Augusta Resource Center on Aging Inc: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- Augusta Resource Center on Aging Inc (EIN 58-1728812)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201733199349303608
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T09:27:11-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 570381582 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIOTT DAVIS LLC PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE 10TH STREET SUITE 400 | AddressLine1Txt |
| City | AUGUSTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581728812 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AUGUSTA RESOURCE CENTER ON AGING INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AUGU | BusinessNameControlTxt |
| Phone | 7068689800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4275 OWENS ROAD | AddressLine1Txt |
| City | EVANS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30809 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVE BELKOSKI | PersonNm |
| Person Title | UHS CFO | PersonTitleTxt |
| Phone | 7068689800 | PhoneNum |
| Signature | 2017-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JESSICA C CAIN CPA | PreparerPersonNm |
| PTIN | P01276209 | PTIN |
| Phone | 7067229090 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 165.225.34.66 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-13 | IPDt |
| IP Tm | 11:49:36 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | FA911B7747AA32E893665EE7CE6220A1088A557E | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | FA911B7747AA32E893665EE7CE6220A1088A557E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES R DAVIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 WALTON WAY | AddressLine1Txt |
| City | EVANS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,796,834 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BRANDONWILDE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO 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 Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 321 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $132,749 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,048,381 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,895,859 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$81,880 | PYInvestmentIncomeAmt |
| CY Investment Income | $718,899 | CYInvestmentIncomeAmt |
| PY Other Revenue | $14,505 | PYOtherRevenueAmt |
| CY Other Revenue | $10,725 | CYOtherRevenueAmt |
| PY Total Revenue | $18,981,006 | PYTotalRevenueAmt |
| CY Total Revenue | $19,758,232 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,216,575 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,678,795 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,191,730 | PYOtherExpensesAmt |
| CY Other Expenses | $8,183,894 | CYOtherExpensesAmt |
| PY Total Expenses | $15,408,305 | PYTotalExpensesAmt |
| CY Total Expenses | $15,862,689 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,572,701 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,895,543 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $77,687,758 | TotalAssetsBOYAmt |
| Total Assets EOY | $81,485,811 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $56,674,499 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $55,647,766 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,013,259 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,838,045 | NetAssetsOrFundBalancesEOYAmt |
| Mission | RETIREMENT COMMUNITY - RETIREMENT CENTER SPECIFICALLY DESIGNED TO SATISFY THREE PRIMARY NEEDS OF THE AGING - HOUSING, HEALTH CARE, AND FINANCIAL SECURITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,256,449 | ExpenseAmt |
| Revenue | $17,989,269 | RevenueAmt |
| Desc | RETIREMENT COMMUNITY - RETIREMENT CENTER SPECIFICALLY DESIGNED TO SATISFY THREE PRIMARY NEEDS OF THE AGING - HOUSING, HEALTH CARE, AND FINANCIAL SECURITY. | Desc |
| Total Program Service Expenses | $13,256,449 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 321 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERYL TAYLOR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7068683522 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4275 OWENS ROAD | AddressLine1Txt |
| City | EVANS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30809 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| TOM DOZIER | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES R DAVIS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $965,846 | $304,207 | 50.00 | ||
| GERALD MATHEIS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVE BELKOSKI | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $605,375 | $14,858 | 50.00 | ||
| CHRISTA MICHAEL | ||||||||
| ACTING RESIDENT COUNCIL CH | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARILYN A BOWCUTT | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $659,973 | $16,704 | 50.00 | ||
| BRUCE MARSHALL | ||||||||
| EXECUTIVE DIRECTOR THRU MARCH 2016 | 40.00 | $106,341 | $0 | $6,468 | Yes (X) | |||
| PAM KAUFFMAN | ||||||||
| CURRENT EXECUTIVE DIRECTOR | 40.00 | $154,451 | $0 | $19,743 | Yes (X) | |||
| CHERYL TAYLOR | ||||||||
| EMPLOYEE | 40.00 | $126,667 | $0 | $13,073 | Yes (X) | |||
| KATHY MARKS | ||||||||
| EMPLOYEE | 40.00 | $106,067 | $0 | $9,509 | Yes (X) | |||
| AMBER COOPER | ||||||||
| EMPLOYEE | 40.00 | $109,904 | $0 | $18,449 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $603,430 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,231,194 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $403,011 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HEAVENER CONSTRUCTION CO | |||||
| 1530 CRESENT CT | AUGUSTA | GA | 30909 | CONSTRUCTION | $2,075,379 |
| US FOOD SERVICEINC | |||||
| 120 LONGS POND RD | LEXINGTON | SC | 29072 | FOOD SUPPLIER | $1,014,795 |
| AEGIS THERAPIES INC | |||||
| PO BOX 8103 | FT SMITH | AR | 72902 | STAFFING | $318,362 |
| BRIAR WOOD GROUP INC | |||||
| PO BOX 16423 | AUGUSTA | GA | 30919 | LANDSCAPING | $316,467 |
| ON CALL STAFFING LLC | |||||
| 4236 COLUMBIA RD | MARTINEZ | GA | 30907 | STAFFING | $199,118 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $132,749 | RelatedOrganizationsAmt |
