UNIVERSITY HEALTH SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: UNIVERSITY HEALTH SERVICES INC (EIN 58-1581103)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-13
IRS object ID: 201303179349300410
Schema version: 2012v2.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-13T05:05:53-08:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	581581103	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY HEALTH SERVICES INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	UNIV	NameControl
Phone	7068282406	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1350 WALTON WAY	AddressLine1
City	AUGUSTA	City
State	GA	State
ZIP Code	30901	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	David Belkoski	Name
Title	CFO	Title
Date Signed	2013-11-13	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	James R Davis	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1350 Walton Way	AddressLine1
City	Augusta	City
State	GA	State
ZIP Code	30901	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	644422550	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.universityhealth.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1984	YearFormation
State Legal Domicile	GA	StateLegalDomicile
Activity Or Mission Description	The 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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	3579	TotalNbrEmployees
Total Nbr Volunteers	369	TotalNbrVolunteers
Total Gross UBI	4206146	TotalGrossUBI
Net Unrelated Business Txbl Income	1026635	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	482697	ContributionsGrantsPriorYear
Contributions Grants Current Year	359813	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	366575614	ProgramServiceRevenuePriorYear
Program Service Revenue CY	385193304	ProgramServiceRevenueCY
Investment Income Prior Year	11370512	InvestmentIncomePriorYear
Investment Income Current Year	20423308	InvestmentIncomeCurrentYear
Other Revenue Prior Year	8549487	OtherRevenuePriorYear
Other Revenue Current Year	9702021	OtherRevenueCurrentYear
Total Revenue Prior Year	386978310	TotalRevenuePriorYear
Total Revenue Current Year	415678446	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1491840	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1525323	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	164000475	SalariesEtcPriorYear
Salaries Etc Current Year	175856538	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	207315173	OtherExpensePriorYear
Other Expenses Current Year	200182218	OtherExpensesCurrentYear
Total Expenses Prior Year	372807488	TotalExpensesPriorYear
Total Expenses Current Year	377564079	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	14170822	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	38114367	RevenuesLessExpensesCY
Total Assets BOY	680520097	TotalAssetsBOY
Total Assets EOY	752120083	TotalAssetsEOY
Total Liabilities BOY	321768380	TotalLiabilitiesBOY
Total Liabilities EOY	327297489	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	358751717	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	424822594	NetAssetsOrFundBalancesEOY
Mission Description	The 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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	351210545	Expense
Revenue	385193304	Revenue
Description	Operation 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 2012 were 111,036, newborn days were 13,080 (for both term & ICU nursery), and outpatient visits were 263,139. Emergency room registrations were 76,270, observation stays were 6,181, Cardiovascular interventional procedures were 12,695, and Radiology procedures were 141,034, Occupational Medicine visits were 21,151 and Home Health visits for 2012 were 49,022. Within all these indicators are the efforts of University Health Services to service the needs of the community, which include the indigent. In 2012 the cost of indigent and charity care provided, with no local funding, was $29,735,554, however the Hospital did receive Disproportionate Share (DSH) payments to help with this service of a net $4,006,096 and Upper Payment Limit (UPL) net funds of $755,779. The $29,735,554 includes the cost for providing inpatient and outpatient services for indigent and charity patients of $20,132,839. Also $2,204,576 to help support community based clinics, $7,203,007 for uncompensated physician services for indigent and charity patients, and $195,133 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 2012 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 2012, University Hospital reached more than 200,000 people and invested more than $1.4 million in free screenings, community education, publications, and more. Additionally, in 2012,over $696,000 was provided for health professional education for cardiovascular and radiology schools, and dietetic internships, in support of tomorrow's care givers.	Description
Total Program Service Expense	351210545	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	true	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	200	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3579	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	David Belkoski	NamePerson
Telephone Number	7068282406	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1350 Walton Way	AddressLine1
