$0
CHRISTA MICHAEL
ACTING RESIDENT COUNCIL CH1.00Yes (X)$0$0$0
JAMES R DAVIS
BOARD MEMBER1.00$0$1,589,553$316,86650.00Yes (X)
DAVE BELKOSKI
BOARD MEMBER1.00$0$680,853$10,77150.00Yes (X)
MARILYN A BOWCUTT
BOARD MEMBER1.00$0$712,861$16,79450.00Yes (X)
WILLIAM L FARR JR
CMO40.00$0$542,564$17,83850.00Yes (X)
EDWARD L BURR
CAO40.00$0$576,630$21,92250.00Yes (X)
CHERYL TAYLOR
EMPLOYEE40.00$135,673$0$11,918Yes (X)
PAM KAUFFMAN
CURRENT EXECUTIVE DIRECTOR40.00$111,760$0$11,653Yes (X)
WILLIAM MCGAHEE
EMPLOYEE40.00$100,282$0$10,007Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$347,715TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,102,461TotReportableCompRltdOrgAmt
Total Other Compensation$417,769TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MORRISON COMMUNITY LIVING
PO BOX 102289ATLANTAGA30368FOOD SUPPLIER$1,854,478
HEAVENER CONSTRUCTION CO
PO BOX 14129AUGUSTAGA30909CONSTRUCTION$401,964
AEGIS THERAPIES INC
PO BOX 8103FT SMITHAR72902STAFFING$367,139
BRIAR WOOD GROUP INC
PO BOX 16423AUGUSTAGA30919LANDSCAPING$346,259
US FOOD SERVICEINC
PO BOX 602220CHARLOTTENC28260FOOD SUPPLIER$322,570
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Related Organizations$17,090RelatedOrganizationsAmt
Total Contributions$17,090TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PATIENT CARE SERVICES623000$13,703,649$13,703,649
ENTRANCE FEES623000$4,384,258$4,384,258
MEALS623000$589,424$589,424
OTHER PROGRAM SERVICE623000$487,822$301,647$186,175
MEDICAL SUPPLIES623000$154,795$154,795
FieldValueIRS element (for citing)
Total Program Service Revenue$19,319,948TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$592,993TotalRevenueColumnAmt
Exclusion$592,993ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$29,825RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,648RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$25,177RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,177TotalRevenueColumnAmt
Exclusion$25,177ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$437,069SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$13,885OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$437,069SecuritiesAmt
Other-$13,885OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$423,184TotalRevenueColumnAmt
Related Or Exempt Func Income-$13,885RelatedOrExemptFuncIncomeAmt
Exclusion$437,069ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,378,392TotalRevenueColumnAmt
Related Or Exempt Func Income$18,530,464RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,830,838ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$347,715TotalAmt
Program Services$290,585ProgramServicesAmt
Management And General$57,130ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,970,716TotalAmt
Program Services$4,154,027ProgramServicesAmt
Management And General$816,689ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$77,177TotalAmt
Program Services$64,497ProgramServicesAmt
Management And General$12,680ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$950,144TotalAmt
Program Services$794,035ProgramServicesAmt
Management And General$156,109ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$413,076TotalAmt
Program Services$345,208ProgramServicesAmt
Management And General$67,868ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,658TotalAmt
Program Services$6,400ProgramServicesAmt
Management And General$1,258ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,442TotalAmt
Program Services$22,933ProgramServicesAmt
Management And General$4,509ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$72,187TotalAmt
Program Services$60,327ProgramServicesAmt
Management And General$11,860ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$212,145TotalAmt
Program Services$177,290ProgramServicesAmt
Management And General$34,855ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$54,065TotalAmt
Program Services$45,182ProgramServicesAmt
Management And General$8,883ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$948,666TotalAmt
Program Services$792,800ProgramServicesAmt
Management And General$155,866ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,088TotalAmt
Program Services$8,431ProgramServicesAmt
Management And General$1,657ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$219,283TotalAmt
Program Services$183,255ProgramServicesAmt
Management And General$36,028ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,569,660TotalAmt
Program Services$2,147,465ProgramServicesAmt
Management And General$422,195ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$186,839TotalAmt
Program Services$156,141ProgramServicesAmt
Management And General$30,698ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT LABOR AND EXPE$2,462,835$2,058,191$404,644
MISCELLANEOUS$903,430$754,996$148,434
REPAIRS AND MAINTENANCE$847,269$708,063$139,206
SUPPLIES$677,157$565,900$111,257

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,957,552TotalAmt
Program Services$13,335,726ProgramServicesAmt
Management And General$2,621,826ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,856,657BOYAmt
EOY$3,962,040EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,494,232BOYAmt
EOY$1,520,573EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$87,435BOYAmt
EOY$50,946EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,333,405BOYAmt
EOY$2,830,605EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$90,212,739LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$43,732,249LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$47,270,284BOYAmt
EOY$46,480,490EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$27,443,798BOYAmt
EOY$30,909,109EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$81,485,811BOYAmt
EOY$85,753,763EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,349,672BOYAmt
EOY$17,122,033EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$28,078,369BOYAmt
EOY$28,726,239EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,219,725BOYAmt
EOY$7,114,893EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,647,766BOYAmt
EOY$52,963,165EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$25,838,045BOYAmt
EOY$32,790,598EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,838,045BOYAmt
EOY$32,790,598EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$81,485,811BOYAmt
EOY$85,753,763EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,420,840ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,531,713NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$853,850CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$132,749CurrentTaxYearMinus1YearAmt
Current Tax Year$17,090CurrentTaxYearAmt
Total$1,003,689TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,680,911CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,801,044CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,048,381CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,895,859CurrentTaxYearMinus1YearAmt
Current Tax Year$19,319,948CurrentTaxYearAmt
Total$91,746,143TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,680,911CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,654,894CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,048,381CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,028,608CurrentTaxYearMinus1YearAmt
Current Tax Year$19,337,038CurrentTaxYearAmt
Total$92,749,832TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$92,749,832PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$425,127CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,360,940CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$438,268CurrentTaxYearMinus1YearAmt
Current Tax Year$1,041,354CurrentTaxYearAmt
Total$3,265,689TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$425,127CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,360,940CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$438,268CurrentTaxYearMinus1YearAmt
Current Tax Year$1,041,354CurrentTaxYearAmt
Total$3,265,689TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,106,038CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,015,834CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,048,381CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,466,876CurrentTaxYearMinus1YearAmt
Current Tax Year$20,378,392CurrentTaxYearAmt
Total$96,015,521TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96600PublicSupportCY509Pct
Public Support PY5090.97480PublicSupportPY509Pct
Investment Income CY0.03400InvestmentIncomeCYPct
Investment Income PY0.02520InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,851,067OtherCostOrOtherBasisAmt
Book Value$8,851,067BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$68,515,490OtherCostOrOtherBasisAmt
Depreciation$34,236,184DepreciationAmt
Book Value$34,279,306BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,846,182OtherCostOrOtherBasisAmt
Depreciation$9,496,065DepreciationAmt
Book Value$3,350,117BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$46,480,490TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescSTATE STREET INVESTMENTSDesc
Book Value$30,909,109BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$30,909,109TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DEPOSITS$599,499
DUE TO UHI$6,323,336
DUE TO UHS$192,058
FieldValueIRS element (for citing)
Total Liability$7,114,893TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES R DAVIS
BOARD MEMBER$0$746,360$0$224,697$0$618,496$0$298,649$0$18,217$0$1,906,419$0$0
DAVE BELKOSKI
BOARD MEMBER$0$424,781$0$138,195$0$117,877$0$1,405$0$9,366$0$691,624$0$0
MARILYN A BOWCUTT
BOARD MEMBER$0$448,378$0$144,922$0$119,561$0$7,350$0$9,444$0$729,655$0$0
WILLIAM L FARR JR
CMO$0$386,872$0$111,378$0$44,314$0$8,079$0$9,759$0$560,402$0$0
EDWARD L BURR
CAO$0$383,412$0$123,125$0$70,093$0$8,104$0$13,818$0$598,552$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 6FormAndLineReferenceDesc
ExplanationYEARLY INCENTIVE PLAN IS APPROVED BY THE BOARD EARLY IN THE YEAR. IN THE CALCULATION OF THE AWARD, 20% OF THE AWARD IS BASED ON THE NET INCOME VARIANCE.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
THOMAS DOZIER
BOARD CHAIRMAN$70,013THOMAS DOZIER IS 71% OWNER OF GOLD MECH SERVICES, INC. THE ORGANIZATION PAID GOLD MECH SERVICES, INC. FOR MECHANICAL SERVICES.0
THOMAS DOZIER
BOARD CHAIRMAN$15,763THOMAS DOZIER IS 63% OWNER OF GOLD MECH, INC. THE ORGANIZATION PAID GOLD MECH, INC. FOR MECHANICAL SERVICES.0
THOMAS DOZIER III
SON OF BOARD CHAIRMAN$34,427THOMAS DOZIER, III OWNS 27% OF GOLD MECH, INC. AND 29% OF GOLD MECH SERVICES, INC. THE ORGANIZATION PAID BOTH OF THESE ORGNAIZATIONS FOR MECHANICAL SERVICES.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6SOLE CORPORATE MEMBER IS UNIVERSITY HEALTH, INC.
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT REVIEWED THE ORGANIZATION'S FORM 990. A COPY OF THE 990 WAS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR A CONFLICT OF INTEREST QUESTIONNAIRE SHALL BE DISTRIBUTED TO ALL BOARD MEMBERS AND SENIOR MANAGEMENT FOR COMPLETION. QUESTIONNAIRES SHALL BE REVIEWED BY THE CHAIRMAN OF THE BOARD OF DIRECTORS AND ANY CONFLICTS SHALL BE DISCUSSED WITH THE FULL BOARD. THE FULL BOARD SHALL DISCUSS THE POTENTIAL CONFLICT AND SHALL DETERMINE IF THE CONFLICT REQUIRES ACTION IN ACCORDANCE WITH THE NOT FOR PROFIT STATUTES OF THE STATE OF GEORGIA. SHOULD A CONFLICT EXIST THAT REQUIRES ACTION, THE BOARD OF DIRECTORS AT ITS SOLE DISCRETION SHALL HAVE THE AUTHORITY TO, BY MAJORITY VOTE, TAKE ANY AND ALL ACTIONS REQUIRED TO ADDRESS THE CONFLICT. THE BOARD OF DIRECTORS SHALL ALSO HAVE THE AUTHORITY TO DIRECT MANAGEMENT TO TAKE ACTIONS ON A CONSULTATIVE BASIS TO MODIFY, LESSEN, OR CONTROL THE CONFLICT WHERE IT MAY DEEM SUCH ACTION AS PRUDENT. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST, THEY RECUSE THEMSELVES FROM THE DELIBERATION.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S SIX-MEMBER BOARD SETS THE EXECUTIVE DIRECTOR'S SALARY, WHICH IS BASED ON THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA) SALARY SURVEY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION WILL PROVIDE COPIES OF THE FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY TO THE PUBLIC UPON REQUEST. HOWEVER, THE ORGANIZATION WILL NOT MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
UNIVERSITY HEALTH INC
1350 WALTON WAYAUGUSTAGA30901581581102CONSOLIDATING PARENTGA501(C)(3)LINE 11N/A0
RICHMOND COUNTY HOSPITAL AUTHORITY
1350 WALTON WAYAUGUSTAGA30901586001901LEASED FACILITIESGA501(C)(3)LINE 3N/A0
UNIVERSITY HEALTH CARE FOUNDATION INC
2100 CENTRAL AVE SUITE D-1AUGUSTAGA30904581343550PHILANTHROPYGA501(C)(3)LINE 70UNIVERSITY HEALTH INC
UNIVERSITY EXTENDED CARE INC
1350 WALTON WAYAUGUSTAGA30901581581105SKILLED NURSING FACILITIESGA501(C)(3)LINE 30UNIVERSITY HEALTH INC
UNIVERSITY HEALTH SERVICES INC
1350 WALTON WAYAUGUSTAGA30901581581103HOSPITALGA501(C)(3)LINE 30UNIVERSITY HEALTH INC
UNIVERSITY MCDUFFIE COUNTY REGIONAL
1350 WALTON WAYAUGUSTAGA30901454166209HOSPITALGA501(C)(3)LINE 30UNIVERSITY HEALTH INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
UNIVERSITY HEALTH RESOURCES INC
1350 WALTON WAYAUGUSTAGA30901581601372SERVICES TO PHYSICIAN PRACTICESGAUNIVERSITY HEALTH INCC0
UNIVERSITY HOSPITAL AIKEN INC
1350 WALTON WAYAUGUSTAGA30901472713774HOSPITALSCUNIVERSITY HEALTH INCC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
UNIVERSITY HEALTH SERVICES
O$428,053COST
UNIVERSITY HEALTH INC
E$6,323,336BOOK VALUE
UNIVERSITY HEALTH SERVICES
P$1,595,895COST
UNIVERSITY HEALTH SERVICES
E$192,058BOOK VALUE