| Total Contributions | $132,749 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PATIENT CARE SERVICES | 623000 | $13,699,807 | $13,699,807 | |
| ENTRANCE FEES | 623000 | $3,905,487 | $3,905,487 | |
| MEALS | 623000 | $615,682 | $615,682 | |
| OTHER PROGRAM SERVICE | 623000 | $499,472 | $229,729 | $269,743 |
| MEDICAL SUPPLIES | 623000 | $175,411 | $175,411 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,895,859 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $438,268 | TotalRevenueColumnAmt |
| Exclusion | $438,268 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $28,162 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,437 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,725 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,725 | TotalRevenueColumnAmt |
| Exclusion | $10,725 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $301,796 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $21,165 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $301,796 | SecuritiesAmt |
| Other | -$21,165 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $280,631 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$21,165 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $301,796 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,758,232 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,989,269 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,636,214 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,792 | TotalAmt |
| Program Services | $217,944 | ProgramServicesAmt |
| Management And General | $42,848 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,020,419 | TotalAmt |
| Program Services | $5,031,264 | ProgramServicesAmt |
| Management And General | $989,155 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,240 | TotalAmt |
| Program Services | $163,998 | ProgramServicesAmt |
| Management And General | $32,242 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $751,364 | TotalAmt |
| Program Services | $627,915 | ProgramServicesAmt |
| Management And General | $123,449 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,980 | TotalAmt |
| Program Services | $376,048 | ProgramServicesAmt |
| Management And General | $73,932 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,751 | TotalAmt |
| Program Services | $3,135 | ProgramServicesAmt |
| Management And General | $616 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,015 | TotalAmt |
| Program Services | $24,248 | ProgramServicesAmt |
| Management And General | $4,767 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,390 | TotalAmt |
| Program Services | $37,932 | ProgramServicesAmt |
| Management And General | $7,458 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,418 | TotalAmt |
| Program Services | $95,619 | ProgramServicesAmt |
| Management And General | $18,799 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $999,756 | TotalAmt |
| Program Services | $835,496 | ProgramServicesAmt |
| Management And General | $164,260 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,656 | TotalAmt |
| Program Services | $27,291 | ProgramServicesAmt |
| Management And General | $5,365 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $278,572 | TotalAmt |
| Program Services | $232,803 | ProgramServicesAmt |
| Management And General | $45,769 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,302,929 | TotalAmt |
| Program Services | $1,924,558 | ProgramServicesAmt |
| Management And General | $378,371 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $501,942 | TotalAmt |
| Program Services | $419,473 | ProgramServicesAmt |
| Management And General | $82,469 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $1,525,330 | $1,274,718 | $250,612 |
| MISCELLANEOUS | $1,168,910 | $976,858 | $192,052 |
| REPAIRS AND MAINTENANCE | $834,928 | $697,749 | $137,179 |
| CONTRACT LABOR AND EXPE | $346,297 | $289,400 | $56,897 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,862,689 | TotalAmt |
| Program Services | $13,256,449 | ProgramServicesAmt |
| Management And General | $2,606,240 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,804,498 | BOYAmt |
| EOY | $2,856,657 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,442,550 | BOYAmt |
| EOY | $1,494,232 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,213 | BOYAmt |
| EOY | $87,435 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $878,655 | BOYAmt |
| EOY | $2,333,405 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $88,715,308 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $41,445,024 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,712,890 | BOYAmt |
| EOY | $47,270,284 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,759,952 | BOYAmt |
| EOY | $27,443,798 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,687,758 | BOYAmt |
| EOY | $81,485,811 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,971,826 | BOYAmt |
| EOY | $18,349,672 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,739,630 | BOYAmt |
| EOY | $28,078,369 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,963,043 | BOYAmt |
| EOY | $9,219,725 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,674,499 | BOYAmt |
| EOY | $55,647,766 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,013,259 | BOYAmt |
| EOY | $25,838,045 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,013,259 | BOYAmt |
| EOY | $25,838,045 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,687,758 | BOYAmt |
| EOY | $81,485,811 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,895,543 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,013,091 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | -$83,848 | InvestmentExpenseAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,092,493 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $853,850 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $132,749 | CurrentTaxYearAmt |
| Total | $2,079,092 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,682,945 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,680,911 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,801,044 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,048,381 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,895,859 | CurrentTaxYearAmt |
| Total | $87,109,140 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,775,438 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,680,911 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,654,894 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,048,381 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,028,608 | CurrentTaxYearAmt |
| Total | $89,188,232 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $89,188,232 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $83,512 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $425,127 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,360,940 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $438,268 | CurrentTaxYearAmt |
| Total | $2,307,847 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $83,512 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $425,127 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,360,940 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $438,268 | CurrentTaxYearAmt |
| Total | $2,307,847 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,858,950 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,106,038 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,015,834 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,048,381 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,466,876 | CurrentTaxYearAmt |
| Total | $91,496,079 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97480 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97800 | PublicSupportPY509Pct |
| Investment Income CY | 0.02520 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02200 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,851,067 | OtherCostOrOtherBasisAmt |
| Book Value | $8,851,067 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $67,663,552 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,541,069 | DepreciationAmt |
| Book Value | $35,122,483 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,200,689 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,903,955 | DepreciationAmt |
| Book Value | $3,296,734 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $47,270,284 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | STATE STREET INVESTMENTS | Desc |
| Book Value | $27,443,798 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $27,443,798 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DEPOSITS | $763,606 |
| DUE TO UHI | $8,308,330 |
| DUE TO UHS | $147,058 |
| DUE TO UEC | $731 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,219,725 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES R DAVIS | ||||||||||||||
| BOARD MEMBER | $0 | $701,188 | $0 | $202,708 | $0 | $61,950 | $0 | $290,011 | $0 | $14,196 | $0 | $1,270,053 | $0 | $0 |
| DAVE BELKOSKI | ||||||||||||||
| BOARD MEMBER | $0 | $408,205 | $0 | $117,635 | $0 | $79,535 | $0 | $1,357 | $0 | $13,501 | $0 | $620,233 | $0 | $0 |
| MARILYN A BOWCUTT | ||||||||||||||
| BOARD MEMBER | $0 | $423,429 | $0 | $124,180 | $0 | $112,364 | $0 | $7,516 | $0 | $9,188 | $0 | $676,677 | $0 | $0 |
| PAM KAUFFMAN | ||||||||||||||
| CURRENT EXECUTIVE DIRECTOR | $154,451 | $0 | $0 | $0 | $0 | $0 | $4,953 | $0 | $14,790 | $0 | $174,194 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 6 | FormAndLineReferenceDesc |
| Explanation | YEARLY 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 DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| THOMAS DOZIER | |||
| BOARD CHAIRMAN | $31,518 | THOMAS DOZIER IS 71% OWNER OF GOLD MECH SERVICES, INC. THE ORGANIZATION PAID GOLD MECH SERVICES, INC. FOR MECHANICAL SERVICES. | 0 |
| THOMAS DOZIER | |||
| BOARD CHAIRMAN | $11,572 | THOMAS 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 | $17,833 | THOMAS 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 (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | SOLE CORPORATE MEMBER IS UNIVERSITY HEALTH, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | MANAGEMENT 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 12C | EACH 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 15 | THE 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 19 | THE 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. |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF A CONSOLIDATED GROUP. THE ORGANIZATION DOES NOT HAVE A SEPARATE COMMITTEE TO OVERSEE THE AUDIT PROCESS, AS ALL AUDIT RELATED FUNCTIONS ARE HANDLED BY THE MAIN ENTITY OF THE CONSOLIDATED GROUP, UNIVERSITY HEALTH, INC. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY HEALTH INC | |||||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 581581102 | CONSOLIDATING PARENT | GA | 501(C)(3) | LINE 10 | N/A | 0 | |
| RICHMOND COUNTY HOSPITAL AUTHORITY | |||||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 586001901 | LEASED FACILITIES | GA | 501(C)(3) | LINE 3 | N/A | 0 | |
| UNIVERSITY HEALTH CARE FOUNDATION INC | |||||||||||
| 2100 CENTRAL AVE SUITE D-1 | AUGUSTA | GA | 30904 | 581343550 | PHILANTHROPY | GA | 501(C)(3) | LINE 7 | 0 | UNIVERSITY HEALTH INC | |
| UNIVERSITY EXTENDED CARE INC | |||||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 581581105 | SKILLED NURSING FACILITIES | GA | 501(C)(3) | LINE 3 | 0 | UNIVERSITY HEALTH INC | |
| UNIVERSITY HEALTH SERVICES INC | |||||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 581581103 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | UNIVERSITY HEALTH INC | |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL | |||||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 454166209 | HOSPITAL | GA | 501(C)(3) | LINE 3 | 0 | UNIVERSITY HEALTH INC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY HEALTH RESOURCES INC | |||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 581601372 | SERVICES TO PHYSICIAN PRACTICES | GA | UNIVERSITY HEALTH INC | C | 0 |
| UNIVERSITY HOSPITAL AIKEN INC | |||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 472713774 | HOSPITAL | SC | UNIVERSITY HEALTH INC | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| UNIVERSITY HEALTH SERVICES | ||
| O | $413,388 | COST |
| UNIVERSITY HEALTH INC | ||
| E | $8,308,330 | BOOK VALUE |
| UNIVERSITY HEALTH SERVICES | ||
| P | $2,102,031 | COST |
| UNIVERSITY HEALTH SERVICES | ||
| E | $147,058 | BOOK VALUE |