City	Augusta	City
State	GA	State
ZIP Code	30901	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
John P Rhodes
Board Member	2.00	0.00	X	140000	0	0
Richard A Fairey
Board Member	2.00	0.00	X	0	0	0
Thomas E Sizemore
Board Member	2.00	0.00	X	0	0	0
Ellen G Shaver MD
Board Member	2.00	0.00	X	0	0	0
Hugh L Hamilton
Board Member	2.00	0.00	X	0	0	0
Sanford Loyd
Board Member	2.00	0.00	X	0	0	0
Terry D Elam
Board Member	2.00	0.00	X	0	0	0
Natalie D Schweers
Board Member	2.00	0.00	X	0	0	0
Eugene F McManus
Board Member	2.00	0.00	X	0	0	0
Levi W Hill IV
Board Member	2.00	0.00	X	0	0	0
Steven B Vaughn MD
Board Member	50.00	0.00	X	152765	0	0
Jeffrey L Foreman
Board Member	2.00	0.00	X	0	0	0
Brian J Marks
Board Secretary	2.00	0.00	X	0	0	0	X
Randolph R Smith MD
Board Chairman	2.00	0.00	X	0	0	0	X
William L Farr Jr
CMO	50.00	0.00		466397	0	20677	X
Marilyn A Bowcutt
President	50.00	0.00		733552	0	17002	X
Dave A Belkoski
Exec VP/CFO	50.00	0.00		739265	0	22277	X
James R Davis
President & CEO	50.00	0.00		616420	0	232621	X
Lynda Jones Watts
VP Patient Care Svcs-CNO	50.00	0.00		175277	0	13511		X
Laurie Ott Smith
President-Foundation, VP HR-CommSV	50.00	0.00		192820	0	6999		X
Sandra McVicker
CEO-University Hospital McDuffie	50.00	0.00		278457	0	18395		X
Stephen M Gooden
VP-Physician Practices	50.00	0.00		343588	0	12330		X
Shannon M Stinson MD
VP-Chief Medical Informatics	40.00	0.00		369091	0	7003		X
Leslie A Clonch
VP-Chief Information Officer	50.00	0.00		253871	0	13395		X
Kyle E Howell
VP-Support-Ancillary Systems	50.00	0.00		253342	0	14888		X
Edward L Burr
VP-Legal Affairs-Compliance	50.00	0.00		513719	0	56517		X
Teresa Waters
Director	45.00	0.00		172454	0	14216			X
Lenardo Paz
Cardiac Cath Spec	45.00	0.00		157217	0	5590			X
Jackie M Kindinger
Legal Council	45.00	0.00		150770	0	7424			X
Edmond Deketeleare
Director	45.00	0.00		149834	0	12720			X
Tara A Kattine
PHYSICIAN	40.00	0.00		247404	0	13386			X
Brent Mallek
VP Human Resources	0.00	0.00		174356	0	9740				X
Joan F Wessman
VP Patient Care Services	0.00	0.00		223977	0	6207				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6504576	TotalReportableCompFromOrg
Total Other Compensation	504898	TotalOtherCompensation
Number Individuals GT100 K	123	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Morrisons Management Specialists
PO Box 102289	Atlanta	GA	30368	Food Services	4987326
McKesson Information Solutions
PO Box 98347	Chicago	IL	60693	System Support	3359700
EPIC Systems Corporation
PO BOX 88314	Milwaukee	WI	53288	EPIC Support	7756257
ENCORE HEALTH RESOURCES LLC
PO Box 4652	Houston	TX	77210	System Support	3006624
Crothall Healthcare
13028 Collection Center Drive	Chicago	IL	60693	Plant & Houskeeping	10125402

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	68	NumberOfContractorsGT100K
Federated Campaigns	268224	FederatedCampaigns
Government Grants	32000	GovernmentGrants
All Other Contributions	59589	AllOtherContributions
Total Contributions	359813	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Physician Answering SVC	541900	397151	397151
Patient Service Revenue	900099	376624991	376624991
Other Program Services	900099	452326	452326
Home Health Services	621610	7391985	7391985
Ask-A-Nurse	541900	220671	220671

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	106180	TotalRevenueColumn
Related Or Exempt Function Income	106180	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	385193304	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	11301663	TotalRevenueColumn
Exclusion	$11,301,663	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3263144	Real
Personal	22999	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2152255	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1110889	Real
Personal	22999	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1133888	TotalRevenueColumn
Unrelated Business Revenue	63879	UnrelatedBusinessRevenue
Exclusion	$1,070,009	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	235639658	Securities
Other	73836	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	226495983	Securities
Other	95866	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	9143675	Securities
Other	-22030	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	9121645	TotalRevenueColumn
Exclusion	$9,121,645	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	Business CodeBusinessCode	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Outreach Lab	4142267	4142267
Employee Pharmacy	2534523		446110	$2,534,523
EHR Incentive Program	1636425		900099		1636425

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	254918	TotalRevenueColumn
Related Or Exempt Function Income	254918	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	8568133	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	415678446	TotalRevenueColumn
Related Or Exempt Function Income	387084647	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4206146	UnrelatedBusinessRevenue
Exclusion	$24,027,840	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1525323	Total
Program Services	1525323	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5664179	Total
Program Services	1365612	ProgramServices
Management And General	4298567	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	124075985	Total
Program Services	120688711	ProgramServices
Management And General	3387274	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9008190	Total
Program Services	8762266	ProgramServices
Management And General	245924	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	25969034	Total
Program Services	25260079	ProgramServices
Management And General	708955	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11139150	Total
Program Services	10835051	ProgramServices
Management And General	304099	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	15203209	Total
Program Services	14788161	ProgramServices
Management And General	415048	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	200169	Total
Management And General	200169	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	233350	Total
Management And General	233350	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	212337	Total
Management And General	212337	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1095896	Total
Management And General	1095896	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	19655653	Total
Program Services	19119053	ProgramServices
Management And General	536600	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1407733	Total
Program Services	1369302	ProgramServices
Management And General	38431	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1292708	Total
Program Services	1257417	ProgramServices
Management And General	35291	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6690739	Total
Program Services	6508082	ProgramServices
Management And General	182657	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6463208	Total
Program Services	6286762	ProgramServices
Management And General	176446	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	947024	Total
Program Services	913738	ProgramServices
Management And General	33286	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	8149924	Total
Management And General	8149924	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	24782263	Total
Program Services	24105707	ProgramServices
Management And General	676556	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	-4450670	Total
Program Services	-4329167	ProgramServices
Management And General	-121503	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
GA DCH Hospital Tax	5034482	5034482
Reparis & Maintenance	6757151	184470	6572681
Bad Debt Expense	19886188		19886188
Med Surg supplies	77518530		77518530

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	9102324	Total
Program Services	8777049	ProgramServices
Management And General	325275	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	377564079	Total
Program Services	351210545	ProgramServices
Management And General	26353534	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	31019669	BOY
EOY	15401274	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	22152854	BOY
EOY	21337699	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	55796887	BOY
EOY	64516903	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	9643330	BOY
EOY	9903818	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6700122	BOY
EOY	6884019	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7019777	BOY
EOY	6734130	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	513383509	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	277756416	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	219988630	BOY
EOY	235627093	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	294373453	BOY
EOY	328823397	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	33825375	BOY
EOY	62891750	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	680520097	BOY
EOY	752120083	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	17176913	BOY
EOY	26986254	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	148650743	BOY
EOY	146265503	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	4738710	BOY
EOY	3528438	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	151202014	BOY
EOY	150517294	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	321768380	BOY
EOY	327297489	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	358716717	BOY
EOY	424787594	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	35000	BOY
EOY	35000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	358751717	BOY
EOY	424822594	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	680520097	BOY
EOY	752120083	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	38114367	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	24595421	ReconciliationUnrealizedInvest
Reconcilation Other Changes	3361089	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$212,337	OtherActivitiesAmount
Total Lobbying Expenditures IIB	212337	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	A 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 and The Georgia Initiative, all have a lobby component. For 2012 these fees amounted to $164,337. Additionally, Oglethorpe Consulting Group was contracted during 2011 to review and advise the Hospital on legislative issues. During 2012 $48,000 was paid to Oglethorpe Consulting Group.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14719660	OtherCostOrOtherBasis
Book Value	14719660	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	250947265	OtherCostOrOtherBasis
Depreciation	113109545	Depreciation
Book Value	137837720	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	244087515	OtherCostOrOtherBasis
Depreciation	164646871	Depreciation
Book Value	79440644	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3629069	OtherCostOrOtherBasis
Book Value	3629069	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	235627093	TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescription	Book ValueBookValue
Software License	492450
RBC 114 Trust Account	750000
Physician Guarantee Asset	1832768
Leasehold Rights	546082
Bond Start Up Cost	1738938
Bond Escrow
Amounts Due from Affiliates	55721721

Field	Value	IRS element (for citing)
Total Book Value Other Assets	62891750	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
Reserve for Self Insured Losses	$13,933,807
Other Current Liabilities	$3,027,505
Est Third Party Payor Settlements	$29,351,192
Asset Retirement Obligation	$2,113,482
Amount due to Affiliate	$6,875,558
Accrued postretirement benefit cost	$31,193,455
Accrued Pension Cost	$47,330,584
Accrued Compensation, Benefits, & PR Tax	$16,691,711

Field	Value	IRS element (for citing)
Total Of Amounts	150517294	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	Part X	Identifier
Return Reference	Part X : FIN48 Footnote	ReturnReference
Explanation	Accounting 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, 2012. Fiscal years ended no or after December 31, 2008 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.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Caribbean	Region
Number Of Offices	1	NumberOfOffices
Number Of Employees	2	NumberOfEmployees
Type Of Activities Conducted	Insurance Captive	TypeOfActivitiesConducted
Total Expenditures	333385	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	1	SubtotalNumberOfOffices
Subtotal Number Of Employees	2	SubtotalNumberOfEmployees
Total Number Of Offices	1	TotalNumberOfOffices
Total Number Of Employees	2	TotalNumberOfEmployees
Subtotal Amount Spent	333385	SubtotalAmountSpent
Total Amount Spent	333385	TotalAmountSpent
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	Additional Supplemental Information	Identifier
Explanation	Please see form 5471 filing for details related to Offshore Captive Insurance	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19759718	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3084694	DirectOffsettingRevenue
Net Community Benefit Expense	16675024	NetCommunityBenefitExpense
Percent Of Total Expense	0.04660	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	37467037	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32957883	DirectOffsettingRevenue
Net Community Benefit Expense	4509154	NetCommunityBenefitExpense
Percent Of Total Expense	0.01260	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	57226755	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36042577	DirectOffsettingRevenue
Net Community Benefit Expense	21184178	NetCommunityBenefitExpense
Percent Of Total Expense	0.05920	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10374254	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1047086	DirectOffsettingRevenue
Net Community Benefit Expense	9327168	NetCommunityBenefitExpense
Percent Of Total Expense	0.02610	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	967682	TotalCommunityBenefitExpense
Direct Offsetting Revenue	363707	DirectOffsettingRevenue
Net Community Benefit Expense	603975	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1525323	TotalCommunityBenefitExpense
Net Community Benefit Expense	1525323	NetCommunityBenefitExpense
Percent Of Total Expense	0.00430	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12867259	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1410793	DirectOffsettingRevenue
Net Community Benefit Expense	11456466	NetCommunityBenefitExpense
Percent Of Total Expense	0.03210	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	70094014	TotalCommunityBenefitExpense
Direct Offsetting Revenue	37453370	DirectOffsettingRevenue
Net Community Benefit Expense	32640644	NetCommunityBenefitExpense
Percent Of Total Expense	0.09130	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	119102	TotalCommunityBuildingExpense
Net Community Building Expense	119102	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	119102	TotalCommunityBuildingExpense
Net Community Building Expense	119102	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$19,886,188	BadDebtExpenseAmount
Amount Attributable To	2784066	AmountAttributableTo
Amount Reimbursed By Medicare	109898595	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	137256380	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-27357785	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	UHS University Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1350 Walton Way	AddressLine1
City	Augusta	City
State	GA	State
ZIP Code	30901	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours
Other	3 Hospital Based Home Health Agencies	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Field	Value	IRS element (for citing)
CHNA Conducted	false	CHNAConducted
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.0000	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.0000	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part V - Explanation of Number of Facility Type	UH owns and operates three (3) Home Health Agencies as hospital-based agencies.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	UH governing Board members are comprised of citzens who reside in the UH's primary service area and are neither employees nor contractors of UH. UH Board members are active in the community and are eager to improve the health and welfare of the community. Several of UH Board Members worked with the local State Medical School to get interns & residents at the hospital since UH is among several counties that have been deemed as a Health Professional Shortage Area (HPSA). UH extends medical staff privileges to all qualified physicians in our community for all of the UH Departments.UH works with the Greater Augusta Healthcare Network (GAHN) which is made up of area hospitals and the local Medical Colleges School of Nursing and area primary care clinics. This group addresses the primary and specialty care needs in the community. UH supports the Project Access Program (PJA) in Richmond and Columbia County. PJA is a program whereby the local Medical Society Physicians agree to treat a number of Indigent county residents without payment. UH provides all of the Inpatient hospitalization for the Indigent population that is approved for Project Access. Through both of these groups UH is responsive to support them in their needs.UH provides many screenings in the community. One such screening is the PSA screening that is performed at Lowes Home Building stores. Many have received the screening and received positive results which were caught at an early stage. UH's Mobile Mammography unit travels to area plants and is available for screenings at the job site during lunch. These are only a few screening of the Screenings that UH provides in the community but have tremendous impact when just one screening identifies problems that can be treated at an early stage 1 cancer verses at the later stages of cancer.
Part VI - Community Building Activities	The 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.
Part VI - Community Information	UH resides in Richmond County, Georgia. In 2008 The Department of Community Health (state Medicaid division) issued a Georgia Health Disparities Report which listed Richmond County as having 53% Black, 44% White & the remaining 3% mostly Hispanic with some Asian, American Indian and other. 19.6% of the population is below the Federal Poverty Guidelines (FPG). 7.5% of the Adult population completing less than the 9th Grade. 9.2% of the Adult population is unemployed and 18.1 are uninsured.Surrounding Counties include : Burke County with 51% African American and 2% Latino; 28% below FPG; 21.3% with no insurance coverage and 9% unemployed. Jefferson County with 56% African American and 2% Latino; 32% below FPG; 21% with no insurance coverage and 12% unemployed. Lincoln County with 33% African American and 1% Latino; 15% below FPG; 16% with no insurance coverage and 6 % unemployed. McDuffy County with 60% African American and 4% Latino; 18% below FPG; 21% with no insurance coverage and 8% unemployed.
Part VI - Patient Education of Eligibility for Assistance	UH 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 - Needs Assessment	UH continues to use the Health needs Assessment that was completed historically which showed a need for primary health care homes for patients in the the 30901, 30906 and 30904 zip code areas (Richmond County). University established three clinics in these areas after the assessment and continues to fund and expand the support of the Primary Care Health clinics in this area. UH works with the Greater Augusta Health Care Network (GAHN) which is made up of area hospitals and primary care clinics along with the Medical College of Georgia's School of Nursing. GAHN has been collecting data showing the continued need for Primary Health Care homes for the uninsured and under insured even with the support that UH has provided. In addition to this data UH continues to rely on the national data for other opportunities to support the community; such as, Cancer screening, Mammograms, diabetes, cardiovascular clinics, obesity, etc. In addition 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, diabetes assistance. The programs that UH has initiated and continue to support. The Health Resources and Services Administration has designated Richmond County as a Health Professional Shortage Area (HPSA). In 2008, the State of Georgia issued a Georgia Health Disparities Report. In this report Richmond County showed above -average outcomes but some racial inequality for Access to primary care providers; even though, UH has sponsored 4 to 5 area clinics with one being designated as a Federally-Qualified Community Health Center (FQHC). Counties surrounding UH show Lincoln County, McDuffy County, Burke County, and Jefferson county as a HPSA with no FQHC having poor outcomes made worse by extremely severe racial inequalities.University Hospital has begun our Needs Assessment and Reporting to be completed no later than December 31, 2013, University Hospital is working in a joint effort with another health care facility, Georgia Regents University (GRU) Medical Center, as well as, academic nursing program to review and document Community Needs.
Part V, Line 14g - Other Means Hospital Facility Publicized the Policy	Financial Counselors & Access Coordinators explain to Patient and offer Financial Assistance form to patient.	Number of Hospital Faciltiy - 1
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	As 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 III, Line 8 - Explanation Of Shortfall As Community Benefit	The 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 reimbursment should be allowed as CB 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 4 - Bad Debt Expense	Page 8 of Audited Financial Statement: 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. UHS analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	Bad Debt should be included as a Community Benefit since the services that incur bad debt are provided by the hospital to promote the well-being of the community. These services are rendered in conjunction with the Hospital's charitable tax-exempt purposes. There is no local support for uninsured patients; therefore, the services provided by the hospital relief the health care burdens of the local governments.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	For receivables associated with selfpay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), UHS records provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Recoveries of accounts previously written off are recorded as a reduction to the porvision for bad debt expense when received.
Part I, Line 7 - Explanation of Costing Methodology	Used Cost to Charge Ratio calculated using Worksheet 2 --the optional worksheets provided to assist in preparation of Schedule H.
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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Purpose Of GrantPurposeOfGrant	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
United Way of Greater Augusta
PO Box 1166	Fishersville	VA	22939	540955100	501(c)(3)	15240	0	Support Programs
Neighborhood Improvement Project
2467 Golden Camp Road	Augusta	GA	30906	311491242	501(c)(3)	300000	0	Clinic Financial Support
Miracle Making Ministries
1127 Druid Park Ave	Augusta	GA	30904	582358627	501(c)(3)	40000	0	Clinic Financial Support
Harrisburg Family Health
423 Crawford Ave	Augusta	GA	30904	264366421	501(c)(3)	120000	0	Clinic Financial Support
Coordinated Health Services Inc
2110 Broad Street	Augusta	GA	30904	582060572	501(c)(3)	160000	9684	Clinic Financial Support	Cost of Tests	Lab Testing
Christ Community Health Services
519 Scotts Way	Augusta	GA	30909	205404353	501(c)(3)	600000	174016	Clinic Financial Support	Medicare Cost Report	Donated Facilities
Beulah Grove Community Resource
1446 Lee Beard Way	Augusta	GA	30901	582159621	501(c)(3)	60000	20383	Clinic Finanical Support	Cost of Tests & Drugs	Lab Testing
American Cancer Society
250 Williams Street NW	Atlanta	GA	30303	131788491	501(c)(3)	20000	0	Support Research

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	8	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Grantmaker's Description of How Grants are Used	Identifier
Explanation	University 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
William L Farr Jr
CMO	341966	60245	64186	11075	9602	487074
Teresa Waters
Director	147074	25090	290	6952	7264	186670
Tara A Kattine
PHYSICIAN	244233		3171	7200	6186	260790
Steven B Vaughn MD
Board Member			152765			152765
Stephen M Gooden
VP-Physician Practices	265277	52000	26311	2500	9830	355918
Shannon M Stinson MD
VP-Chief Medical Informatics	180090	49033	139968	3934	3069	376094
Sandra McVicker
CEO-University Hospital McDuffie	242277		36180	9182	9213	296852
Marilyn A Bowcutt
President	366190	75852	291510	10145	6857	750554
Lynda Jones Watts
VP Patient Care Svcs-CNO	156228	10393	8656	7122	6389	188788
Leslie A Clonch
VP-Chief Information Officer	218227		35644	2220	11175	267266
Lenardo Paz
Cardiac Cath Spec	145575	150	11492	3867	1723	162807
Laurie Ott Smith
President-Foundation, VP HR-CommSV	151464	23678	17678	6781	218	199819
Kyle E Howell
VP-Support-Ancillary Systems	166445	32645	54252	7973	6915	268230
Joan F Wessman
VP Patient Care Services			223977		6207	230184
James R Davis
President & CEO	577936		38484	222435	10186	849041
Jackie M Kindinger
Legal Council	147185	2500	1085	6842	582	158194
Edward L Burr
VP-Legal Affairs-Compliance	252301	46510	214908	45275	11242	570236
Edmond Deketeleare
Director	125420	2500	21914	6084	6636	162554
Dave A Belkoski
Exec VP/CFO	384150	74266	280849	11075	11202	761542
Brent Mallek
VP Human Resources			174356		9740	184096

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Sch J, Part I, Line 1a	Identifier
Return Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	ReturnReference
Explanation	Social Club Dues- The organization pays membership fees for the CEO (James Davis) CFO (David Belkoski) and CEO McDuffie (Sandra McVicker) to the Augusta Country Club, West Lake Country Club and Belle Meade County 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.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	The Richmond County Hospital Authority	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	586001901	IssuerEIN
CUSIP Number	764603AV8	CUSIPNumber
Date Issued	2009-12-03	DateIssued
Issue Price	150901243	IssuePrice
Description Of Purpose	Refund Bond Certificates (Bond Series 99,03,08)	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	4635740	AmountRetired
Total Proceeds	150901243	TotalProceeds
Issuance Costs From Proceeds	1243	IssuanceCostsFromProceeds
Other Spent Proceeds	150900000	OtherSpentProceeds
Year Of Subst Completion	2008	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	true	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.03000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00200	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.03200	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	false	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	false	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiled
Rebate Not Due Yet	true	RebateNotDueYet
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	false	GrossProceedsInvested
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	false	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Supplemental Information	Identifier
Return Reference	Part VI	ReturnReference
Explanation	$150,900,000 was used to refund prior bonds issued 1999, 2003, and 2008	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
John Rhodes
Board Member	140000	Invest Advisiory Fee	false
Dr Steven B Vaughn MD
Board Member	152765	Comp Invensivist Svc	false
Rebecca E Smith
Dau-Bd Memb	56017	Employee Comp as RN	false
Rhonda U Belkoski
Spouse of CFO	25103	Employee Comp as RN	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Explanation	John Rhodes resigned his Board Member position for University Health Services once he entered into a business relationship for Investment Advisory Services.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfer to Affiliate = -$768885
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Decreases	Rounding = -$1
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	Other Cumulative Effect on Asset Retirement Obliations = $585528
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	Change in unfunded pension gains = $3544447
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Decreases	= -$0
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	All 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
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The 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 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	The 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 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	A 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 1a	Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to Committee	In 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Walton Way Indemnity SPC	BusinessNameLine1

Address Foreign AddressForeign

Field	Value	IRS element (for citing)
Address Line1	2nd Fl Governors Sq 23 Lime Tree	AddressLine1
City	Grand Cayman	City
Country	CJ	Country

Field	Value	IRS element (for citing)
Primary Activities	Insurance Captive	PrimaryActivities
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountry
Total Income	8321610	TotalIncome
EOY Assets	33665647	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	University Health Services Inc	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
University McDuffie County Regional Medi
1350 Walton Way	Augusta	GA	30901	454166209	Hospital	GA	501(c)(3)	3	University Health Inc	false
University Hospice Inc
1350 Walton Way	Augusta	GA	30901	275008428	End of Life Support	GA	501(c)(3)	9	University Health Inc	false
University Health Inc
1350 Walton Way	Augusta	GA	30901	581581102	Consolidating Parent	GA	501(c)(3)	9		false	N/A
University Health Care Foundation Inc
2100 Central Avenue Suite D-1	Augusta	GA	30904	581343550	Philantrophy	GA	501(c)(3)	7	University Health Inc	false
Augusta Resource Center on Aging Inc
4275 Owens Road	Evans	GA	30809	581728812	Non Profit Life Care Community	GA	501(c)(3)	9	University Health Inc	false
University Extended Care Inc
1350 Walton Way	Augusta	GA	30901	581581105	Skilled Nursing Homes	GA	501(c)(3)	3	University Health Inc	false
Richmond County Hospital Authority
1350 Walton Way	Augusta	GA	30901	586001901	Leased facilities	GA	501(c)(3)	3		false	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	University Health Resources Inc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1350 Walton Way	AddressLine1
City	Augusta	City
State	GA	State
ZIP Code	30901	ZIPCode

Field	Value	IRS element (for citing)
EIN	581601372	EIN
Primary Activity	Services to Physicians	PrimaryActivity
Legal Domicile State	GA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	University Health In	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C Corp	TypeOfEntity
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg