2020-11-16T14:36:16-06:00 2019-12-31 570381582 ELLIOTT DAVIS LLCPLLC ONE 10TH STREET SUITE 400 AUGUSTA GA 30901 990 2019-01-01 581343550 UNIVERSITY HEALTH CARE FOUNDATION INC UNIV 7068282423 2260 WRIGHTSBORO ROAD AUGUSTA GA 30904 DAVID A BELKOSKI CFO 7068282423 2020-11-09 1 JESSICA C CAIN P01276209 7067229090 2020-11-09 50.76.145.122 2020-11-09 07:48:35 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 EE19CDB7BF410A3C2153627D186B7E0F9253318E 2019 2021-01-29 14:40:06Z JAMES R DAVIS 1350 WALTON WAY AUGUSTA GA 30901 16745538 0 X WWW.UNIVERSITYHEALTH.ORG X 1978 GA SUPPORT OF UNIVERSITY HOSPITAL RELATING TO HOSPITAL SERVICES AS WELL AS PROVIDING ASSISTANCE TO THE INDIGENT POPULATION. 13 12 0 267 0 0 2347498 3348505 0 0 1340045 694974 183448 84536 3870991 4128015 5444688 47900 0 0 717433 687465 0 0 422844 3357957 3412910 9520078 4148275 -5649087 -20260 37013073 42325194 268906 172746 36744167 42152448 SUPPORT OF UNIVERSITY HOSPITAL RELATING TO HOSPITAL SERVICES AS WELL AS PROVIDING ASSISTANCE TO THE INDIGENT POPULATION. 0 0 3344019 47900 SUPPORT OF UNIVERSITY HOSPITAL RELATING TO HOSPITAL SERVICES AS WELL AS PROVIDING ASSISTANCE TO THE INDIGENT POPULATION. 3344019 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 13 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 GA X X DAVID A BELKOSKI CFO 7068282423 UHI 1350 WALTON WAY AUGUSTA GA 309012629 DAVID HOGG JR BOARD MEMBER 1.00 X 0 0 0 VANESSA LOYD BOARD MEMBER 1.00 X 0 0 0 JOSHUA RAFOTH MD BOARD MEMBER 1.00 X 0 0 0 TAITE SASNETT BOARD MEMBER 1.00 X 0 0 0 JED W HOWINGTON MD BOARD MEMBER 1.00 X 0 0 0 CATHERINE D KNOX PAST CHAIRMAN 1.00 X 0 0 0 ELAINE CLARK SMITH BOARD MEMBER 1.00 X 0 0 0 TOM WYATT BOARD MEMBER 1.00 X 0 0 0 MARK J WILLS BOARD MEMBER 1.00 X 0 0 0 WILLIAM E BARFIELD JR MD CHAIRMAN 1.00 X 0 0 0 ANNE D TROTTER BOARD MEMBER 1.00 X 0 0 0 MAC BOWMAN MD BOARD MEMBER 1.00 50.00 X 0 694595 18972 PHILIP GAFFNEY BOARD MEMBER 1.00 X 0 0 0 DAVID A BELKOSKI SYSTEM CFO 5.00 50.00 X 0 562580 14721 LAURIE SMITH PRESIDENT UHCF 25.00 30.00 X 0 307037 17626 JAMES R DAVIS CEO 5.00 50.00 X 0 1370548 262802 0 2934760 314121 0 0 1 0 0 677857 2670648 85231 3348505 712381 712381 12469454 12486861 -17407 -17407 -17407 175919 677857 118534 57385 57385 39279 12128 27151 27151 4128015 0 0 779510 47900 47900 687465 107416 313656 266393 2935 2935 52751 8242 24068 20441 51825 8097 23647 20081 16108 1464 11015 3629 6345 991 2895 2459 9045 787 8258 3163692 3163692 22932 3583 10463 8886 772 772 SUPPLIES 90021 989 2245 86787 BANK FEES 11612 1814 5298 4500 DUES & MEMBERSHIPS 5278 3448 1830 OTHER MISCELLANEOUS -20406 -169 -19817 -420 4148275 3344019 381412 422844 -393784 561390 1871786 2022927 11227 4355 815610 650699 187843 164911 35281049 39515943 41327 42043 13625 13625 37013073 42325194 64885 13854 2 11773 204019 147119 268906 172746 X -323827 655686 37067994 41496762 36744167 42152448 37013073 42325194 X -20260 4649754 778787 X X 0 1 X 1 0 X 2374146 2277073 3203739 2347498 3348505 13550961 2374146 2277073 3203739 2347498 3348505 13550961 928073 12622888 969454 655153 786550 947424 712381 4070962 210495 271577 133961 183448 84536 884017 18505940 0.68210 0.67320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 31120840 441920 4552140 43900 801836 37780 35231384 37259003 727185 -1122949 5444688 226796 70915 31120840 33207579 405479 4187272 63200 373383 104744 37259003 31020559 449436 2280216 50200 400048 92384 33207579 31995173 661134 -1029579 37000 457767 111402 31020559 0.52420 0.47580 0 0 104500 104500 520000 468000 52000 79806 79751 55 111304 102948 8356 164911 CHARITABLE GIFT ANNUITY LIABILITY 147119 147119 X PART V, LINE 4: TO ASSIST UNIVERSITY HEALTH CARE SYSTEM MEET THEIR GOALS IN PROVIDING QUALITY HEALTH CARE SERVICES TO THE CITIZENS OF THE COMMUNITY THROUGH PATIENT AND STAFF EDUCATION, QUALITY OF LIFE INITIATIVES, AND SUPPORT OF THE UNDERSERVED AND INDIGENT POPULATION. PART X, LINE 2: UNIVERSITY HEALTH CARE FOUNDATION 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 CARE FOUNDATION HAS EVALUATED THEIR TAX POSITIONS AND DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2019. FISCAL YEARS ENDED ON OR AFTER DECEMBER 31, 2016 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. MIRACLE MILE WALK 413120 354010 59110 9389 40066 JERNIGAN GOLF 344281 305476 38805 22705 12721 1001 2379 1 96375 18371 78004 2320 10375 13956 3622 853776 677857 175919 25025 32485 14957 46067 118534 57385 39279 12128 1 0.75000 39279 12128 12128 27151 GA 0 0 1 0 1.00000 PATRICIA BENSEMA 1350 WALTON WAY AUGUSTA GA 30901 0 PATRICIA BENSEMA FUNDRAISING EVENTS COORDINATOR AND RECORD KEEPING - EMPLOYEE OF AND SALARY PAID BY RELATED ORGANIZATION (UNIVERSITY HEALTH SERVICES, INC.). X 0 1 SCHOLARSHIP AND AWARD DISBURSEMENTS 40 47900 PART I, LINE 2: UNIVERSITY HEALTH CARE FOUNDATION HAS A TOTAL OF THIRTEEN SCHOLARSHIPS. THE SCHOLARSHIP APPLICATIONS ARE DIVIDED INTO POSITION GROUPS SUCH AS ADN RN, BSN RN, MSN RN, PHD RN, RESP THERAPIST, RAD TECH. BASED ON THE NUMBER OF APPLICANTS, EACH GROUP IS ASSIGNED A PRO-RATA SHARE OF THE THIRTEEN SCHOLARSHIPS. GPA IS USED AS A SCREENING FACTOR BUT IS NOT USED FOR THE FINAL DETERMINATION. DEDICATION TO CAREER PROGRESSION AS EVIDENCED BY HISTORY WITH UH AND THE DIRECTOR RECOMMENDATION WAS USED AS THE FINAL DETERMINATION. THE FOUNDATION DOES NOT HAVE A FORMAL MONITORING PROCESS FOR THE GRANTS. SCHOLARSHIP & AWARDS DISBURSEMENTS X 1 1 0 1 0 0 0 0 1 0 0 MAC BOWMAN MD BOARD MEMBER 0 558737 0 84375 0 51483 0 5600 0 13372 0 713567 0 0 DAVID A BELKOSKI SYSTEM CFO 0 470168 0 0 0 92412 0 0 0 14721 0 577301 0 0 LAURIE SMITH PRESIDENT UHCF 0 254355 0 0 0 52682 0 8217 0 9409 0 324663 0 0 JAMES R DAVIS CEO 0 771438 0 0 0 599110 0 249808 0 12994 0 1633350 0 571698 PART I, LINE 1A SOCIAL CLUB DUES- THE RELATED ORGANIZATION PAYS MEMBERSHIP FEES FOR THE CEO (JAMES DAVIS) TO SAGE VALLEY AND THE AUGUSTA COUNTRY CLUB. THESE MEMBERSHIP FEES ARE PAID SO THE ORGANIZATION CAN HAVE ACCESS TO THE MEETING FACILITIES AND CATERING SERVICES THESE ORGANIZATIONS PROVIDE FOR MEETINGS THAT ARE HELD OFF CAMPUS. ANY PERSONAL USE, RELATED TO THESE MEMBERSHIPS, IS INCLUDED IN THE WAGES OF THE CEO. PART I, LINE 4B JAMES R DAVIS - SERP - $241,408 DAVID A BELKOSKI - ROTH IUL - $64,510 LAURIE OTT SMITH - ROTH IUL - $27,780 - SECTION 162 - $2,541 JAMES R. DAVIS WAS PAID $571,698 DURING THE TAX YEAR. THIS AMOUNT WAS PREVIOUSLY RECOGNIZED AS DEFERRED ON PRIOR 990'S. PLEASE NOTE THAT ALL OF THE BENEFITS LISTED ABOVE ARE INCLUDED IN THE TOTALS REPORTED ON FORM 990, SCHEDULE VII AS REPORTABLE COMPENSATION OR OTHER COMPENSATION AND HAVE BEEN INCLUDED IN THE INDIVIDUALS' W-2, WITH THE EXCEPTION OF THE SERP FOR JAMES R DAVIS. PART I, LINE 6 THE BONUS PLAN FOR MANAGEMENT IS CALCULATED BASED ON STRATEGIC INITIATIVES AS DETERMINED BY THE COMPENSATION COMMITTEE. THESE INITIATIVES ARE GOALS THAT MUST BE ACHIEVED DURING THE YEAR IN ORDER FOR BONUS PAYOUT. FOR 2019 THESE INITIATIVES WERE WEIGHTED AS DISPLAYED IN THE FOLLOWING SCHEDULE: UNIVERSITY HEALTH SERVICES, INC 2019 STRATEGIC INITIATIVES WEIGHT QUALITY 15% ACHIEVE NRC OVERALL RATING OF CARE SCORE 15% ACHIEVE MEDICARE ALL CAUSE 30-DAY READMISSION RATE TO UNIVERSITY GROWTH 10% INCREASE ADMISSIONS FROM AIKEN AND COLUMBIA COUNTIES OVER 2018 LEVELS SAFETY 15% MINIMIZE THE NUMBER OF HOSPITAL ACQUIRED CONDITIONS PER 1000 MEDICARE DISCHARGES AS MEASURED BY MIDAS SYSTEM PEOPLE 15% ACHIEVE RN TURNOVER RATE FOR UHS AFFORDABILITY 25% ACHIEVE OPERATING MARGIN FOR UNIVERSITY HEALTH, INC SERVICE 5% INCREASE THE NUMBER OF ACTIVE MYCHART ACCOUNTS 100% EACH GOAL THAT WAS ACHIEVED REPRESENTED THAT PERCENTAGE OF BONUS PAYOUT OUT OF A POSSIBLE 100% BASED ON A THRESHOLD LEVEL, TARGET LEVEL, OR AN EXCEED LEVEL. X 12 2682 COST X 5520 COST X 14 6617 COST X GOLF CARTS 2 18581 COST X ADVERTISEMENT 3 15000 COST X BOOKS 1 8802 COST X GIFT CERTIFICATE 23 3673 COST X OTHER 16 1903 COST X JEWELRY 6 1721 COST X TICKETS AND VACATION PACKAGES 5 750 COST X APPLIANCES 3 693 COST X SKIN CARE 2 101 COST X GOLF SUPPLIES 2 0 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 AND ALL RELATED SCHEDULES WAS PROVIDED TO THE GOVERNING BOARD BEFORE FILING IN ELECTRONIC FORM. AN EMAIL WAS SENT TO ALL MEMBERS OF THE GOVERNING BODY CONTAINING A LINK TO A PASSWORD-PROTECTED WEBSITE ON WHICH THE ENTIRE 990 COULD BE VIEWED. THE EMAIL EXPLAINED THAT THE FORM 990 WAS AVAILABLE FOR REVIEW ON THE WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS THE CONFLICT OF INTEREST POLICY IS AS FOLLOWS: I. POLICY 1. EACH CORPORATE BOARD OF THE UNIVERSITY HEALTH CARE SYSTEM HAS ADOPTED A CONFLICT OF INTEREST POLICY BINDING UPON THE BOARD'S MEMBER AND THE CORPORATION CHIEF EXECUTIVE OFFICER. AS A RESULT OF THE DIVERSE INTERESTS AND BACKGROUNDS OF ADMINISTRATIVE, SUPERVISORY, AND STAFF EMPLOYEES, AT TIMES THERE MAY ARISE INSTANCES WHEN AN INDIVIDUAL'S PERSONAL OR OUTSIDE INTERESTS CONFLICT WITH THOSE OF THE SYSTEM OR A CONSTITUENT ORGANIZATION (FOR EXAMPLE, BUT NOT LIMITED TO UNIVERSITY HEALTH SERVICES D/B/A UNIVERSITY HOSPITAL, UNIVERSITY EXTENDED CARE D/B/A KENTWOOD AND WESTWOOD, UNIVERSITY HEALTH, AND UNIVERSITY HEALTH RESOURCES). POSSIBLE CONFLICTS OF INTEREST CAN OCCUR IN THE FOLLOWING INSTANCES: A. FINANCIAL INVESTMENTS AND OWNERSHIP WHEN AN EMPLOYEE OR HIS/HER IMMEDIATE FAMILY HAS A MATERIAL FINANCIAL INVESTMENT OR OWNERSHIP INTEREST IN ANY ORGANIZATION OR INSTITUTION (A SOURCE) FROM WHICH THE SYSTEM PURCHASES GOOD OR SERVICES, WITH WHICH THE SYSTEM COMPETES IN THE PROVISION OF GOODS AND SERVICES, OR FOR WHICH THE SYSTEM PROVIDES GOODS OR SERVICES. AN INVESTMENT OR OWNERSHIP INTEREST WITH A VALUE OF $2,500.00 OR MORE IS PRESUMED MATERIAL; A SMALLER INTEREST MAY BE MATERIAL DEPENDING ON THE CIRCUMSTANCES. OWNERSHIP OF PUBLICLY TRADED STOCK IS NOT CONSIDERED A MATERIAL INTEREST UNLESS THE OWNER EXERCISES DISCRETIONARY AUTHORITY WITH RESPECT TO THE SYSTEM'S BUSINESS DEALING WITH THE COMPANY IN WHICH THE PERSON OWNS STOCK WORTH $5,000.00 OR MORE. NORMALLY, ONLY AN INDIVIDUAL AT OR ABOVE THE DEPARTMENT HEAD LEVEL WOULD BE IN A POSITION TO EXERCISE THE REQUISITE DISCRETIONARY AUTHORITY. B. CONSULTING AND MANAGEMENT SERVICES WHEN AN EMPLOYEE OR HIS/HER IMMEDIATE FAMILY PROVIDES MANAGERIAL, CONSULTATIVE, OR ADVISORY SERVICES TO ANY PERSON, ORGANIZATION, OR INSTITUTION (A SOURCE) FROM WHICH THE SYSTEM PURCHASES GOODS OR SERVICES, WITH WHICH THE SYSTEM COMPLETES IN THE PROVISION OF GOODS AND SERVICES, OR FOR WHICH THE SYSTEM PROVIDES GOODS OR SERVICES OTHER THAN THE INDIVIDUAL OR FAMILY HOSPITALIZATION AND OTHER PERSONAL MEDICAL CARE SERVICES. C. GIFTS WHEN A SYSTEM EMPLOYEE OR HIS/HER IMMEDIATE FAMILY ACCEPTS GIFTS, GRATUITIES, ENTERTAINMENT, OR FAVORS INCLUDING SEMINARS, FACTORY VISITS, OR SITE VISITS FROM A PERSON, ORGANIZATION, OR INSTITUTION (A SOURCE) FROM WHICH THE SYSTEM PURCHASES GOODS OR SERVICES, WITH WHICH THE SYSTEM COMPETES IN THE PROVISION OF GOODS OR SERVICES, OR FOR WHICH THE SYSTEM PROVIDES GOODS OR SERVICES OTHER THAN INDIVIDUAL OR FAMILY HOSPITALIZATION AND OTHER PERSONAL MEDICAL CARE SERVICES. THIS DOES NOT INCLUDE THE ACCEPTANCE OF ITEMS OF NOMINAL VALUE, WHICH COULD NOT BE CONSTRUED AS INTENDED TO INFLUENCE THE INDIVIDUAL IN THE PERFORMANCE OF HIS OR HER DUTIES. DISCLOSURE IS REQUIRED WITH RESPECT TO ANY SINGLE GIFT, GRATUITY, ENTERTAINMENT, OR FAVOR WHICH HAS A FAIR MARKET VALUE IN EXCESS OF $150.00 AND WITH RESPECT TO ALL SUCH ITEMS RECEIVED DURING ANY CALENDAR YEAR FROM A SINGLE SOURCE IF THE CUMULATIVE MARKET VALUE OF THOSE ITEMS EXCEEDS $250.00. DISCLOSURE IS NOT REQUIRED WITH RESPECT TO PARTICIPATION IN HOSPITAL-SPONSORED EVENTS, FOR EXAMPLE, WHEN SOMEONE, PAY'S AN EMPLOYEE'S PARTICIPATION FEE IN A HOSPITAL-SPONSORED EVENT LIKE THE JERNIGAN CANCER GOLF TOURNAMENT. ALL VENDOR FUNDED TRAVEL (INCLUDING SITE VISITS, FACTORY VISITS, AND SEMINARS) IS PROHIBITED. THIS PROHIBITION IS NOT APPLICABLE TO VENDOR FUNDED TRAVEL APPROVED BY THE CEO USING THE POTENTIAL CONFLICT OF INTEREST DISCLOSURE FORM, PURSUANT TO A HOSPITAL CONTRACT, OR FUNDED BY A GROUP PURCHASING ORGANIZATION IN WHICH THE HOSPITAL IS A MEMBER. D. EMPLOYMENT AND GIFTS WHEN AN EMPLOYEE HAS ANY OUTSIDE EMPLOYMENT THAT MIGHT INTERFERE WITH PERFORMANCE OF HIS OR HER UNIVERSITY JOB, EACH MANAGEMENT LEVEL EMPLOYEE MUST DISCLOSE ANY OUTSIDE EMPLOYMENT, INCLUDING SELF-EMPLOYMENT, WHICH HAS GENERATED OR IS REASONABLY EXPECTED TO GENERATE MORE THAN $10,000 IN GROSS INCOME DURING THE CALENDAR YEAR. INVESTMENT INCOME IS NOT CONSIDERED TO BE DERIVED FROM EMPLOYMENT. E. NON-PUBLIC INFORMATION WHEN AN EMPLOYEE IS IN A RELATIONSHIP (EITHER PERSONAL OR BUSINESS) IN WHICH HE/SHE WOULD GAIN PERSONAL ADVANTAGE BY DISCLOSURE OF NON-PUBLIC SYSTEM INFORMATION TO A PERSON, ORGANIZATION, OR INSTITUTION (A SOURCE) FROM WHICH THE SYSTEM PURCHASES GOODS OR SERVICES, WITH WHICH THE SYSTEM COMPETES IN THE PROVISION OF GOODS AND SERVICES, OR FOR WHICH THE SYSTEM PROVIDES OR COULD PROVIDE GOODS OR SERVICES OTHER THAN INDIVIDUAL OR FAMILY HOSPITALIZATION AND OTHER MEDICAL CARE SERVICES. F. HIRING PROCESS WHEN AN EMPLOYEE PARTICIPATING IN A HIRING PROCESS COULD GAIN A PERSONAL BENEFIT FROM THE HIRING DECISION. 2. ALL SYSTEM EMPLOYEES HAVE AN OBLIGATION TO DISCLOSE RELEVANT INFORMATION ABOUT POTENTIAL CONFLICTS OF INTEREST. ALL SYSTEM EMPLOYEES HAVE AN OBLIGATION TO AVOID ACTUAL CONFLICTS OF INTEREST. AVOIDING CONFLICTS OF INTEREST INCLUDES AVOIDING OR DISENGAGING FROM ACTIVITIES AND RELATIONSHIPS WHOSE APPEARANCE UNDERMINES CONFIDENCE IN THE INTEGRITY OF THE SYSTEM. 3. EMPLOYEES WHO FAIL TO DISCLOSE OR CONTINUE TO ENGAGE IN ACTIVITIES THAT HAVE BEEN DEEMED TO BE A CONFLICT OF INTEREST WILL BE SUBJECT TO DISCIPLINARY ACTION. 4. DEFINITIONS A. IMMEDIATE FAMILY MEANS ONE'S SPOUSE, ONE'S DESCENDANTS (CHILDREN, GRANDCHILDREN, ETC.) ONE'S SIBLINGS, THE SPOUSE OF ANY OF THE FORGOING, AND ONE'S PARENTS-IN-LAW. THIS POLICY DOES NOT OBLIGATE A SYSTEM EMPLOYEE TO MAKE ANY INQUIRIES CONCERNING THE ACTIVITIES OF AND OWNERSHIP INTERESTS OF HIS/HER IMMEDIATE FAMILY, BUT THE POLICY DOES REQUIRE A SYSTEM EMPLOYEE WHO IS AWARE OF OR SHOULD BE AWARE OF A POTENTIAL CONFLICT OF INTEREST THROUGH A FAMILY MEMBER TO REPORT THAT POTENTIAL CONFLICT. B. FAIR MARKET VALUE MEANS THE AMOUNT AT WHICH PARTICULAR GOODS OR SERVICES ARE SOLD TO THE GENERAL PUBLIC. C. SYSTEM MEAN THE UNIVERSITY HOSPITAL AND ALSO ANY OTHER ORGANIZATIONAL ELEMENT OF THE UNIVERSITY HEALTH, INC. FAMILY (E.G., UNIVERSITY EXTENDED CARE, INC.) OVER WHICH AN EMPLOYEE EXERCISES DISCRETIONARY AUTHORITY WITH RESPECT TO PURCHASES OR SALES OF GOODS OR SERVICES. D. SOURCE MEANS A PERSON, INSTITUTION OR ORGANIZATION FROM WHICH THE SYSTEM PURCHASES OR IS CONSIDERING PURCHASING GOODS OR SERVICES, WITH WHICH THE SYSTEM COMPETES IN THE PROVISION OF GOODS AND SERVICES, OR FOR WHICH THE SYSTEM PROVIDES GOODS OR SERVICES. SEPARATE BUSINESS ORGANIZATIONS AND OWNERS WHICH ARE PART OF THE SAME CORPORATE FAMILY ARE ONE SOURCE. THE VALUE OF ALL ENTERTAINMENT, GIFTS, ETC. RECEIVED FROM THE DIFFERENT MEMBERS OF ONE CORPORATE FAMILY MUST BE AGGREGATED FOR PURPOSES OF COMPLIANCE WITH THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW & APPROVAL PROCESS - OFFICERS & KEY EMPLOYEES THE ORGANIZATION FOLLOWS THE PROCESS DESCRIBED IN TREASURY REGULATION 53.4958-6(C) FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS IN THE REVIEW, APPROVAL, AND DOCUMENTATION OF 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. ALL OF THE STAFF OF UNIVERSITY HEALTH CARE FOUNDATION ARE EMPLOYED AND THEREFORE PAID BY UNIVERSITY HEALTH SERVICES, INC. SINCE ALL STAFF MEMBERS ARE EMPLOYED BY UNIVERSITY HEALTH SERVICES, INC., UNIVERSITY HEALTH CARE FOUNDATION COMPLIES WITH THE ABOVE MENTIONED PROCEDURE. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, POLICIES, FINANCIAL STATEMENTS, AND INFORMATIONAL RETURNS ARE AVAILABLE UPON REQUEST. THE FORM 990 IS ALSO AVAILBALE ON WWW.GUIDESTAR.ORG. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM UHS 778,787. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. UNIVERSITY HEALTH INC 1350 WALTON WAY AUGUSTA GA 30901 581581102 CONSOLIDATING PARENT GA 501(C)(3) LINE 11 N/A 0 RICHMOND COUNTY HOSPITAL AUTHORITY 1350 WALTON WAY AUGUSTA GA 30901 586001901 LEASED FACILITIES GA 501(C)(3) LINE 3 N/A 0 AUGUSTA RESOURCE CENTER ON AGING 1350 WALTON WAY AUGUSTA GA 30901 581728812 NONPROFIT LIFE CARE COMMUNITY GA 501(C)(3) LINE 11 UNIVERSITY HEALTH INC 0 UNIVERSITY EXTENDED CARE INC 1350 WALTON WAY AUGUSTA GA 30901 581581105 SKILLED NURSING FACILITIES GA 501(C)(3) LINE 3 UNIVERSITY HEALTH INC 0 UNIVERSITY HEALTH SERVICES INC 1350 WALTON WAY AUGUSTA GA 30901 581581103 HOSPITAL GA 501(C)(3) LINE 3 UNIVERSITY HEALTH INC 0 UNIVERSITY MCDUFFIE COUNTY REGIONAL 1350 WALTON WAY AUGUSTA GA 30901 454166209 HOSPITAL GA 501(C)(3) LINE 3 UNIVERSITY HEALTH INC 0 UNIVERSITY HEALTH RESOURCES INC 1350 WALTON WAY AUGUSTA GA 30901 581601372 SERVICES TO PHYSICIAN PRACTICES GA UNIVERSITY HEALTH INC C 0 UNIVERSITY HOSPITAL AIKEN INC 1350 WALTON WAY AUGUSTA GA 30901 472713774 HOSPITAL SC UNIVERSITY HEALTH INC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0