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UNIVERSITY HEALTH INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY HEALTH INC (EIN 58-1581102)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-13
IRS object ID
201523179349302482
Schema version
2014v5.0
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

FieldValueIRS element (for citing)
Return2015-11-13T10:01:32-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN570381582PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ELLIOTT DAVIS DECOSIMO LLCPLLCBusinessNameLine1Txt

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 Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581581102EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH 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
Signature2015-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDERON B STANCIL CPAPreparerPersonNm
PTINP00221718PTIN
Phone7067229090PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES DAVISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$49,937,151GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UNIVERSITYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionPRIMARY FUNCTIONS ARE THE COORDINATION AND DELIVERY OF HEALTH CARE RESOURCES AND SERVICES, HEALTH CARE EDUCATION FOR THE HOSPITAL SERVICE AREA, LONG RANGE ANALYSIS OF HEALTH CARE NEEDS AND DEVELOPMENT OF PROGRAMS, AND ARRANGING FOR FINANCING OF HEALTH CARE PROGRAMS.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee116TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$34,600,585PYProgramServiceRevenueAmt
CY Program Service Revenue$45,074,014CYProgramServiceRevenueAmt
PY Investment Income$3,407,503PYInvestmentIncomeAmt
CY Investment Income$4,342,628CYInvestmentIncomeAmt
PY Other Revenue$673,622PYOtherRevenueAmt
CY Other Revenue$431,315CYOtherRevenueAmt
PY Total Revenue$38,681,710PYTotalRevenueAmt
CY Total Revenue$49,847,957CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$49,491,233PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$59,668,415CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,344,065PYOtherExpensesAmt
CY Other Expenses$11,834,920CYOtherExpensesAmt
PY Total Expenses$59,835,298PYTotalExpensesAmt
CY Total Expenses$71,503,335CYTotalExpensesAmt
PY Revenues Less Expenses-$21,153,588PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$21,655,378CYRevenuesLessExpensesAmt
Total Assets BOY$81,459,378TotalAssetsBOYAmt
Total Assets EOY$89,091,835TotalAssetsEOYAmt
Total Liabilities BOY$19,219,046TotalLiabilitiesBOYAmt
Total Liabilities EOY$22,620,698TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$62,240,332NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$66,471,137NetAssetsOrFundBalancesEOYAmt
MissionPRIMARY FUNCTIONS ARE THE COORDINATION AND DELIVERY OF HEALTH CARE RESOURCES AND SERVICES, HEALTH CARE EDUCATION FOR THE HOSPITAL SERVICE AREA, LONG RANGE ANALYSIS OF HEALTH CARE NEEDS AND DEVELOPMENT OF PROGRAMS, AND ARRANGING FOR FINANCING OF HEALTH CARE PROGRAMS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$64,720,187ExpenseAmt
Revenue$45,496,274RevenueAmt
DescUNIVERSITY HEALTH CARE PHYSICIANS, A WHOLLY-OWNED ENTITY OF UHI, WAS CREATED TO ENHANCE THE COORDINATION AND DELIVERY OF HEALTH CARE SERVICES FOR PRIMARY CARE, INCLUDING INTERNAL AND FAMILY MEDICINE, ONCOLOGY, VASCULAR AND CT SURGERY, AND CARDIOLOGY.Desc
Total Program Service Expenses$64,720,187TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
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 EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document45IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee116EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
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
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 BELKOSKI EXEC VPCFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7068282406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
RANDOLPH R SMITH
BOARD CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
TERRY D ELAM
BOARD MEMBER1.00Yes (X)$0$0$0
LEVI W HILL IV
BOARD MEMBER1.00Yes (X)$0$0$0
DANA T ATKINS
BOARD MEMBER1.00Yes (X)$0$0$0
NATALIE D SCHWEERS
BOARD MEMBER1.00Yes (X)$0$0$00.00
SANFORD LOYD
BOARD MEMBER1.00Yes (X)$0$0$00.00
BRIAN J MARKS
BOARD SECRETARY1.00Yes (X)Yes (X)$0$0$00.00
EUGENE F MCMANUS
BOARD MEMBER1.00Yes (X)$0$0$00.00
HUGH L HAMILTON
BOARD MEMBER1.00Yes (X)$0$0$00.00
JEFFREY L FOREMAN
BOARD MEMBER1.00Yes (X)$0$0$00.00
JAMES W BENNETT JR
BOARD MEMBER1.00Yes (X)$0$0$00.00
DANIEL H BOONE MD
BOARD MEMBER1.00Yes (X)$0$35,000$00.00
WILLIAM P DOUPE
BOARD MEMBER1.00Yes (X)$0$0$00.00
DAVID A BELKOSKI
UHCS CFO5.00Yes (X)$0$559,019$19,96750.00
JAMES R DAVIS
UHCS PRESIDENT & CEO5.00Yes (X)$0$785,464$283,18750.00
TIMOTHY L WOODALL
DIRECTOR PHYSICIAN SERVICES50.00$0$179,464$17,6430.00Yes (X)
DAVID CLARK
PHYSICIAN50.00$1,241,002$0$17,5200.00Yes (X)
GORDON L WATERS
PHYSICIAN50.00$1,181,058$0$12,8980.00Yes (X)
MAC A BOWMAN
PHYSICIAN50.00$1,130,410$0$21,2470.00Yes (X)
FAIZ REHMAN
PHYSICIAN50.00$1,062,356$0$16,4520.00Yes (X)
HOUMAN TAMADDON
PHYSICIAN50.00$1,073,826$0$20,2820.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,688,652TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,558,947TotReportableCompRltdOrgAmt
Total Other Compensation$409,196TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WEATHERBY LOCUMS INCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 972633AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP753972633ZIPCd
FieldValueIRS element (for citing)
ServicesSTAFFINGServicesDesc
Compensation$204,763CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHYSICIAN FEES621110$38,048,629$38,048,629
HOSPITAL SERVICES900099$7,025,385$7,025,385
FieldValueIRS element (for citing)
Total Program Service Revenue$45,074,014TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,431,822TotalRevenueColumnAmt
Exclusion$4,431,822ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$9,055RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$9,055RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,055TotalRevenueColumnAmt
Exclusion$9,055ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$89,194OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$89,194OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$89,194TotalRevenueColumnAmt
Exclusion-$89,194ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESEARCH REVENUE900099$398,739$398,739
MISCELLANEOUS FEES900099$23,521$23,521
FieldValueIRS element (for citing)
Other Revenue Total$422,260OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,847,957TotalRevenueColumnAmt
Related Or Exempt Func Income$45,496,274RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,351,683ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$49,588,855TotalAmt
Program Services$45,600,959ProgramServicesAmt
Management And General$3,987,896ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$473,193TotalAmt
Program Services$435,338ProgramServicesAmt
Management And General$37,855ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,290,461TotalAmt
Program Services$7,049,821ProgramServicesAmt
Management And General$1,240,640ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,315,906TotalAmt
Program Services$1,210,634ProgramServicesAmt
Management And General$105,272ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$47,987TotalAmt
Program Services$47,987ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,775,802TotalAmt
Program Services$1,082,918ProgramServicesAmt
Management And General$692,884ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$81,183TotalAmt
Management And General$81,183ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$280,385TotalAmt
Program Services$228,552ProgramServicesAmt
Management And General$51,833ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$972,165TotalAmt
Program Services$972,165ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,823,512TotalAmt
Program Services$2,823,512ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$390,388TotalAmt
Management And General$390,388ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,420,202TotalAmt
Program Services$1,408,245ProgramServicesAmt
Management And General$11,957ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,236,399TotalAmt
Program Services$1,236,399ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MED SURG SUPPLIES$1,462,570$1,462,570
TRAVEL & EDUCATION$376,555$350,483$26,072
DUES, FEES & MEMBERSHIP$365,785$354,926$10,859
GENERAL SUPPLIES$218,482$204,181$14,301

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$383,505TotalAmt
Program Services$251,497ProgramServicesAmt
Management And General$132,008ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$71,503,335TotalAmt
Program Services$64,720,187ProgramServicesAmt
Management And General$6,783,148ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,311,999BOYAmt
EOY$5,244,418EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,066,409BOYAmt
EOY$4,123,058EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$984,781BOYAmt
EOY$1,004,176EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,321,469LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,253,026LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,229,528BOYAmt
EOY$6,068,443EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$27,077,171BOYAmt
EOY$32,208,360EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$42,789,490BOYAmt
EOY$40,443,380EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$81,459,378BOYAmt
EOY$89,091,835EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,150,915BOYAmt
EOY$4,476,080EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$19,045BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$13,920,000BOYAmt
EOY$12,103,996EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,129,086BOYAmt
EOY$6,040,622EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,219,046BOYAmt
EOY$22,620,698EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$62,240,332BOYAmt
EOY$66,471,137EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$62,240,332BOYAmt
EOY$66,471,137EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$81,459,378BOYAmt
EOY$89,091,835EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$21,655,378ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$25,886,183OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,559,258CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,331,389CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,342,480CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,600,585CurrentTaxYearMinus1YearAmt
Current Tax Year$45,074,014CurrentTaxYearAmt
Total$124,907,726TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,559,258CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,331,389CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,342,480CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,600,585CurrentTaxYearMinus1YearAmt
Current Tax Year$45,074,014CurrentTaxYearAmt
Total$124,907,726TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$124,907,726PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,063,434CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,228,055CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,614,636CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,407,503CurrentTaxYearMinus1YearAmt
Current Tax Year$4,431,822CurrentTaxYearAmt
Total$14,745,450TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,063,434CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,228,055CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,614,636CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,407,503CurrentTaxYearMinus1YearAmt
Current Tax Year$4,431,822CurrentTaxYearAmt
Total$14,745,450TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,163CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$812,614CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$601,432CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$673,622CurrentTaxYearMinus1YearAmt
Current Tax Year$422,260CurrentTaxYearAmt
Total$2,525,091TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,637,855CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,372,058CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,558,548CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,681,710CurrentTaxYearMinus1YearAmt
Current Tax Year$49,928,096CurrentTaxYearAmt
Total$142,178,267TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.87850PublicSupportCY509Pct
Public Support PY5090.86540PublicSupportPY509Pct
Investment Income CY0.10370InvestmentIncomeCYPct
Investment Income PY0.11180InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISC REVENUE - 2010 AMOUNT: $ 15,163. 2011 AMOUNT: $ 812,614. 2012 AMOUNT: $ 601,432. 2013 AMOUNT: $ 673,622. 2014 AMOUNT: $ 422,260.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,738,745OtherCostOrOtherBasisAmt
Book Value$1,738,745BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,144,491OtherCostOrOtherBasisAmt
Depreciation$281,862DepreciationAmt
Book Value$862,629BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,909,031OtherCostOrOtherBasisAmt
Depreciation$1,971,164DepreciationAmt
Book Value$2,937,867BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$529,202OtherCostOrOtherBasisAmt
Book Value$529,202BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,068,443TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT - BRANDON WILDE$18,310,605C
INVESTMENT UHR (CONT CAPITAL)$12,808,000C
INVESTMENT ABP-UH-LLC$1,089,755C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$32,208,360TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM UHR$26,226,166
DUE FROM BRANDON WILDE$12,103,996
WORKFORCE-IN-PLACE$2,113,218
FieldValueIRS element (for citing)
Total Book Value Other Assets$40,443,380TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO UHR$3,854,714
DUE TO UHS$2,185,908
FieldValueIRS element (for citing)
Total Liability$6,040,622TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING FOR INCOME TAXES - THE PARENT, UHS, THE FOUNDATION, ARCOA, AND UNIVERSITY EXTENDED CARE, INC. ARE 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. UNIVERSITY HEALTH RESOURCES, INC. IS A TAXABLE ENTITY AND FILES A CORPORATE TAX RETURN. UHCP IS ORGANIZED UNDER GEORGIA LAW AND THE INTERNAL REVENUE CODE AS A LIMITED LIABILITY COMPANY ("LLC"). THE MEMBERS OF AN LLC REPORT TAXABLE INCOME OR LOSS ON THEIR CORPORATE OR INDIVIDUAL TAX RETURNS. WITH RESPECT TO ITS FOR-PROFIT ENTITIES, AS WELL AS ANY UNRELATED BUSINESS INCOME GENERATED BY THE TAX-EXEMPT ENTITIES, THE PARENT RECORDS INCOME TAXES USING THE LIABILITY METHOD UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. 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. 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, 2014. FISCAL YEARS ENDED ON OR AFTER DECEMBER 31, 2009 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.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 Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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
DAVID A BELKOSKI
UHCS CFO$0$398,409$0$60,000$0$100,610$0$7,823$0$12,144$0$578,986$0$0
JAMES R DAVIS
UHCS PRESIDENT & CEO$0$630,798$0$70,000$0$84,666$0$268,961$0$14,226$0$1,068,651$0$0
TIMOTHY L WOODALL
DIRECTOR PHYSICIAN SERVICES$0$165,843$0$2,750$0$10,871$0$5,246$0$12,397$0$197,107$0$0
DAVID CLARK
PHYSICIAN$1,085,626$0$29,514$0$125,862$0$5,123$0$12,397$0$1,258,522$0$0$0
GORDON L WATERS
PHYSICIAN$984,085$0$37,338$0$159,635$0$5,537$0$7,361$0$1,193,956$0$0$0
MAC A BOWMAN
PHYSICIAN$781,571$0$35,479$0$313,360$0$6,659$0$14,588$0$1,151,657$0$0$0
FAIZ REHMAN
PHYSICIAN$923,408$0$45,751$0$93,197$0$4,055$0$12,397$0$1,078,808$0$0$0
HOUMAN TAMADDON
PHYSICIAN$575,322$0$18,750$0$479,754$0$7,885$0$12,397$0$1,094,108$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) AND CFO (DAVID BELKOSKI) TO THE AUGUSTA COUNTRY CLUB AND WEST LAKE 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 AND CFO.
PART I, LINE 4BJAMES R. DAVIS - SERP - $261,080 DAVID BELKOSKI - ROTH IUL - $54,619 DAVID CLARK - ROTH IUL - $58,100 - SECT 162 - $23,977 GORDON L WATERS - ROTH IUL - $58,100 - SECT 162 - $35,882 MAC A BOWMAN - ROTH IUL - $58,100 - SECT 162 - $33,095 FAIZ REHMAN - ROTH IUL - $58,100 - SECT 162 - $16,247 HOUMAN TAMADDON - ROTH IUL - $44,300 - SECT 162 - $4,737 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 2014 THESE INITIATIVES WERE WEIGHTED AS DISPLAYED IN THE FOLLOWING SCHEDULE: UNIVERSITY HEALTH SERVICES, INC 2014 STRATEGIC INITIATIVES WEIGHT QUALITY 12.75% IMPROVE AGGREGATE CORE MEASURE SCORE 12.75% OVERALL RATING OF CARE GROWTH 8.50% DEVELOP AIKEN STRATEGY 8.50% COMPLETE CONSTRUCTION OF UNIVERSITY HOSPITAL MCDUFFIE FINANCE 17.0% UHS OPERATING MARGIN 17.0% UHI OPERATING MARGIN PEOPLE 8.50% REDUCE 365-DAY NEW HIRE TURNOVER RATE 15% PERSONAL 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE 990 FORM 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. THE CEO AND CFO ARE PAID BY UNIVERSITY HEALTH SERVICES, INC. (58-1581103). ANNUALLY, A COMPENSATION COMMITTEE OF THE UNIVERSITY HEALTH SERVICES (UHS) 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.
FORM 990, PART VI, SECTION C, LINE 18THE 990 IS ALSO AVAILABLE ON WWW.GUIDESTAR.ORG
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 VII - COMPENSATION INFORMATIONJAMES R DAVIS COMPENSATION PAID BY UNIVERSITY HEALTH SERVICES INC (58-1581103) DAVID A BELKOSKI COMPENSATION PAID BY UNIVERSITY HEALTH SERVICES INC (58-1581103) DANIEL H BOONE MD COMPENSATION PAID BY UNIVERSITY HEALTH SERVICES INC (58-1581103) TIMOTHY L WOODALL COMPENSATION PAID BY UNIVERSITY HEALTH SERVICES INC (58-1581103)
FORM 990, PART XI, LINE 9:EQUITY TRANSFER FROM UHS 25,886,183.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
UNIVERSITY VILLAGE AT WOODSIDE
1350 WALTON WAYAUGUSTAGA30901472369362ASSISTED LIVING FACILITYGA$0$0UNIVERSITY HEALTH INC
UNIVERSITY HEALTHCARE PHYSICIANS LLC
1350 WALTON WAYAUGUSTAGA30901272042386PHYSICIAN OFFICESGA$0$0UNIVERSITY HEALTH INC
UNIVERSITY MEDICAL GROUP LLC
1350 WALTON WAYAUGUSTAGA30901274467379PHYSICIAN OFFICESGA$31,277,424$12,182,560UNIVERSITY HEALTH INC THRU UHCP
UNIVERSITY CARDIOLOGY ASSOCIATES
1350 WALTON WAYAUGUSTAGA30901451437971PHYSICIAN OFFICESGA$14,966,206$6,559,540UNIVERSITY HEALTH INC THRU UHCP
MEDICAL ONCOLOGY LLC
1350 WALTON WAYAUGUSTAGA30901452695782PHYSICIAN OFFICESGA$991,097$259,898UNIVERSITY HEALTH INC THRU UHCP

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
UNIVERSITY HEALTH SERVICES INC
1350 WALTON WAYAUGUSTAGA30901581581103COMMUNITY HOSPITALGA501(C)(3)3UNIVERSITY HEALTH INCYes (1)
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 INCYes (1)
UNIVERSITY EXTENDED CARE INC
1350 WALTON WAYAUGUSTAGA30901581581105SKILLED NURSING HOMESGA501(C)(3)3UNIVERSITY HEALTH INCYes (1)
UNIVERSITY HEALTH CARE FOUNDATION
2100 CENTRAL AVENUE SUITE D-1AUGUSTAGA30904581343550PHILANTHROPYGA501(C)(3)7UNIVERSITY HEALTH INCYes (1)
UNIVERSITY HOSPICE INC
1350 WALTON WAYAUGUSTAGA30901275008428PROVIDES SERVICES FOR END OF LIFE ISSUESGA501(C)(3)9UNIVERSITY HEALTH INCYes (1)
UNIVERSITY MCDUFFIE COUNTY REGIONAL
1350 WALTON WAYAUGUSTAGA30901454166209HOSPITALGA501(C)(3)3UNIVERSITY HEALTH INCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
UNIVERSITY HEALTH RESOURCES INC
1350 WALTON WAYAUGUSTAGA30901581601372PHYSICIAN SUPPORT SERVICESGAUNIVERSITY HEALTH INCC$5,058,515$16,047,1071.00000Yes (1)
UNIVERSITY HOSPITAL AIKEN INC
1350 WALTON WAYAUGUSTAGA30901472713774HOSPITALSCUNIVERSITY HEALTH INCC1.00000Yes (1)
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 Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
UNIVERSITY HEALTH RESOURCES INC
D$26,226,166COST
AUGUSTA RESOURCE CENTER ON AGING INC
D$12,103,996COST
UNIVERSITY HEALTH RESOURCES INC
E$3,854,714COST
UNIVERSITY HEALTH SERVICES INC
E$2,185,908COST