2013-11-13T05:05:53-08:00 2012-12-31 990 2012-01-01 581581103 UNIVERSITY HEALTH SERVICES INC UNIV 7068282406 1350 WALTON WAY AUGUSTA GA 30901 David Belkoski 2013-11-13 2012 2016-02-24 21:20:13Z James R Davis 1350 Walton Way Augusta GA 30901 644422550 false false X www.universityhealth.org X 1984 GA 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. 13 11 3579 369 4206146 1026635 482697 359813 366575614 385193304 11370512 20423308 8549487 9702021 386978310 415678446 1491840 1525323 0 164000475 175856538 0 0 207315173 200182218 372807488 377564079 14170822 38114367 680520097 752120083 321768380 327297489 358751717 424822594 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. false false 351210545 385193304 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. 351210545 true true false true false false false false false false true false false true true true false true false true true false false false false false true true true false true true false false false false false false false true true true false false false false true true false false false false true 200 0 true 3579 true true true CJ false false false false false 0 false false false false false false false false false false X 13 11 false false false false false false false true true false true true true true true true true true true true true true GA X X David Belkoski 7068282406 1350 Walton Way Augusta GA 30901 John P Rhodes 2.00 0.00 X 140000 0 0 Richard A Fairey 2.00 0.00 X 0 0 0 Thomas E Sizemore 2.00 0.00 X 0 0 0 Ellen G Shaver MD 2.00 0.00 X 0 0 0 Hugh L Hamilton 2.00 0.00 X 0 0 0 Sanford Loyd 2.00 0.00 X 0 0 0 Terry D Elam 2.00 0.00 X 0 0 0 Natalie D Schweers 2.00 0.00 X 0 0 0 Eugene F McManus 2.00 0.00 X 0 0 0 Levi W Hill IV 2.00 0.00 X 0 0 0 Steven B Vaughn MD 50.00 0.00 X 152765 0 0 Jeffrey L Foreman 2.00 0.00 X 0 0 0 Brian J Marks 2.00 0.00 X X 0 0 0 Randolph R Smith MD 2.00 0.00 X X 0 0 0 William L Farr Jr 50.00 0.00 X 466397 0 20677 Marilyn A Bowcutt 50.00 0.00 X 733552 0 17002 Dave A Belkoski 50.00 0.00 X 739265 0 22277 James R Davis 50.00 0.00 X 616420 0 232621 Lynda Jones Watts 50.00 0.00 X 175277 0 13511 Laurie Ott Smith 50.00 0.00 X 192820 0 6999 Sandra McVicker 50.00 0.00 X 278457 0 18395 Stephen M Gooden 50.00 0.00 X 343588 0 12330 Shannon M Stinson MD 40.00 0.00 X 369091 0 7003 Leslie A Clonch 50.00 0.00 X 253871 0 13395 Kyle E Howell 50.00 0.00 X 253342 0 14888 Edward L Burr 50.00 0.00 X 513719 0 56517 Teresa Waters 45.00 0.00 X 172454 0 14216 Lenardo Paz 45.00 0.00 X 157217 0 5590 Jackie M Kindinger 45.00 0.00 X 150770 0 7424 Edmond Deketeleare 45.00 0.00 X 149834 0 12720 Tara A Kattine 40.00 0.00 X 247404 0 13386 Brent Mallek 0.00 0.00 X 174356 0 9740 Joan F Wessman 0.00 0.00 X 223977 0 6207 6504576 504898 123 true true false 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 68 268224 32000 59589 359813 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 106180 106180 385193304 11301663 11301663 0 0 3263144 22999 2152255 1110889 22999 1133888 63879 1070009 235639658 73836 226495983 95866 9143675 -22030 9121645 9121645 0 0 0 Outreach Lab 4142267 4142267 Employee Pharmacy 446110 2534523 2534523 EHR Incentive Program 900099 1636425 1636425 254918 254918 8568133 415678446 387084647 4206146 24027840 1525323 1525323 0 0 0 5664179 1365612 4298567 0 124075985 120688711 3387274 9008190 8762266 245924 25969034 25260079 708955 11139150 10835051 304099 15203209 14788161 415048 200169 200169 233350 233350 212337 212337 0 1095896 1095896 19655653 19119053 536600 1407733 1369302 38431 1292708 1257417 35291 6690739 6508082 182657 0 6463208 6286762 176446 947024 913738 33286 0 0 8149924 8149924 0 24782263 24105707 676556 -4450670 -4329167 -121503 GA DCH Hospital Tax 5034482 5034482 Reparis & Maintenance 6757151 6572681 184470 Bad Debt Expense 19886188 19886188 Med Surg supplies 77518530 77518530 9102324 8777049 325275 377564079 351210545 26353534 0 31019669 15401274 22152854 21337699 0 55796887 64516903 0 0 9643330 9903818 6700122 6884019 7019777 6734130 513383509 277756416 219988630 235627093 294373453 328823397 0 0 0 33825375 62891750 680520097 752120083 17176913 26986254 148650743 146265503 4738710 3528438 151202014 150517294 321768380 327297489 X 358716717 424787594 35000 35000 358751717 424822594 680520097 752120083 X 38114367 24595421 3361089 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 212337 212337 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description 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. 14719660 14719660 250947265 113109545 137837720 244087515 164646871 79440644 3629069 3629069 235627093 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 62891750 Reserve for Self Insured Losses 13933807 Other Current Liabilities 3027505 Est Third Party Payor Settlements 29351192 Asset Retirement Obligation 2113482 Amount due to Affiliate 6875558 Accrued postretirement benefit cost 31193455 Accrued Pension Cost 47330584 Accrued Compensation, Benefits, & PR Tax 16691711 150517294 X Part X Part X : FIN48 Footnote 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. Caribbean 1 2 Insurance Captive 333385 1 2 1 2 333385 333385 false false false false false false Additional Supplemental Information Please see form 5471 filing for details related to Offshore Captive Insurance true true true X true X true true true false true true 19759718 3084694 16675024 0.04660 37467037 32957883 4509154 0.01260 57226755 36042577 21184178 0.05920 10374254 1047086 9327168 0.02610 967682 363707 603975 0.00170 1525323 1525323 0.00430 12867259 1410793 11456466 0.03210 70094014 37453370 32640644 0.09130 119102 119102 0.00030 119102 119102 0.00030 true 19886188 2784066 109898595 137256380 -27357785 X true true 1 1 UHS University Hospital

1350 Walton Way Augusta GA 30901

X X X X 3 Hospital Based Home Health Agencies false true true 200.0000 true 400.0000 true X X X X X true true X X X X X true X X X false X X X X true X false false 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. Number of Hospital Faciltiy - 1 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. 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. true 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 Cost of Tests Lab Testing Clinic Financial Support Christ Community Health Services 519 Scotts Way Augusta GA 30909 205404353 501(c)(3) 600000 174016 Medicare Cost Report Donated Facilities Clinic Financial Support Beulah Grove Community Resource 1446 Lee Beard Way Augusta GA 30901 582159621 501(c)(3) 60000 20383 Cost of Tests & Drugs Lab Testing Clinic Finanical Support American Cancer Society 250 Williams Street NW Atlanta GA 30303 131788491 501(c)(3) 20000 0 Support Research 8 0 Grantmaker's Description of How Grants are Used 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. X true true X X X X X true true false false false true false false false false William L Farr Jr 341966 60245 64186 11075 9602 487074 Teresa Waters 147074 25090 290 6952 7264 186670 Tara A Kattine 244233 3171 7200 6186 260790 Steven B Vaughn MD 152765 152765 Stephen M Gooden 265277 52000 26311 2500 9830 355918 Shannon M Stinson MD 180090 49033 139968 3934 3069 376094 Sandra McVicker 242277 36180 9182 9213 296852 Marilyn A Bowcutt 366190 75852 291510 10145 6857 750554 Lynda Jones Watts 156228 10393 8656 7122 6389 188788 Leslie A Clonch 218227 35644 2220 11175 267266 Lenardo Paz 145575 150 11492 3867 1723 162807 Laurie Ott Smith 151464 23678 17678 6781 218 199819 Kyle E Howell 166445 32645 54252 7973 6915 268230 Joan F Wessman 223977 6207 230184 James R Davis 577936 38484 222435 10186 849041 Jackie M Kindinger 147185 2500 1085 6842 582 158194 Edward L Burr 252301 46510 214908 45275 11242 570236 Edmond Deketeleare 125420 2500 21914 6084 6636 162554 Dave A Belkoski 384150 74266 280849 11075 11202 761542 Brent Mallek 174356 9740 184096 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. 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. A The Richmond County Hospital Authority 586001901 764603AV8 2009-12-03 150901243 Refund Bond Certificates (Bond Series 99,03,08) false false A 4635740 150901243 1243 150900000 2008 true false true true A false true false false 0.03000 0.00200 0.03200 false false false A false true false false false false A false Supplemental Information Part VI $150,900,000 was used to refund prior bonds issued 1999, 2003, and 2008 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 John Rhodes resigned his Board Member position for University Health Services once he entered into a business relationship for Investment Advisory Services. 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. Walton Way Indemnity SPC 2nd Fl Governors Sq 23 Lime Tree Grand Cayman CJ Insurance Captive CJ 8321610 33665647 University Health Services Inc 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 N/A false 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 N/A false University Health Resources Inc 1350 Walton Way Augusta GA 30901 581601372 Services to Physicians GA University Health In C Corp false false false false true false false false false false true false true false false true false false false false