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UNIVERSITY HEALTH SERVICES INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY HEALTH SERVICES INC (EIN 58-1581103)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201403189349300910
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-14T05:34:28-08:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581581103EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlUNIVBusinessNameControlTxt
Phone7068282406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1
CityAUGUSTACity
StateGAState
ZIP Code30901ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid BelkoskiPersonNm
Person TitleCFOPersonTitleTxt
Signature2014-11-14SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJames R DavisPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 Walton WayAddressLine1
CityAugustaCity
StateGAState
ZIP Code30901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$556,124,491GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
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 Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee3506TotalEmployeeCnt
Total Volunteers385TotalVolunteersCnt
Total Gross UBI$4,274,624TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$962,237NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$359,813PYContributionsGrantsAmt
CY Contributions Grants$834,964CYContributionsGrantsAmt
PY Program Service Revenue$385,193,304PYProgramServiceRevenueAmt
CY Program Service Revenue$405,371,876CYProgramServiceRevenueAmt
PY Investment Income$20,423,308PYInvestmentIncomeAmt
CY Investment Income$27,833,246CYInvestmentIncomeAmt
PY Other Revenue$9,702,021PYOtherRevenueAmt
CY Other Revenue$11,650,585CYOtherRevenueAmt
PY Total Revenue$415,678,446PYTotalRevenueAmt
CY Total Revenue$445,690,671CYTotalRevenueAmt
PY Grants And Similar Paid$1,525,323PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,133,963CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$175,856,538PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$169,837,230CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$200,182,218PYOtherExpensesAmt
CY Other Expenses$233,181,101CYOtherExpensesAmt
PY Total Expenses$377,564,079PYTotalExpensesAmt
CY Total Expenses$404,152,294CYTotalExpensesAmt
PY Revenues Less Expenses$38,114,367PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$41,538,377CYRevenuesLessExpensesAmt
Total Assets BOY$752,120,083TotalAssetsBOYAmt
Total Assets EOY$781,621,660TotalAssetsEOYAmt
Total Liabilities BOY$327,297,489TotalLiabilitiesBOYAmt
Total Liabilities EOY$319,595,107TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$424,822,594NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$462,026,553NetAssetsOrFundBalancesEOYAmt
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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$375,666,875ExpenseAmt
Grant$1,133,963GrantAmt
Revenue$409,284,381RevenueAmt
DescOperation of a general acute care and subacute care hospital with 551 licensed beds total (551 acute and 0 subacute). Patient days for adults and pediatrics for 2013 were 110,312, newborn days were 12,457 (for both term & ICU nursery), and outpatient visits were 428,897. Emergency room registrations were 76,375, observation stays were 6,222, Cardiovascular interventional procedures were 12,088, and Radiology procedures were 139,084, Occupational Medicine visits were 23,352 and Home Health visits for 2013 were 53,094. Within all these indicators are the efforts of University Health Services to service the needs of the community, which include the indigent. In 2013 the cost of indigent and charity care provided, with no local funding, was $33,191,063, however the Hospital did receive Disproportionate Share (DSH) payments to help with this service of a net $3,624,456 and Upper Payment Limit (UPL) net funds of $1,651,508. The $33,191,063 includes the cost for providing inpatient and outpatient services for indigent and charity patients of $20,986,802. Also $1,376,086 to help support community based clinics, $10,624,611 for uncompensated physician services for indigent and charity patients, and $203,564 for disease management. 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 2013 included diabetes testing and education, Prostate Specific Antigen (PSA) testing, Skin Cancer Screenings, free counseling and education for women and their family members through all stages of breast cancer, free mammograms, heart health education, and support groups for cancer, heart attack, and stroke. In 2013, University Hospital reached more than 550,000 people and invested more than $600,000 in free screenings, community education, publications, and more. Additionally, in 2013,over $639,000 was provided for health professional education for cardiovascular and radiology schools, and dietetic internships, in support of tomorrow's care givers.Desc
Total Program Service Expenses$375,666,875TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document283IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3506EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDavid BelkoskiPersonNm
Phone7068282406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 Walton WayAddressLine1
CityAugustaCity
StateGAState
ZIP Code30901ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (31 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
Randolph R Smith MD
Board Chairman2.001.00Yes (X)Yes (X)$0$0$0
Brian J Marks
Board Secretary2.001.00Yes (X)Yes (X)$0$0$0
Jeffrey L Foreman
Board Member2.001.00Yes (X)$0$0$0
Dana T Atkins
Board Member2.001.00Yes (X)$0$0$0
Levi W Hill IV
Board Member2.001.00Yes (X)$0$0$0
Eugene F McManus
Board Member2.001.00Yes (X)$0$0$0
Natalie D Schweers
Board Member2.001.00Yes (X)$0$0$0
Terry D Elam
Board Member2.001.00Yes (X)$0$0$0
Sanford Loyd
Board Member2.001.00Yes (X)$0$0$0
Hugh L Hamilton
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 Member10.001.00Yes (X)$35,000$0$0
William P Doupe
Board Member2.001.00Yes (X)$0$0$0
Ellen G Shaver MD
Board Member2.001.00Yes (X)$0$0$0
James R Davis
President & CEO50.005.00Yes (X)$797,503$0$260,477
Dave A Belkoski
CFO50.005.00Yes (X)$568,872$0$26,548
Marilyn A Bowcutt
President50.005.00Yes (X)$572,849$0$16,663
William L Farr Jr
CMO50.005.00Yes (X)$491,194$0$21,761
Edward L Burr
VP-Legal Affairs-Compliance50.000.00$376,701$0$60,692Yes (X)
Kyle E Howell
VP-Support-Ancillary Systems50.000.00$270,574$0$16,632Yes (X)
Leslie A Clonch
VP-Chief Information Officer50.000.00$326,175$0$15,850Yes (X)
Stephen M Gooden
VP-Clinical Transformation50.000.00$370,576$0$9,967Yes (X)
Sandra McVicker
CEO-University Hospital McDuffie50.000.00$284,314$0$15,521Yes (X)
Laurie Ott Smith
President-Foundation, VP HR-CommSV50.000.00$288,581$0$8,405Yes (X)
Lynda Jones Watts
VP Patient Care Svcs-CNO50.000.00$244,925$0$17,408Yes (X)
Tara A Kattine
Physician40.000.00$247,391$0$14,350Yes (X)
John C Pope
PA45.000.00$182,005$0$8,112Yes (X)
Timothy L Woodall
Adm Dir Phy SVCs45.000.00$171,085$0$17,859Yes (X)
Lisa Ritch
Corp Controller45.000.00$164,815$0$11,342Yes (X)
Teresa Waters
Director45.000.00$165,825$0$12,091Yes (X)
Shannon M Stinson
VP-Chief Medical Informatics0.000.00$243,535$0$3,842Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,801,920TotalReportableCompFromOrgAmt
Total Other Compensation$537,520TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K114IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Crothall Healthcare
13028 Collection Center DriveChicagoIL60693Plant & Houskeeping$10,753,420
EPIC Systems Corporation
PO BOX 88314MilwaukeeWI53288EPIC Support$7,663,355
McKesson Information Solutions
PO Box 98347ChicagoIL60693System Support$2,792,656
Morrisons Management Specialists
PO Box 102289AtlantaGA30368Food Services$5,133,423
ENCORE HEALTH RESOURCES LLC
PO Box 4652HoustonTX77210System Support$8,850,166
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K78CntrctRcvdGreaterThan100KCnt
Federated Campaigns$307,939FederatedCampaignsAmt
Government Grants$40,000GovernmentGrantsAmt
All Other Contributions$487,025AllOtherContributionsAmt
Total Contributions$834,964TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Ask-A-Nurse541900$211,388$211,388
Home Health Services621610$7,530,595$7,530,595
Other Program Services900099$256,947$256,947
Patient Service Revenue900099$396,876,497$396,876,497
Physician Answering SVC541900$362,149$362,149

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$134,300TotalRevenueColumnAmt
Related Or Exempt Func Income$134,300RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$405,371,876TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,139,942TotalRevenueColumnAmt
Exclusion$14,139,942ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,556,838RealAmt
Personal$1,577PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,501,600RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,055,238RealAmt
Personal$1,577PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,056,815TotalRevenueColumnAmt
Unrelated Business Revenue-$20,982UnrelatedBusinessRevenueAmt
Exclusion$1,077,797ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$121,454,069SecuritiesAmt
Other$171,455OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$107,905,299SecuritiesAmt
Other$26,921OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$13,548,770SecuritiesAmt
Other$144,534OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,693,304TotalRevenueColumnAmt
Exclusion$13,693,304ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
EHR Incentive Program900099$3,498,338$3,498,338
Employee Pharmacy446110$2,385,659$2,385,659
Outreach Lab$4,295,606$4,295,606

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$414,167TotalRevenueColumnAmt
Related Or Exempt Func Income$414,167RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$10,593,770OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$445,690,671TotalRevenueColumnAmt
Related Or Exempt Func Income$409,284,381RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,274,624UnrelatedBusinessRevenueAmt
Exclusion$31,296,702ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,133,963TotalAmt
Program Services$1,133,963ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,097,188TotalAmt
Program Services$1,061,186ProgramServicesAmt
Management And General$4,036,002ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$120,546,334TotalAmt
Program Services$116,797,343ProgramServicesAmt
Management And General$3,748,991ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,095,021TotalAmt
Program Services$5,905,466ProgramServicesAmt
Management And General$189,555ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$27,289,459TotalAmt
Program Services$26,440,757ProgramServicesAmt
Management And General$848,702ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,809,228TotalAmt
Program Services$10,473,061ProgramServicesAmt
Management And General$336,167ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$14,810,751TotalAmt
Program Services$14,350,137ProgramServicesAmt
Management And General$460,614ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$397,308TotalAmt
Management And General$397,308ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$247,478TotalAmt
Management And General$247,478ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$201,806TotalAmt
Management And General$201,806ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,446,813TotalAmt
Management And General$1,446,813ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$21,504,825TotalAmt
Program Services$20,836,025ProgramServicesAmt
Management And General$668,800ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,110,502TotalAmt
Program Services$1,075,965ProgramServicesAmt
Management And General$34,537ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$960,068TotalAmt
Program Services$930,210ProgramServicesAmt
Management And General$29,858ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,086,329TotalAmt
Program Services$6,865,944ProgramServicesAmt
Management And General$220,385ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,906,479TotalAmt
Program Services$5,722,788ProgramServicesAmt
Management And General$183,691ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,029,595TotalAmt
Program Services$995,334ProgramServicesAmt
Management And General$34,261ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,781,279TotalAmt
Management And General$8,781,279ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$32,074,647TotalAmt
Program Services$31,077,125ProgramServicesAmt
Management And General$997,522ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,875,081TotalAmt
Program Services$5,692,366ProgramServicesAmt
Management And General$182,715ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Med Surg supplies$81,843,042$81,843,042
Bad Debt Expense$30,510,534$30,510,534
Reparis & Maintenance$6,902,225$6,687,566$214,659
GA DCH Hospital Tax$4,912,048$4,912,048

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,580,291TotalAmt
Program Services$7,268,063ProgramServicesAmt
Management And General$312,228ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$404,152,294TotalAmt
Program Services$375,666,875ProgramServicesAmt
Management And General$28,485,419ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,401,274BOYAmt
EOY$26,777,647EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$21,337,699BOYAmt
EOY$17,338,179EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$64,516,903BOYAmt
EOY$64,366,859EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$9,903,818BOYAmt
EOY$12,617,422EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,884,019BOYAmt
EOY$8,156,732EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,734,130BOYAmt
EOY$7,569,241EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$536,271,301LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$304,972,931LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$235,627,093BOYAmt
EOY$231,298,370EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$328,823,397BOYAmt
EOY$383,590,238EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$62,891,750BOYAmt
EOY$29,906,972EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$752,120,083BOYAmt
EOY$781,621,660EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,986,254BOYAmt
EOY$16,879,455EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$146,265,503BOYAmt
EOY$143,820,264EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,528,438BOYAmt
EOY$63,830,027EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$150,517,294BOYAmt
EOY$95,065,361EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$327,297,489BOYAmt
EOY$319,595,107EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$424,787,594BOYAmt
EOY$461,991,553EOYAmt

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$424,822,594BOYAmt
EOY$462,026,553EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$752,120,083BOYAmt
EOY$781,621,660EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$41,538,377ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$14,395,558NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$18,729,976OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$201,806OtherActivitiesAmt
Total Lobbying Expenditures$201,806TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationA part of the various association dues include a percentage allocation for expenditures on Lobbying activities. Dues paid to the Georgia Hospital Association, The American Hospital Association, the Georgia Alliance of Community Hospitals, The Georgia Initiative. and the Georgia Chamber of Commerce, all have a lobby component. For 2013 these fees amounted to $153,806. Additionally, Oglethorpe Consulting Group was contracted during 2013 to review and advise the Hospital on legislative issues. During 2013 $48,000 was paid to Oglethorpe Consulting Group.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,764,946OtherCostOrOtherBasisAmt
Book Value$14,764,946BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$255,212,962OtherCostOrOtherBasisAmt
Depreciation$121,097,315DepreciationAmt
Book Value$134,115,647BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$258,270,088OtherCostOrOtherBasisAmt
Depreciation$183,875,616DepreciationAmt
Book Value$74,394,472BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,023,305OtherCostOrOtherBasisAmt
Book Value$8,023,305BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$231,298,370TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Accrued Compensation, Benefits, & PR Tax$16,252,849
Accrued Pension Cost$593,134
Accrued postretirement benefit cost$25,406,380
Amount due to Affiliate$4,572,086
Asset Retirement Obligation$1,834,785
Est Third Party Payor Settlements$26,012,364
Other Current Liabilities$1,609,749
Reserve for Self Insured Losses$18,784,014
FieldValueIRS element (for citing)
Total Liability$95,065,361TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationAccounting for Income Taxes - University Health Services 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 accompanying financial statements do not reflect a provision or liability for federal and state income taxes. University Health Services has evaluated their tax positions and determined that they do not have any material unrecognized tax benefits or obligations as of December 31, 2013. Fiscal years ended on or after December 31, 2010 remain subject to examination by federal and state 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)
RegionCaribbeanRegionTxt
Offices1OfficesCnt
Employee2EmployeeCnt
Type Of Activities ConductedInsurance CaptiveTypeOfActivitiesConductedTxt
Region Total Expenditures$0RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees2SubtotalEmployeesCnt
Total Office1TotalOfficeCnt
Total Employee2TotalEmployeeCnt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I - Additional Supplemental InformationFormAndLineReferenceDesc
ExplanationPlease see form 5471 filing for details related to Offshore Captive InsuranceExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,587,682TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,537,119DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,050,563NetCommunityBenefitExpnsAmt
Total Expense0.04220TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,095,662TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,437,209DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,658,453NetCommunityBenefitExpnsAmt
Total Expense0.02640TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,683,344TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,974,328DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,709,016NetCommunityBenefitExpnsAmt
Total Expense0.06860TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,614,119TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,502,175DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,111,944NetCommunityBenefitExpnsAmt
Total Expense0.03490TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$983,601TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$437,383DirectOffsettingRevenueAmt
Net Community Benefit Expns$546,218NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,238,226TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,238,226NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,835,946TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,939,558DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,896,388NetCommunityBenefitExpnsAmt
Total Expense0.03940TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,519,290TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,913,886DirectOffsettingRevenueAmt
Net Community Benefit Expns$43,605,404NetCommunityBenefitExpnsAmt
Total Expense0.10800TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,304TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$76,304NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,304TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$76,304NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$30,510,534BadDebtExpenseAmt
Bad Debt Expense Attributable$8,542,950BadDebtExpenseAttributableAmt
Reimbursed By Medicare$107,352,727ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$152,569,300CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$45,216,573MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1University Health Services IncBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 Walton WayAddressLine1
CityAugustaCity
StateGAState
ZIP Code30901ZIPCode
FieldValueIRS element (for citing)
State License121-375StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherHome Health AgenciesOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1University Health Services IncBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)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
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.universityhealth.orgOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Form4720 FiledfalseForm4720FiledInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.0000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 3 - Account Input from Person Who Represent the CommunityMany local organization and Hospital staff contributed to the 2013 Community Health Needs Assessment. These individuals and their local organizations represent an inventory of community services already available to address needs of the Augusta area. The following is a summary of those organizations and individuals. Please see page 28 of the 2013 Community Health Needs Assessment for more details.Public Health Departments Key Staff- Dr. Ketty Gonzales, DirectorGeorgia Regents University Augusta School of Nursing Key Staff- Christine O'Meara, Special Projects CoordinatorProject Access Key Staff-Dr. Terence CookGreater Augusta Healthcare Network (GAHN) Key Staff- Lucy Marion, Dean of the School of Nursing, GRUChrist Community Clinic Key Staff- Dr. Robert CampbellUnited Way's 1st Stop 211 Key Staff- Amy RickardUniversity Medical Associates Key Staff- Dr. Daniel BooneUniversity Health Care Foundation Key Staff- Laurie Ott, President of UHCFUniversity Health Care System Departments Key Staff- Lynda Watts, CNO Lynn Beaulieu, Emergency Dept Director, EMS Council GAHN Denise Gibson-Cato, Emergency Dept Nurse Manager Marie Jackson, Pharmacy Director Heidi Nelson, Disease Management Director Ellen Tereshinski, Home Health/ Hospice University Extended Care Director Mary Goolsby, National Nurse Practitioner Debra Whitley, Manager of Diabetes ServicesEmory University Nell Hodgson Woodruff School of Nursing Key Staff- Dr. Bonnie Jennings, ProfessorArea Agency on Aging Key Staff- Jeanette Cummings
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs AssessmentGeorgia Regents University Medical Center of Augusta
Part V, Line 7 - Explanation of Needs Not Addressed and Reasons WhyTeen Pregnancy- Area schools and the Health Department have programs geared to address this issue.Sexually Transmitted STIs- Area schools and the Health department have programs to address this issue.
Part V, Line 14g - Other Means Hospital Facility Publicized the PolicyFinancial Counselors & Access Coordinators explain to Patient and offer Financial Assistance form to patient.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)Also uses Asset Test, regardless of income, to determine eligibility for free and discounted care. In addition the hospital takes into consideration Bankruptcy and financial standing when offering discounts on patient liability.
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 III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseFor receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and co-payment 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 - Methodology of Estimated Amount & Rationale for Including in Community BenefitBad 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 - Bad Debt ExpenseFootnote from Page 8 of the Audited Financial Statement:"Patient Accounts Receivable - Patient accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Corporation analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Corporation analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and co-payment balances due for which third-party coverage exists for part of the bill), the Corporation records a 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 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 charitable tax-exempt purpose. The Medicare difference between cost and Medicare reimbursement should be allowed as Community Benefit since providers can not 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 their 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 patient states or Patient Accounting/Collections believes that the patient can not afford to pay then an indigent/Charity Care application is begun by the Collection Department where discounts may be given.
Part VI - Needs AssessmentIn addition to the CHNA performed in 2013, 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 - Patient Education of Eligibility for AssistanceUH has the following information available to patients and visitors on the eligibility for assistance. Information is available on the University Hospital web site, 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 of the hospital, Resource Corporation of America (RCA), to assist with getting the patient qualified for SSI, etc.
Part VI - Community InformationRichmond County is a county located in the U.S. state of Georgia. As of the 2010 census, the population was 200,549. It is one of the original counties of Georgia, created February 5, 1777.Following an election in 1995, the city of Augusta (the county seat) consolidated governments with Richmond County. The consolidated entity is known as Augusta-Richmond County, or simply Augusta. The cities of Hephzibah and Blythe in southern Richmond County voted to remain separate and not consolidate.Richmond County is included in the Augusta-Richmond County, GA-SC Metropolitan Statistical Area.As of the census of 2000, there were 199,775 people, 73,920 households, and 49,526 families residing in the county. The population density was 616 people per square mile (238/km). There were 82,312 housing units at an average density of 254 per squaremile (98/km). The racial makeup of the county was 49.75% Black or African American, 45.55% White, 0.28% Native American, 1.50% Asian, 0.12% Pacific Islander, 1.01% from other races, and 1.78% from two or more races. 2.78% of the population were Hispanic or Latino of any race.There were 73,920 households out of which 33.60% had children under the age of 18 living with them, 41.80% were married couples living together, 20.80% had a female householder with no husband present, and 33.00% were non-families. 27.70% of all households were made up of individuals and 8.50% had someone living alone who was 65 years of age or older. The average household size was 2.55 and the average family size was 3.13.In the county the population was spread out with 26.80% under the age of 18, 12.00% from 18 to 24, 29.90% from 25 to 44, 20.50% from 45 to 64, and 10.80% who were 65 years of age or older. The median age was 32 years. For every 100 females there were 93.20 males. For every 100 females age 18 and over, there were 89.80 males.The median income for a household in the county was $38,004, and the median income for a family was $52,892. Males had a median income of $30,028 versus $23,512 for females. The per capita income for the county was $18,133. About 16.20% of families and 19.60% of the population were below the poverty line, including 27.20% of those under age 18 and 14.10% of those age 65 or over.
Part VI - Community Building ActivitiesThe Community Building Activities reported are support for the various Chambers of Commerces for the communities that we serve. In supporting these organizations we 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. In 2013 University Health Services, Inc. invested $76,304 in this support (see Part II, Sch H). Also University Health Services also works with the following community organizations to support and promote health in our community:The Public Health DepartmentGeorgia Regents University Augusta School of NursingProject AccessGreater Augusta Healthcare Network (GAHN)Christ Community Health ServicesBeulah Grove Community ResourcesCoordinated Health ServicesHarrisburg Family HealthMiracle Making MinistriesNeighborhood Improvement ProjectUnited Way's 1st Stop 211Area Agency on Aging
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeUH 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 - States Where Community Benefit Report FiledGA
Part V - Explanation of Number of Facility TypeUH owns and operates three (3) Home Health Agencies as hospital-based agencies.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
American Cancer Society
250 Williams Street NWAtlantaGA30303131788491501(c)(3)$15,000$0Support Research
Beulah Grove Community Resource
1446 Lee Beard WayAugustaGA30901582159621501(c)(3)$40,000$16,211Clinic Finanical SupportCostEPIC Clinical System, Lab Tests
Christ Community Health Services
519 Scotts WayAugustaGA30909205404353501(c)(3)$360,000$211,931Clinic Financial SupportMedicare Cost ReportDonated Facilities
Coordinated Health Services Inc
2110 Broad StreetAugustaGA30904582060572501(c)(3)$140,000$8,821Clinic Financial SupportCost of TestsLab Testing
Harrisburg Family Health
423 Crawford AveAugustaGA30904264366421501(c)(3)$100,000$0Clinic Financial Support
Miracle Making Ministries
1127 Druid Park AveAugustaGA30904582358627501(c)(3)$40,000$0Clinic Financial Support
Neighborhood Improvement Project
2467 Golden Camp RoadAugustaGA30906311491242501(c)(3)$192,000$0Clinic Financial Support
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
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.PROCEDURE1.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 throughout 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 CSRAb.Does the proposed contribution/sponsorship primarily assist people 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 (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)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 PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Dave A Belkoski
CFO$377,770$95,254$95,848$10,351$16,197$595,420
Edward L Burr
VP-Legal Affairs-Compliance$265,069$72,317$39,315$45,431$15,261$437,393
James R Davis
President & CEO$623,567$152,342$21,594$246,139$14,338$1,057,980
John C Pope
PA$148,539$150$33,316$907$7,205$190,117
Kyle E Howell
VP-Support-Ancillary Systems$176,213$51,480$42,881$6,690$9,942$287,206
Laurie Ott Smith
President-Foundation, VP HR-CommSV$216,023$35,648$36,910$6,779$1,626$296,986
Leslie A Clonch
VP-Chief Information Officer$231,844$60,348$33,983$1,402$14,448$342,025
Lisa Ritch
Corp Controller$153,180$10,650$985$5,219$6,123$176,157
Lynda Jones Watts
VP Patient Care Svcs-CNO$208,092$2,500$34,333$6,994$10,414$262,333
Marilyn A Bowcutt
President$392,313$112,082$68,454$9,217$7,446$589,512
Sandra McVicker
CEO-University Hospital McDuffie$248,351$35,963$7,452$8,069$299,835
Shannon M Stinson
VP-Chief Medical Informatics$243,535$3,842$247,377
Stephen M Gooden
VP-Clinical Transformation$274,327$66,147$30,102$1,582$8,385$380,543
Tara A Kattine
Physician$229,436$17,955$7,228$7,122$261,741
Teresa Waters
Director$148,983$16,300$542$5,559$6,532$177,916
Timothy L Woodall
Adm Dir Phy SVCs$166,034$5,051$6,033$11,826$188,944
William L Farr Jr
CMO$353,721$91,656$45,817$9,540$12,221$512,955

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc
ExplanationSocial Club Dues- The organization pays membership fees for the CEO (James Davis) 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 are included in the wages of the CEOs and CFO.ExplanationTxt

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 AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN586001901BondIssuerEIN
CUSIP764603AV8CUSIPNum
Bond Issued2009-12-03BondIssuedDt
Issue Price$150,901,243IssuePriceAmt
PurposeRefund Bond Certificates (Bond Series 99,03,08)PurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$7,080,979RetiredAmt
Total Proceeds$150,901,243TotalProceedsAmt
Issuance Costs From Proceeds$1,243IssuanceCostsFromProceedsAmt
Other Spent Proceeds$150,900,000OtherSpentProceedsAmt
Substantial Completion2008SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsYes (true)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.03000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00200PrivateBusConcerningUBIPct
Total Private Business Use0.03200TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
Explanation$150,900,000 was used to refund prior bonds issued 1999, 2003, and 2008ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Rhonda U Belkoski
Spouse of CFO$25,543Employee Comp as RNfalse
Natalie H Thompson
Dau-Bd Memb$40,028Employee Comp as RNfalse
Rebecca E Smith
Dau Bd Mem$57,425Employee Comp as RNfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to CommitteeIn 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, Line 11b: Form 990 Review ProcessA 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 web site on which the entire 990 could be viewed. The email explained that the Form 990 was available for review on the web site.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe 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 divisions' 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 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 any 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 that corporation's conflict of interest policy. 4.Filing of FormsA.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, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe Organization follows the process described in Treasury Regulation 4958(6)(c) for establishing the rebuttable presumption of reasonableness in the review, approval, and documentation of officer, key management, and director compensation. Annually a compensation committee of the University Health Services 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 review involve the advice and assistance of an independent compensation consulting firm. Minutes of the compensation committee are recorded. The compensation committee reports to the University Health Services Board Executive Committee.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableAll governing documents, policies, financial statements, and informational returns are available upon request at the Administrative offices.The 990 is also available on www.Guidestar.org
Other Changes In Net Assets Or Fund Balances - Other IncreasesChange in unfunded pension gains = $44196042
Other Changes In Net Assets Or Fund Balances - Other IncreasesOther Cumulative Effect on Asset Retirement Obliations = $279390
Other Changes In Net Assets Or Fund Balances - Other DecreasesRounding = -$0
Other Changes In Net Assets Or Fund Balances - Other IncreasesRounding = $1
Other Changes In Net Assets Or Fund Balances - Other DecreasesTransfer to Affiliate = -$63205409

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Walton Way Indemnity SPCBusinessNameLine1

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line12nd Fl Governors Sq 23 Lime TreeAddressLine1
CityGrand CaymanCity
CountryCJCountry
FieldValueIRS element (for citing)
Primary ActivitiesInsurance CaptivePrimaryActivitiesTxt
Legal Domicile Foreign CountryCJLegalDomicileForeignCountryCd
Total Income-$634,159TotalIncomeAmt
End Of Year Assets$35,092,408EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1University Health Services IncBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Richmond County Hospital Authority
1350 Walton WayAugustaGA30901586001901Leased facilitiesGA501(c)(3)3N/Afalse
University Extended Care Inc
1350 Walton WayAugustaGA30901581581105Skilled Nursing HomesGA501(c)(3)3falseUniversity Health Inc
Augusta Resource Center on Aging Inc
4275 Owens RoadEvansGA30809581728812Non Profit Life Care CommunityGA501(c)(3)9falseUniversity Health Inc
University Health Care Foundation Inc
2100 Central Avenue Suite D-1AugustaGA30904581343550PhilantrophyGA501(c)(3)7falseUniversity Health Inc
University Health Inc
1350 Walton WayAugustaGA30901581581102Consolidating ParentGA501(c)(3)9N/Afalse
University Hospice Inc
1350 Walton WayAugustaGA30901275008428End of Life SupportGA501(c)(3)9falseUniversity Health Inc
University McDuffie County Regional Medi
1350 Walton WayAugustaGA30901454166209HospitalGA501(c)(3)3falseUniversity Health Inc

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1University Health Resources IncBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 Walton WayAddressLine1
CityAugustaCity
StateGAState
ZIP Code30901ZIPCode
FieldValueIRS element (for citing)
EIN581601372EIN
Primary ActivitiesServices to PhysiciansPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1University Health InBusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeC CorpEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd