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UNIVERSITY HEALTH SERVICES INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY HEALTH SERVICES INC (EIN 58-1581103)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201823199349302102
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)
Return2018-11-15T08:14:39-06:00ReturnTs
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)
EIN581581103EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNIVBusinessNameControlTxt
Phone7068282406PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID A BELKOSKIPersonNm
Person TitleCFOPersonTitleTxt
Phone7068282406PhoneNum
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 Tm12:35:53IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdD9C45B12E74E3E126437FD430A1A3CA8815D446FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES R DAVISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$822,609,216GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UNIVERSITYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTHE 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 Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee4421TotalEmployeeCnt
Total Volunteers313TotalVolunteersCnt
Total Gross UBI$3,124,056TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$584,444NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,765,563PYContributionsGrantsAmt
CY Contributions Grants$2,588,433CYContributionsGrantsAmt
PY Program Service Revenue$491,032,119PYProgramServiceRevenueAmt
CY Program Service Revenue$524,452,965CYProgramServiceRevenueAmt
PY Investment Income$12,537,652PYInvestmentIncomeAmt
CY Investment Income$15,835,249CYInvestmentIncomeAmt
PY Other Revenue$11,371,452PYOtherRevenueAmt
CY Other Revenue$12,757,585CYOtherRevenueAmt
PY Total Revenue$516,706,786PYTotalRevenueAmt
CY Total Revenue$555,634,232CYTotalRevenueAmt
PY Grants And Similar Paid$1,255,521PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,077,377CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$194,658,829PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$209,804,129CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$268,559,382PYOtherExpensesAmt
CY Other Expenses$299,797,443CYOtherExpensesAmt
PY Total Expenses$464,473,732PYTotalExpensesAmt
CY Total Expenses$510,678,949CYTotalExpensesAmt
PY Revenues Less Expenses$52,233,054PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$44,955,283CYRevenuesLessExpensesAmt
Total Assets BOY$810,233,580TotalAssetsBOYAmt
Total Assets EOY$885,788,560TotalAssetsEOYAmt
Total Liabilities BOY$375,086,387TotalLiabilitiesBOYAmt
Total Liabilities EOY$400,881,577TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$435,147,193NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$484,906,983NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$478,318,359ExpenseAmt
Grant$1,077,377GrantAmt
Revenue$527,425,070RevenueAmt
DescOPERATION 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 2017 WERE 123,758, NEWBORN DAYS WERE 12,609 (FOR BOTH TERM & ICU NURSERY), AND OUTPATIENT VISITS WERE 544,371. EMERGENCY ROOM REGISTRATIONS WERE 90,112, OBSERVATION STAYS WERE 13,827, CARDIOVASCULAR INTERVENTIONAL PROCEDURES WERE 9,259 AND RADIOLOGY PROCEDURES WERE 264,977, OCCUPATIONAL MEDICINE VISITS WERE 29,834 AND HOME HEALTH VISITS FOR 2017 WERE 54,387. WITHIN ALL THESE INDICATORS ARE THE EFFORTS OF UNIVERSITY HEALTH SERVICES, INC TO SERVICE THE NEEDS OF THE COMMUNITY, WHICH INCLUDE THE INDIGENT. IN 2017 THE COST OF INDIGENT AND CHARITY CARE PROVIDED, WITH NO LOCAL FUNDING, WAS $42,366,347. HOWEVER, THE HOSPITAL DID RECEIVE DISPROPORTIONATE SHARE (DSH) PAYMENTS TO HELP WITH THIS SERVICE OF $3,074,605 (NET) AND UPPER PAYMENT LIMITS (UPL) FUNDS OF $1,888,772 (NET). THE $42,336,347 INCLUDES THE COST FOR PROVIDING INPATIENT AND OUTPATIENT SERVICES FOR INDIGENT AND CHARITY CARE PATIENTS OF $23,299,010. ALSO $1,203,312 TO HELP SUPPORT COMMUNITY BASED CLINICS, $17,864,026 FOR UNCOMPENSATED PHYSICIAN SERVICES FOR INDIGENT AND CHARITY CARE PATIENTS. ALSO PROVIDED ARE PROGRAMS FOR CONGESTIVE HEART FAILURE AND ASTHMA/COPD, WHICH HELPED INDIGENT PATIENTS MANAGE THEIR CONDITION AND IMPROVE THE QUALITY OF THEIR LIVES. OTHER COMMUNITY OUTREACH SERVICES FOR 2017 INCLUDE DIABETES TESTING AND EDUCATION, PROSTATE SPECIFIC ANTIGEN (PSA) TESTING, SKIN CANCER SCREENINGS, FREE COUNSELING AND EDUCATION FOR WOMEN AND THEIR FAMILY MEMBERS THROUGH ALL THE STAGES OF BREAST CANCER, FREE MAMMOGRAMS, HEART HEALTH EDUCATION, AND SUPPORT GROUPS FOR CANCER, HEART ATTACK, AND STROKE. IN 2017 UNIVERSITY HOSPITAL REACHED MORE THAN 9,984 PEOPLE IN FREE SCREENINGS, COMMUNITY EDUCATION, PUBLICATIONS, AND MORE. ADDITIONALLY, IN 2017 OVER $1.4 MILLION WAS PROVIDED FOR HEALTH PROFESSIONAL EDUCATION FOR CARDIOVASCULAR AND RADIOLOGY SCHOOLS, AND INTERNS AND RESIDENTS, IN SUPPORT OF TOMORROW'S CARE GIVERS.Desc
Total Program Service Expenses$478,318,359TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign OfficeYes (1)ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document246IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4421EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
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 PolicyYes (1)WhistleblowerPolicyInd
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
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID A BELKOSKIBusinessNameLine1Txt
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 (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LEVI W HILL IV
BOARD CHAIRMAN2.001.00Yes (X)Yes (X)$0$0$0
TERRY D ELAM
BOARD MEMBER2.001.00Yes (X)$0$0$0
W CRAIG SMITH
BOARD MEMBER2.001.00Yes (X)$0$0$0
NATALIE D SCHWEERS
BOARD MEMBER2.001.00Yes (X)$0$0$0
SANFORD LOYD
BOARD MEMBER2.001.00Yes (X)$0$0$0
BRIAN J MARKS
BOARD SECRETARY2.001.00Yes (X)Yes (X)$0$0$0
EUGENE F MCMANUS
BOARD MEMBER2.001.00Yes (X)$0$0$0
HUGH L HAMILTON
BOARD MEMBER2.001.00Yes (X)$0$0$0
JEFFREY L FOREMAN
BOARD MEMBER2.001.00Yes (X)$0$0$0
JAMES W BENNETT JR
BOARD MEMBER2.001.00Yes (X)$0$0$0
DANIEL H BOONE MD
BOARD MEMBER2.0050.00Yes (X)$0$277,044$12,828
CHARLES G PETE CAYE JR
BOARD MEMBER2.001.00Yes (X)$0$0$0
CATHERINE D KNOX
BOARD MEMBER2.001.00Yes (X)$0$0$0
WILLIAM P DOUPE
BOARD MEMBER2.001.00Yes (X)$0$0$0
JAMES C SHERMAN MD
BOARD MEMBER2.0050.00Yes (X)$0$120,006$600
DAVID A BELKOSKI
UHS CFO50.005.00Yes (X)$680,853$0$10,771
JAMES R DAVIS
UHS PRESIDENT & CEO50.005.00Yes (X)$1,589,553$0$316,866
MARILYN A BOWCUTT
PRESIDENT OF UNIVERSITY HO50.005.00Yes (X)$712,861$0$16,794
WILLIAM L FARR JR
CMO50.005.00Yes (X)$542,564$0$17,838
EDWARD L BURR
SR. VP LEGAL & REGULATORY50.00Yes (X)$576,630$0$21,922
LAURIE OTT SMITH
UHCF-VP HR & COMM SVC50.00$392,582$0$12,929Yes (X)
THOMAS E LOWENCAMP
VP - CONTINUING CARE25.0025.00$345,792$0$24,700Yes (X)
SHIRLEY K GABRIEL
VP CHIEF INFORMATION OFFIC50.00$418,541$0$16,256Yes (X)
TERESA BUSCHBACHER
VP -HVI50.00$257,881$0$22,119Yes (X)
SCOTT ANSEDE
VP PROFESSIONAL SERVICES50.00$397,665$0$23,226Yes (X)
ELIZABETH R GALLUP
VP CLINICAL OPERATIONS50.00$352,832$0$27,135Yes (X)
ROBERT J KEPSHIRE
ADMINISTRATIVE CNO - MCDUF50.00$209,093$0$10,244Yes (X)
JOHN C POPE
PA ECHO CLINICAL PROG COOR50.00$195,969$0$9,964Yes (X)
JACKIE KENDINGER
EMPLOYEE50.00$204,325$0$5,242Yes (X)
DOUGLAS D PUGH II
RN50.00$204,518$0$17,275Yes (X)
BEATRICE C BADGER
RN40.00$200,508$0$12,514Yes (X)
LYNDA JONES WATTS
VP PATIENT CARE SVCS/CNO50.00$341,048$0$11,260Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,623,215TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$397,050TotReportableCompRltdOrgAmt
Total Other Compensation$590,483TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K17IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
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
CROTHALL HEALTHCARE
13028 COLLECTION CENTER DRIVECHICAGOIL60693PLANT & HOUSEKEEPING$10,366,045
MORRISONS HEALTH CARE DIVISION
PO BOX 102289ATLANTAGA30368MANAGEMENT SUPPORT$7,066,853
NOVANT HEALTH INC
2085 FRONTIS PLAZAWINSTON SALEMNC27103SYSTEM SUPPORT$4,857,650
EPIC SYSTEMS CORPORATION
PO BOX 88314MILWAUKEEWI53288SYSTEM SUPPORT$4,197,520
COGDELL SPENCER LP CO LILLIBRIDGE HEALT
PO BOX 742736ATLANTAGA303742736BUILDING MANAGEMENT$2,575,305
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K110CntrctRcvdGreaterThan100KCnt
Federated Campaigns$318,118FederatedCampaignsAmt
Government Grants$8,738GovernmentGrantsAmt
All Other Contributions$2,261,577AllOtherContributionsAmt
Total Contributions$2,588,433TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE900099$515,488,215$515,488,215
HOME HEALTH SERVICES621610$8,082,451$8,082,451
PHYSICIAN ANSWERING SERVICE541900$386,202$386,202
OTHER PROGRAM SERVICES900099$317,174$317,174
ASK-A-NURSE541900$150,988$150,988

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,935TotalRevenueColumnAmt
Related Or Exempt Func Income$27,935RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$524,452,965TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,961,858TotalRevenueColumnAmt
Exclusion$8,961,858ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,579,792RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,470,003RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,109,789RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,109,789TotalRevenueColumnAmt
Unrelated Business Revenue$58,698UnrelatedBusinessRevenueAmt
Exclusion$1,051,091ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,811SecuritiesAmt
Other$270,366,561OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$297,277SecuritiesAmt
Other$263,207,704OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$285,466SecuritiesAmt
Other$7,158,857OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,873,391TotalRevenueColumnAmt
Exclusion$6,873,391ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYEE PHARMACY446110$5,607,793$5,607,793
OUTREACH LAB900099$3,760,928$3,760,928
MISCELLANEOUS900099$2,590,097$2,590,097

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$311,022TotalRevenueColumnAmt
Related Or Exempt Func Income$382,008RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$695,570UnrelatedBusinessRevenueAmt
Exclusion$2,540ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,647,796OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$555,634,232TotalRevenueColumnAmt
Related Or Exempt Func Income$527,425,070RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,124,056UnrelatedBusinessRevenueAmt
Exclusion$22,496,673ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,077,377TotalAmt
Program Services$1,077,377ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$7,541,191TotalAmt
Program Services$1,784,252ProgramServicesAmt
Management And General$5,756,939ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$144,869,600TotalAmt
Program Services$143,768,053ProgramServicesAmt
Management And General$1,101,547ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,712,917TotalAmt
Program Services$3,545,836ProgramServicesAmt
Management And General$167,081ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$40,286,477TotalAmt
Program Services$38,473,586ProgramServicesAmt
Management And General$1,812,891ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,393,944TotalAmt
Program Services$12,791,217ProgramServicesAmt
Management And General$602,727ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$14,347,309TotalAmt
Program Services$13,701,680ProgramServicesAmt
Management And General$645,629ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,084,648TotalAmt
Management And General$1,084,648ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$291,400TotalAmt
Management And General$291,400ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$182,043TotalAmt
Management And General$182,043ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,622,211TotalAmt
Management And General$1,622,211ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$37,561,203TotalAmt
Program Services$35,870,949ProgramServicesAmt
Management And General$1,690,254ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$713,181TotalAmt
Program Services$681,088ProgramServicesAmt
Management And General$32,093ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,151,175TotalAmt
Program Services$1,099,372ProgramServicesAmt
Management And General$51,803ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,392,984TotalAmt
Program Services$8,015,300ProgramServicesAmt
Management And General$377,684ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,183,581TotalAmt
Program Services$5,905,320ProgramServicesAmt
Management And General$278,261ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$779,107TotalAmt
Program Services$744,047ProgramServicesAmt
Management And General$35,060ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$14,821TotalAmt
Management And General$14,821ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,686,806TotalAmt
Management And General$7,686,806ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$33,572,890TotalAmt
Program Services$32,062,110ProgramServicesAmt
Management And General$1,510,780ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,061,043TotalAmt
Program Services$3,878,296ProgramServicesAmt
Management And General$182,747ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MED SURG SUPPLIES$123,410,506$123,410,506
BAD DEBT EXPENSE$32,733,965$32,733,965$0
REPAIRS AND MAINTENANCE$10,993,479$10,498,772$494,707
GA DCH HOSPITAL TAX$6,244,526$0$6,244,526

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,770,565TotalAmt
Program Services$8,276,633ProgramServicesAmt
Management And General$493,932ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$510,678,949TotalAmt
Program Services$478,318,359ProgramServicesAmt
Management And General$32,360,590ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,161,680BOYAmt
EOY$11,938,091EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$75,562,510BOYAmt
EOY$88,412,394EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$11,147,991BOYAmt
EOY$10,226,137EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,797,976BOYAmt
EOY$11,765,652EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,572,532BOYAmt
EOY$8,346,885EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$682,275,325LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$414,611,497LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$237,203,049BOYAmt
EOY$267,663,828EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$409,893,486BOYAmt
EOY$444,741,930EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$48,894,356BOYAmt
EOY$42,693,643EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$810,233,580BOYAmt
EOY$885,788,560EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$24,937,852BOYAmt
EOY$29,466,122EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$149,527,198BOYAmt
EOY$145,550,240EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$98,863,133BOYAmt
EOY$127,736,809EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$101,758,204BOYAmt
EOY$98,128,406EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$375,086,387BOYAmt
EOY$400,881,577EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$435,112,193BOYAmt
EOY$484,871,983EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$35,000BOYAmt
EOY$35,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$435,147,193BOYAmt
EOY$484,906,983EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$810,233,580BOYAmt
EOY$885,788,560EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$44,955,283ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$35,264,908NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$30,460,401OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$182,043OtherActivitiesAmt
Total Lobbying Expenditures$182,043TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA 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 2017, THESE FEES AMOUNTED TO $155,043. ADDITIONALLY, OGLETHORPE CONSULTING GROUP WAS CONTRACTED DURING 2017 TO REVIEW AND ADVISE THE HOSPITAL ON LEGISLATIVE ISSUES. DURING 2017, $27,000 WAS PAID TO OGLETHORPE CONSULTING GROUP.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,119,245OtherCostOrOtherBasisAmt
Book Value$21,119,245BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$300,391,772OtherCostOrOtherBasisAmt
Depreciation$152,514,456DepreciationAmt
Book Value$147,877,316BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,021,020OtherCostOrOtherBasisAmt
Depreciation$3,006,663DepreciationAmt
Book Value$1,014,357BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$338,885,695OtherCostOrOtherBasisAmt
Depreciation$254,898,815DepreciationAmt
Book Value$83,986,880BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,857,593OtherCostOrOtherBasisAmt
Depreciation$4,191,563DepreciationAmt
Book Value$13,666,030BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$267,663,828TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
ACCRUED COMPENSATION, BENEFITS, & WITHOLDINGS$24,173,481
ACCRUED POSTRETIREMENT BENEFIT COST$37,053,223
ASSET RETIREMENT OBLIGATION$3,407,914
EST THIRD PARTY PAYOR SETTLEMENTS$11,907,761
OTHER CURRENT LIABILITIES$2,604,335
RESERVE FOR SELF INSURED LOSSES$15,088,301
DUE TO AFFILIATES$5,475,179
CAPITALIZED BOND COSTS-$1,581,788
FieldValueIRS element (for citing)
Total Liability$98,128,406TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationUNIVERSITY 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, 2017. FISCAL YEARS ENDED ON OR AFTER DECEMBER 31, 2014 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

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,RegionTxt
Offices1OfficesCnt
Employee2EmployeeCnt
Type Of Activities ConductedINSURANCE CAPTIVETypeOfActivitiesConductedTxt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees2SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office1TotalOfficeCnt
Total Employee2TotalEmployeeCnt
Subtotal Spent$0SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$0TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART 1 - ADDITIONAL SUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationPLEASE SEE FORM 5471 FILING FOR DETAILS RELATED TO OFFSHORE CAPTIVE INSURANCE.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,367,051TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,213,716DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,153,335NetCommunityBenefitExpnsAmt
Total Expense0.03950TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,049,283TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,904,517DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,144,766NetCommunityBenefitExpnsAmt
Total Expense0.00620TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,416,334TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$42,118,233DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,298,101NetCommunityBenefitExpnsAmt
Total Expense0.04570TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,939,492TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,696,911DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,242,581NetCommunityBenefitExpnsAmt
Total Expense0.02010TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,098,065TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$769,351DirectOffsettingRevenueAmt
Net Community Benefit Expns$328,714NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,190,375TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,190,375NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,227,932TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,466,262DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,761,670NetCommunityBenefitExpnsAmt
Total Expense0.02300TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$87,644,266TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,584,495DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,059,771NetCommunityBenefitExpnsAmt
Total Expense0.06870TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,545TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$46,545NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,510TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,510NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$66,055TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$66,055NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$32,733,965BadDebtExpenseAmt
Bad Debt Expense Attributable$169,693BadDebtExpenseAttributableAmt
Reimbursed By Medicare$122,426,946ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$172,156,947CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$49,730,001MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.UNIVERSITYHEALTH.ORGWebsiteAddressTxt
State License121-375StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Other3 HOME HEALTH AGENCIESOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.UNIVERSITYHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFITOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.UNIVERSITYHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFITStrategyWebsiteURLTxt
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SCHEDULE OFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SCHEDULE OFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SCHEDULE OFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
UNIVERSITY HEALTH SERVICES INCPART V, SECTION B, LINE 5: PAIGE MILLER, DEVELOPMENT DIRECTOR - HOPE HOUSEREV CHARLES E GOODMAN, PASTOR - TABERNACLE BAPTIST CHURCHLATOYA HARDMAN, DIRECTOR - FAMILY PROMISEJUANITA MCDANIEL, 2-1-1 COORDINATOR - UNITED WAY 2-1-1JONATHAN ADRIANO, DISTRICT PROGRAM MANAGER - GA DEPT OF PUBLIC HEALTH, ECHD IVKELLY BUSHEY, RN, COUNTY NURSE MANAGER - GA DEPT OF PUBLIC HEALTH, RCHDJOY MILLER, EPIDEMIOLOGIST - GA DEPT OF PUBLIC HEALTH , ECHD IVROBERT CAMPBELL, MD, MEDICAL DIRECTOR - CHRIST COMMUNITY HEALTH SERVICESTHOSE WHO WERE INVITED BUT DID NOT ATTEND WERE FROM THE FOLLOWING ORGANIZATIONS: AREA AGENCY ON AGING, AUGUSTA HOUSING & COMMUNITY DEVELOPMENT, AUGUSTA RESCUE MISSION, AUGUSTA PARTNERSHIP FOR CHILDREN, COORDINATED HEALTH SERVICES INC., GARDEN CITY RESCUE MISSION, SAVANNAH RIVER REMEDIATION, GOLDEN HARVEST FOOD BANK, AUGUSTA-RICHMOND COUNTY PUBLIC LIBRARY, MERCY MINISTRIES, WALTON OPTIONS FOR INDEPENDENT LIVING, SAFE HOMES AND SENIOR CITIZEN COUNCIL. REPRESENTATIVES FROM THESE ORGANIZATIONS WERE SENT AN EMAIL WITH THE LIST OF QUESTIONS FROM THE LISTENING SESSION AND INVITED TO PROVIDE FEEDBACK.IN ADDITION ON PAGE 53, UHS REACHED OUT TO 3257 PROVIDERS.WE INVITED PROVIDERS IN OUR COMMUNITY TO, "PLEASE TELL US ABOUT A RESOURCE YOU WISH WAS MORE ACCESSIBLE TO YOUR PATIENTS THAT WOULD HELP THEM ADDRESS THEIR HEALTH NEEDS." THE SURVEY WAS MADE ACCESSIBLE BY AN ONLINE SURVEY VENDOR. WE ACCESSED THE NAME, ADDRESS, AND TYPE OF PROVIDERS IN OUR COMMUNITY THROUGH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES' NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM (NPPES). WE RESTRICTED THE SURVEY TO PHYSICIANS, MENTAL HEALTH PROVIDERS, AND PHARMACISTS. WE THEN MAILED AN INVITATION (FIGURE 38 ON PG 53) TO 3257 PROVIDERS THAT INCLUDED THE WEB ADDRESS OF THE SURVEY AND THE PROMISE OF A GIFT TO A RANDOMLY SELECTED RESPONDENT.
UNIVERSITY HEALTH SERVICES INCPART V, SECTION B, LINE 6A: N/A
UNIVERSITY HEALTH SERVICES INCPART V, SECTION B, LINE 6B: N/A
UNIVERSITY HEALTH SERVICES INCPART V, SECTION B, LINE 11: SEE PAGE 4 OF IMPLEMENTATION STRATEGY HEART DISEASE & STROKE - EXPAND ADVANCED HEALTH FAILURE PROGRAM WITH OPERATIONAL IMPROVEMENTS AND NEW PROVIDERS: CONTINUE FREE HEART ATTACK AND STROKE CLASSESCANCER - OPEN NODULE CLINIC AND THORACIC SURGERY PROGRAM; CONTINUE CANCER GROUPS ; PHYSICIAN LEAD EDUCATION PRESENTATION & COMMUNITY SCREENINGS ARTHRITIS, OSTEOPOROSIS AND CHRONIC BACK CONDITIONS - EDUCATION ON BACK INJURY PREVENTIONDIABETES - CONTINUE MONTHLY GROUPS AND EDUCATION SESSIONSNUTRITION AND WEIGHT STATUS - CONTINUE EATING WELL WITH KIM PROGRAM ON LOCAL TV AND EMAILACCESS TO HEALTH SERVICES - EXPAND PROMPT AND PRIMARY CARE AREAS; HEALTH U CALENDAR HEALTH LITERACY - HEALTHY U; EDUCATIONAL CLASSES, ETCAREAS THAT UHS WILL NOT FOCUS ON ARE:CHRONIC KIDNEY DISEASE - WHILE UH WILL CONTINUE TO TREAT KIDNEY DISEASE, WE COULD SUPPORT THIS AREA BETTER BY PLACING OUR EMPHASIS ON DIABETES, OBESITY, AND EDUCATION.RESPIRATORY DISEASE - UH WILL EMPHASIS EDUCATION; HOWEVER, THERE ARE OTHER PROVIDERS TO OFFER ASSISTANCE SUCH AS KOHL'S CARES AS WELL AS CHILDREN'S HOSPITAL OF GEORGIAMENTAL HEALTH - OTHER PROVIDERS HAVE MORE EXPERTISE IN THIS AREA; SUCH AS, AU'S PSYCHIATRY, SERENITY BEHAVIORAL HEALTH, LIGHTHOUSE CARE CENTER, AIKEN-BARNWELL MENTAL HEALTH CENTER, ETC.
UNIVERSITY HEALTH SERVICES INCPART 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 BANKRUPCY AND FINANCIAL STANDING WHEN OFFERING DISCOUNTS ON PATIENT LIABILITY.USE ELECTRONIC ELIGIBILITY SYSTEM TO DETERMINE INDIGENT CARE.
SCHEDULE H, PART V, SECTION B, LINE 22DUSED TRADITIONAL MEDICARE , COMMERICIAL AND MANAGED CARE PROVIDERS TO COMPUTE THE AMOUNT GENERALLY BILLED.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 BANKRUPCY 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 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 ESTIMATED 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 9 OF THE AUDITED FINANCIAL STATEMENTSALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE CORPORATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS 77% AND 81% OF SELF-PAY ACCOUNTS RECEIVABLE AND PATIENT LIABILITY PORTION OF OTHER ACCOUNTS AT DECEMBER 31, 2017 AND 2016, RESPECTIVELY.
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 2016, 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 6-13 OF THE CHNAUNIVERSITY HEALTH CARE SYSTEM SERVES A DIVERSE COMMUNITY. AIKEN COUNTY HAS MORE RESIDENTS 65 AND OLDER; COLUMBIA COUNTY HAS MORE RESIDENTS BETWEEN 5 AND 17; RICHMOND COUNTY HAS MORE RESIDENTS UNDER 5 YEARS OLD. RICHMOND COUNTY IS VERY DIFFERENT RACIALLY AND ETHNICALLY FROM AIKEN COUNTY AND COLUMBIA COUNTY. WHILE AIKEN AND COLUMBIA COUNTIES HAVE SOME SIMILARITIES IN RACE AND ETHNIC ORIGINS, AIKEN COUNTY HAS FEWER COLLEGE GRADUATES AND HAS MORE POVERTY. RICHMOND COUNTY HAS EVEN FEWER GRADUATES AND AN EVEN HIGHER LEVEL OF POVERTY.RICHMOND COUNTY HAS MORE CHILDREN UNDER 5 YEARS OLD THAN ITS NEIGHBORS AND MORE THAN THE AVERAGE IN GEORGIA, SOUTH CAROLINA, AND THE UNITED STATES. AIKEN COUNTY HAS MORE PERSONS 65 YEARS AND OLDER THAN ALL OTHER GROUPS IN OUR COMPARISON. COLUMBIA COUNTY HAS MORE PERSONS BETWEEN 5 AND 17 YEARS OLD. THIS IS AN ESTIMATE OF THE POPULATION IN 2014.RICHMOND COUNTY HAS FEWER FOREIGN-BORN RESIDENTS AND SPEAKERS OF A LANGUAGE OTHER THAN ENGLISH AT HOME THAN THE REST OF THE NATION, GEORGIA, OR SOUTH CAROLINA IN GENERAL. IT HAS FEWER COLLEGE GRADUATES AND A HIGH DEGREE OF POVERTY. AIKEN COUNTY IS SIMILAR TO RICHMOND COUNTY IN THE PERCENTAGE OF FOREIGN-BORN RESIDENTS AND SPEAKERS OF A LANGUAGE OTHER THAN ENGLISH AT HOME. HOWEVER, IT HAS A HIGHER PERCENTAGE OF COLLEGE GRADUATES AND A LOWER LEVEL OF POVERTY. COLUMBIA COUNTY IS MORE DIVERSE, HAVING A HIGHER PERCENTAGE OF FOREIGN-BORN RESIDENTS AND SPEAKERS OF A LANGUAGE OTHER THAN ENGLISH AT HOME. IT ALSO HAS A HIGHER PERCENTAGE OF COLLEGE GRADUATES AND A LOWER LEVEL OF POVERTY.UNIVERSITY HEALTH CARE SYSTEM SERVES A DIVERSE COMMUNITY. AIKEN COUNTY HAS MORE RESIDENTS 65 AND OLDER; COLUMBIA COUNTY HAS MORE RESIDENTS BETWEEN 5 AND 17; RICHMOND COUNTY HAS MORE RESIDENTS UNDER 5 YEARS OLD. RICHMOND COUNTY IS VERY DIFFERENT RACIALLY AND ETHNICALLY FROM AIKEN COUNTY AND COLUMBIA COUNTY. WHILE AIKEN AND COLUMBIA COUNTIES HAVE SOME SIMILARITIES IN RACE AND ETHNIC ORIGINS, AIKEN COUNTY HAS FEWER COLLEGE GRADUATES AND HAS MORE POVERTY. RICHMOND COUNTY HAS EVEN FEWER GRADUATES AND AN EVEN HIGHER LEVEL OF POVERTY.
PART VI, LINE 5:UH GOVERNING BOARD MEMBERS ARE COMPRISED OF CITZENS WHO RESIDE IN THE 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 OF 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 LOWES 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 SCREENING 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 STATESGA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
NEIGHBORHOOD IMPROVEMENT PROJECT
2467 GOLDEN CAMP ROADAUGUSTAGA30906311491242501(C)(3)$178,404CLINIC FINANCIAL SUPPORT
MIRACLE MAKING MINISTRIES
1127 DRUID PARK AVEAUGUSTAGA30904582358627501(C)(3)$39,644CLINIC FINANCIAL SUPPORT
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NWATLANTAGA30303131788491501(C)(3)$5,000FINANCIAL SUPPORT
THE FAMILY Y
3570 WHEELER ROADAUGUSTAGA30909580566254501(C)(3)$7,500FINANCIAL SUPPORT
UNITED WAY
1765 BROAD STREETAUGUSTAGA30904580566155501(C)(3)$5,000FINANCIAL SUPPORT
HARRISBURG FAMILY HEALTH
309 CRAWFORD AVENUEAUGUSTAGA30904264366421501(C)(3)$10,000FINANCIAL SUPPORT
IKE AND JUSTINE WASHINGTON FOUNDATION
PO BOX 31376AUGUSTAGA30903274359119501(C)(3)$10,000FINANCIAL SUPPORT
COORDINATED HEALTH SERVICES
2110 BROAD STREETAUGUSTAGA30904582060572501(C)(3)$138,754CLINIC FINANCIAL SUPPORT$8,243COST OF LAB TESTSLAB TESTS
BEULAH GROVE COMMUNITY RESOURCE
1446 LEE BEARD WAYAUGUSTAGA30904582159621501(C)(3)$39,644CLINIC FINANCIAL SUPPORT$18,833COSTEPIC CLINICAL SYSTEM & LAB TESTS
CHRIST COMMUNITY HEALTH SERVICES
519 SCOTTS WAYAUGUSTAGA30909205404353501(C)(3)$356,808CLINIC FINANCIAL SUPPORT$252,797MEDICARE COST REPORTDONATED FACILITIES

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationUNIVERSITY 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
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 (18 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
DANIEL H BOONE MD
BOARD MEMBER$0$258,275$0$16,500$0$2,269$0$5,423$0$7,405$0$289,872$0$0
DAVID A BELKOSKI
UHS CFO$424,781$0$138,195$0$117,877$0$1,405$0$9,366$0$691,624$0$0$0
JAMES R DAVIS
UHS PRESIDENT & CEO$746,360$0$224,697$0$618,496$0$298,649$0$18,217$0$1,906,419$0$0$0
MARILYN A BOWCUTT
PRESIDENT OF UNIVERSITY HO$448,378$0$144,922$0$119,561$0$7,350$0$9,444$0$729,655$0$0$0
WILLIAM L FARR JR
CMO$386,872$0$111,378$0$44,314$0$8,079$0$9,759$0$560,402$0$0$0
EDWARD L BURR
SR. VP LEGAL & REGULATORY$383,412$0$123,125$0$70,093$0$8,104$0$13,818$0$598,552$0$0$0
LAURIE OTT SMITH
UHCF-VP HR & COMM SVC$247,747$0$95,177$0$49,658$0$5,383$0$7,546$0$405,511$0$0$0
THOMAS E LOWENCAMP
VP - CONTINUING CARE$244,689$0$68,901$0$32,202$0$7,564$0$17,136$0$370,492$0$0$0
SHIRLEY K GABRIEL
VP CHIEF INFORMATION OFFIC$280,417$0$90,806$0$47,318$0$5,929$0$10,327$0$434,797$0$0$0
TERESA BUSCHBACHER
VP -HVI$184,545$0$53,748$0$19,588$0$5,394$0$16,725$0$280,000$0$0$0
SCOTT ANSEDE
VP PROFESSIONAL SERVICES$276,270$0$82,842$0$38,553$0$8,120$0$15,106$0$420,891$0$0$0
ELIZABETH R GALLUP
VP CLINICAL OPERATIONS$246,268$0$71,095$0$35,469$0$7,803$0$19,332$0$379,967$0$0$0
ROBERT J KEPSHIRE
ADMINISTRATIVE CNO - MCDUF$173,125$0$34,123$0$1,845$0$5,250$0$4,994$0$219,337$0$0$0
JOHN C POPE
PA ECHO CLINICAL PROG COOR$176,890$0$325$0$18,754$0$761$0$9,203$0$205,933$0$0$0
JACKIE KENDINGER
EMPLOYEE$173,715$0$29,975$0$635$0$5,242$0$0$0$209,567$0$0$0
DOUGLAS D PUGH II
RN$191,373$0$1,909$0$11,236$0$3,077$0$14,198$0$221,793$0$0$0
BEATRICE C BADGER
RN$196,183$0$2,661$0$1,664$0$3,311$0$9,203$0$213,022$0$0$0
LYNDA JONES WATTS
VP PATIENT CARE SVCS/CNO-$6,661$0$67,406$0$280,303$0$0$0$11,260$0$352,308$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ASOCIAL 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 INCLUDED IN THE WAGES OF THE CEO.
PART I, LINE 4BJAMES R DAVIS - SERP - $290,468 DAVID A BELKOSKI - ROTH IUL - $56,036 MARILYN A BOWCUTT - CAA BENEFITS - $44,995 WILLIAM L FARR - CAA BENEFITS - $38,076 EDWARD L BURR - CAA REDEMPTION - $66,173 LAURIE OTT SMITH - ROTH IUL - $25,813, SEC. 162 - $2,541 THOMAS E LOWENCAMP - SEC. 162 - $5,946, ROTH IUL - $24,500 SHIRLEY K GABRIEL - ROTH IUL - $27,812, SEC. 162 - $7,036 THERESA BUSCHBACHER - ROTH IUL - $14,175, SEC. 162 - $4,695 SCOTT ANSEDE - ROTH IUL - $28,500, SEC. 162 - $6,626 ELIZABETH R GALLUP - ROTH IUL - $21,900, SEC. 162 - $3,187 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 6THE 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 2017 THESE INITIATIVES WERE WEIGHTED AS DISPLAYED IN THE FOLLOWING SCHEDULE: UNIVERSITY HEALTH SERVICES, INC 2017 STRATEGIC INITIATIVES WEIGHT QUALITY 15% ACHIEVE NRC OVERALL RATING OF CARE SCORE 15% ACHIEVE AGGREGATE COMPOSITE CORE MEASURE SCORE FOR THE 2017 CORE MEASURE SET GROWTH 10% INCREASE ADMISSIONS FROM AIKEN AND COLUMBIA COUNTIES OVER 2016 LEVELS SAFETY 15% MINIMIZE THE NUMBER OF HOSPITAL ACQUIRED CONDITIONS PER 1000 DISCHARGES PEOPLE 15% ACHIEVE EMPLOYEE TURNOVER RATE FOR UHS AFFORDABILITY 25% ACHIEVE OPERATING MARGIN FOR UNIVERSITY HEALTH, INC SERVICE 5% INCREASE THE NUMBER OF ACTIVE MYCHART ACCOUNTS 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

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1THE RICHMOND COUNTY HOSPITAL AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN586001901BondIssuerEIN
CUSIP764603BV7CUSIPNum
Bond Issued2016-10-25BondIssuedDt
Issue Price$154,488,348IssuePriceAmt
PurposeREFUND BOND CERTIFICATES (SERIES 2009)PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$154,488,348TotalProceedsAmt
Issuance Costs From Proceeds$1,658,616IssuanceCostsFromProceedsAmt
Other Spent Proceeds$152,829,732OtherSpentProceedsAmt
Substantial Completion2016SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance RefundingYes (1)AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research AgreementsYes (1)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (1)EngageBondCounselResearchInd
Private Bus Use By Others0.02700PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00200PrivateBusConcerningUBIPct
Total Private Business Use0.02900TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NATALIE H THOMPSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionDAUGHTER OF BOARD MEMBERRelationshipDescriptionTxt
Transaction$11,502TransactionAmt
TransactionEMPLOYEE COMP AS RNTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1IN 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 11BA 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 12CTHE 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 15THE 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 19ALL 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 -4,258,044. OTHER CUMULATIVE EFFECT ON ASSET RETIREMENT OBLIGATIONS -27,177. TRANSFER TO AFFILIATE -26,870,750. PTP INVESTMENT - UBTI NOT ON BOOKS 695,570.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
SCHEDULE H, PART V, LINE 16AHTTPS://WWW.UNIVERSITYHEALTH.ORG/PATIENT-VISITOR-INFORMATION/FOR-PATIENT S/BILLING-INFORMATION/INDIGENT-AND-CHARITY-CARE
SCHEDULE H, PART V, LINE 16BHTTPS://WWW.UNIVERSITYHEALTH.ORG/PATIENT-VISITOR-INFORMATION/FOR-PATIENT S/BILLING-INFORMATION/INDIGENT-AND-CHARITY-CARE
SCHEDULE H, PART V, LINE 16CHTTPS://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

FieldValueIRS element (for citing)
Business Name Line1WALTON WAY INDEMNITY SPCBusinessNameLine1Txt

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line12ND FL GOVERNORS SQ 23 LIME TREEAddressLine1Txt
CityWEST BAYCityNm
Province Or StateGRAND CAYMANProvinceOrStateNm
CountryCJCountryCd
FieldValueIRS element (for citing)
Primary ActivitiesINSURANCE CAPTIVEPrimaryActivitiesTxt
Legal Domicile Foreign CountryCJLegalDomicileForeignCountryCd
Total Income$3,092,427TotalIncomeAmt
End Of Year Assets$21,533,766EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH SERVICES INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
UNIVERSITY EXTENDED CARE INC
1350 WALTON WAYAUGUSTAGA30901581581105SKILLED NURSING HOMESGA501(C)(3)3UNIVERSITY HEALTH INC0
RICHMOND COUNTY HOSPITAL AUTHORITY
1350 WALTON WAYAUGUSTAGA30901586001901LEASED FACILITIESGA501(C)(3)30N/A
AUGUSTA RESOURCE CENTER ON AGING I
4275 OWENS ROADEVANSGA30809581728812NON PROFIT LIFE CARE COMMUNITYGA501(C)(3)9UNIVERSITY HEALTH INC0
UNIVERSITY HEALTH CARE FOUNDATION
2100 CENTRAL AVENUE SUITE D-1AUGUSTAGA30904581343550PHILANTHROPYGA501(C)(3)7UNIVERSITY HEALTH INC0
UNIVERSITY HEALTH INC
1350 WALTON WAYAUGUSTAGA30901581581102CONSOLIDATING PARENTGA501(C)(3)90N/A
UNIVERSITY MCDUFFIE COUNTY REGIONAL
1350 WALTON WAYAUGUSTAGA30901454166209HOSPITALGA501(C)(3)3UNIVERSITY HEALTH INC0

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 WAYAUGUSTAGA30901581601372SVC TO PHYSICIANSGAUNIVERSITY 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 OrgYes (1)LoansOrGuaranteesToOtherOrgInd
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 OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd