FURP.ORG / PUBLIC DATA EXPLORER

UNIVERSITY HEALTH INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY HEALTH INC (EIN 58-1581102)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201823199349301797
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-15T08:16:47-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN570381582PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ELLIOTT DAVIS LLCPLLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE 10TH STREET SUITE 400AddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581581102EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNIVBusinessNameControlTxt
Phone7068282406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID A BELKOSKIPersonNm
Person TitleCFOPersonTitleTxt
Phone7068282406PhoneNum
Signature2018-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJESSICA C CAINPreparerPersonNm
PTINP01276209PTIN
Phone7067229090PhoneNum
Preparation2018-11-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.181.201.165IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-12IPDt
IP Tm12:22:26IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdD9C45B12E74E3E126437FD430A1A3CA8815D446FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES DAVISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$81,000,615GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UNIVERSITYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionPRIMARY FUNCTIONS ARE THE COORDINATION AND DELIVERY OF HEALTH CARE RESOURCES AND SERVICES, HEALTH CARE EDUCATION FOR THE HOSPITAL SERVICE AREA, LONG RANGE ANALYSIS OF HEALTH CARE NEEDS AND DEVELOPMENT OF PROGRAMS, AND ARRANGING FOR FINANCING OF HEALTH CARE PROGRAMS.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee154TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$71,417,954PYProgramServiceRevenueAmt
CY Program Service Revenue$72,716,830CYProgramServiceRevenueAmt
PY Investment Income$5,064,345PYInvestmentIncomeAmt
CY Investment Income$7,227,563CYInvestmentIncomeAmt
PY Other Revenue$9,338PYOtherRevenueAmt
CY Other Revenue$99,865CYOtherRevenueAmt
PY Total Revenue$76,491,637PYTotalRevenueAmt
CY Total Revenue$80,044,258CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$82,809,659PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$81,535,659CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$16,228,200PYOtherExpensesAmt
CY Other Expenses$19,358,794CYOtherExpensesAmt
PY Total Expenses$99,037,859PYTotalExpensesAmt
CY Total Expenses$100,894,453CYTotalExpensesAmt
PY Revenues Less Expenses-$22,546,222PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$20,850,195CYRevenuesLessExpensesAmt
Total Assets BOY$97,190,211TotalAssetsBOYAmt
Total Assets EOY$98,303,968TotalAssetsEOYAmt
Total Liabilities BOY$19,486,661TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,575,987TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$77,703,550NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$82,727,981NetAssetsOrFundBalancesEOYAmt
MissionPRIMARY FUNCTIONS ARE THE COORDINATION AND DELIVERY OF HEALTH CARE RESOURCES AND SERVICES, HEALTH CARE EDUCATION FOR THE HOSPITAL SERVICE AREA, LONG RANGE ANALYSIS OF HEALTH CARE NEEDS AND DEVELOPMENT OF PROGRAMS, AND ARRANGING FOR FINANCING OF HEALTH CARE PROGRAMS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$92,249,011ExpenseAmt
Revenue$72,804,358RevenueAmt
DescUNIVERSITY HEALTH CARE PHYSICIANS, A WHOLLY-OWNED ENTITY OF UHI, WAS CREATED TO ENHANCE THE COORDINATION AND DELIVERY OF HEALTH CARE SERVICES FOR PRIMARY CARE, INCLUDING INTERNAL AND FAMILY MEDICINE, ONCOLOGY, VASCULAR AND CT SURGERY, AND CARDIOLOGY.Desc
Total Program Service Expenses$92,249,011TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document34IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee154EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID A BELKOSKI EXEC VPCFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7068282406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
TERRY D ELAM
BOARD MEMBER1.00Yes (X)$0$0$0
LEVI W HILL IV
BOARD CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
WILLIAM P DOUPE
BOARD MEMBER1.00Yes (X)$0$0$0
NATALIE D SCHWEERS
BOARD MEMBER1.00Yes (X)$0$0$0
SANFORD LOYD
BOARD MEMBER1.00Yes (X)$0$0$0
BRIAN J MARKS
BOARD SECRETARY1.00Yes (X)$0$0$0Yes (X)
EUGENE F MCMANUS
BOARD MEMBER1.00Yes (X)$0$0$0
HUGH L HAMILTON
BOARD MEMBER1.00Yes (X)$0$0$0
JEFFREY L FOREMAN
BOARD MEMBER1.00Yes (X)$0$0$0
JAMES W BENNETT JR
BOARD MEMBER1.00Yes (X)$0$0$0
DANIEL H BOONE MD
BOARD MEMBER1.00Yes (X)$277,044$0$12,828
W CRAIG SMITH
BOARD MEMBER1.00Yes (X)$0$0$0
CATHERINE D KNOX
BOARD MEMBER1.00Yes (X)$0$0$0
CHARLES G CAYE JR
BOARD MEMBER1.00Yes (X)$0$0$0
JAMES C SHERMAN MD
BOARD MEMBER1.00Yes (X)$0$120,006$600
DAVID A BELKOSKI
UHCS CFO5.00$0$680,853$10,771Yes (X)50.00
JAMES R DAVIS
UHCS PRESIDENT & CEO5.00$0$1,589,553$316,867Yes (X)50.00
MARILYN A BOWCUTT
PRESIDENT UNIVERSITY HOSPI5.00$0$712,861$16,794Yes (X)50.00
WILLIAM L FARR JR
CMO5.00$0$542,564$17,838Yes (X)50.00
EDWARD L BURR
CAO5.00$0$576,630$21,922Yes (X)50.00
VELVETTE L JONES
HEALTHCARE ADMINISTRATOR50.00$0$181,084$11,861Yes (X)
SCOTT ANSEDE
VP PROFESSIONAL SERVICES50.00$0$397,665$23,226Yes (X)
BOZEMAN SHERWOOD
PHYSICIAN50.00$335,762$0$14,215Yes (X)
MAC BOWMAN
CMA UCA50.00$669,777$0$16,980Yes (X)
GREGORY M OETTING
PHYSICIAN50.00$1,144,192$0$22,326Yes (X)
MARK J STEWART
PHYSICIAN50.00$1,288,140$0$22,353Yes (X)
DAVID CLARK
PHYSICIAN50.00$859,829$0$17,278Yes (X)
HOUMAN TAMADDON
PHYSICIAN50.00$1,404,313$0$22,333Yes (X)
TIMOTHY J HUNTER
PHYSICIAN50.00$856,351$0$20,856Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,835,408TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,801,216TotReportableCompRltdOrgAmt
Total Other Compensation$569,048TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PEAK HEALTH SOLUTIONS
75 REMITTANCE DRIVE SUITE 1155CHICAGOIL606751155AGENCY - PURCHASED SERVICES$627,311
DAVID FLOYD MD
805 STEVENS CREEK ROADAUGUSTAGA30907PHYSICIAN FEES - NEUROSURGERY$462,880
RICHARD J KELLY MD PC
9 MICHAELS WALKMARTINEZGA30907PHYSICIAN FEES - NEUROSURGERY$220,400
CHANGE HEALTHCARE
PO BOX 572490MURRAYUT841572490PURCHASED SERVICES - BILLING$138,650
QUALITY SYSTEMS INC
PO BOX 809390CHICAGOIL60680PURCHASED SERVICES - BILLING$111,179
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHYSICIAN FEES621110$60,951,495$60,951,495
HOSPITAL SERVICES900099$11,765,335$11,765,335
FieldValueIRS element (for citing)
Total Program Service Revenue$72,716,830TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,188,358TotalRevenueColumnAmt
Exclusion$7,188,358ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$12,337RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$12,337RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,337TotalRevenueColumnAmt
Exclusion$12,337ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$995,562SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$901,030SecuritiesAmt
Other$55,327OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$94,532SecuritiesAmt
Other-$55,327OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,205TotalRevenueColumnAmt
Exclusion$39,205ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$87,528TotalRevenueColumnAmt
Related Or Exempt Func Income$87,528RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$87,528OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$80,044,258TotalRevenueColumnAmt
Related Or Exempt Func Income$72,804,358RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,239,900ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$70,679,079TotalAmt
Program Services$67,065,386ProgramServicesAmt
Management And General$3,613,693ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$737,616TotalAmt
Program Services$700,735ProgramServicesAmt
Management And General$36,881ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,264,301TotalAmt
Program Services$7,097,287ProgramServicesAmt
Management And General$1,167,014ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,854,663TotalAmt
Program Services$1,761,930ProgramServicesAmt
Management And General$92,733ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$62,934TotalAmt
Program Services$54,940ProgramServicesAmt
Management And General$7,994ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$29,807TotalAmt
Management And General$29,807ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,242,004TotalAmt
Program Services$1,549,151ProgramServicesAmt
Management And General$2,692,853ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$18,677TotalAmt
Management And General$18,677ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$544,763TotalAmt
Program Services$453,367ProgramServicesAmt
Management And General$91,396ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,487,919TotalAmt
Program Services$1,471,431ProgramServicesAmt
Management And General$16,488ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,885,830TotalAmt
Program Services$4,601,118ProgramServicesAmt
Management And General$284,712ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$221,397TotalAmt
Management And General$221,397ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,295,674TotalAmt
Program Services$2,195,026ProgramServicesAmt
Management And General$100,648ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,197,432TotalAmt
Program Services$1,162,447ProgramServicesAmt
Management And General$34,985ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MED SURG SUPPLIES$2,543,400$2,543,400
DUES, FEES & MEMBERSHIP$595,327$495,353$99,974
TRAVEL & EDUCATION$407,382$378,300$29,082
REPAIRS & MAINTENACE$356,040$319,248$36,792

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$470,208TotalAmt
Program Services$399,892ProgramServicesAmt
Management And General$70,316ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$100,894,453TotalAmt
Program Services$92,249,011ProgramServicesAmt
Management And General$8,645,442ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,540,750BOYAmt
EOY$2,700,844EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,123,108BOYAmt
EOY$4,045,587EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$583,401BOYAmt
EOY$573,650EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,450,073LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,409,465LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,613,083BOYAmt
EOY$11,040,608EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$39,709,330BOYAmt
EOY$46,649,190EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$35,620,539BOYAmt
EOY$33,294,089EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$97,190,211BOYAmt
EOY$98,303,968EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,670,500BOYAmt
EOY$7,583,846EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$8,308,330BOYAmt
EOY$6,323,336EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,507,831BOYAmt
EOY$1,668,805EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,486,661BOYAmt
EOY$15,575,987EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$77,703,550BOYAmt
EOY$82,727,981EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$77,703,550BOYAmt
EOY$82,727,981EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$97,190,211BOYAmt
EOY$98,303,968EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$20,850,195ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$25,874,626OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,600,585CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,074,014CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$55,419,365CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$71,417,954CurrentTaxYearMinus1YearAmt
Current Tax Year$72,716,830CurrentTaxYearAmt
Total$279,228,748TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,600,585CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,074,014CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$55,419,365CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$71,417,954CurrentTaxYearMinus1YearAmt
Current Tax Year$72,716,830CurrentTaxYearAmt
Total$279,228,748TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$279,228,748PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,407,503CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,431,822CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,046,757CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,073,682CurrentTaxYearMinus1YearAmt
Current Tax Year$7,239,900CurrentTaxYearAmt
Total$23,199,664TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,407,503CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,431,822CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,046,757CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,073,682CurrentTaxYearMinus1YearAmt
Current Tax Year$7,239,900CurrentTaxYearAmt
Total$23,199,664TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$673,622CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$422,260CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,968,697CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1CurrentTaxYearMinus1YearAmt
Current Tax Year$87,528CurrentTaxYearAmt
Total$10,152,108TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38,681,710CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,928,096CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,434,819CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76,491,637CurrentTaxYearMinus1YearAmt
Current Tax Year$80,044,258CurrentTaxYearAmt
Total$312,580,520TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.89330PublicSupportCY509Pct
Public Support PY5090.89130PublicSupportPY509Pct
Investment Income CY0.07420InvestmentIncomeCYPct
Investment Income PY0.06900InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$913,417OtherCostOrOtherBasisAmt
Book Value$913,417BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,403,452OtherCostOrOtherBasisAmt
Depreciation$213,642DepreciationAmt
Book Value$3,189,810BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,864,132OtherCostOrOtherBasisAmt
Depreciation$751,729DepreciationAmt
Book Value$2,112,403BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,594,018OtherCostOrOtherBasisAmt
Depreciation$5,444,094DepreciationAmt
Book Value$4,149,924BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$675,054OtherCostOrOtherBasisAmt
Book Value$675,054BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,040,608TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT - BRANDON WILDE$32,790,598C
INVESTMENT UHR (CONT CAPITAL)$12,808,000C
INVESTMENT ABP-UH-LLC$1,050,592C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$46,649,190TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM UHR$26,161,016
DUE FROM BRANDON WILDE$6,323,336
WORKFORCE-IN-PLACE$522,900
DUE FROM UNIVERSITY HOSPITAL MCDUFFIE$284,230
DUE FROM UNIVERSITY EXTENDED CARE$2,607
FieldValueIRS element (for citing)
Total Book Value Other Assets$33,294,089TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO UHSDesc
Amt$1,668,805Amt
FieldValueIRS element (for citing)
Total Liability$1,668,805TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING FOR INCOME TAXES - THE PARENT, UHS, THE FOUNDATION, ARCOA, AND UNIVERSITY EXTENDED CARE, INC. ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. UNIVERSITY HEALTH RESOURCES, INC. IS A TAXABLE ENTITY AND FILES A CORPORATE TAX RETURN. UHCP IS ORGANIZED UNDER GEORGIA LAW AND THE INTERNAL REVENUE CODE AS A LIMITED LIABILITY COMPANY (LLC). THE MEMBERS OF AN LLC REPORT TAXABLE INCOME OR LOSS ON THEIR CORPORATE OR INDIVIDUAL TAX RETURNS. WITH RESPECT TO ITS FOR-PROFIT ENTITIES, AS WELL AS ANY UNRELATED BUSINESS INCOME GENERATED BY THE TAX-EXEMPT ENTITIES, THE PARENT RECORDS INCOME TAXES USING THE LIABILITY METHOD UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. THERE IS PRESENTLY NO TAXATION IMPOSED BY THE GOVERNMENT OF THE CAYMAN ISLANDS ON INCOME OR PREMIUMS OF WWI. AS A RESULT, NO TAX LIABILITY OR EXPENSE HAS BEEN RECORDED. THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2017. FISCAL YEARS ENDED ON OR AFTER DECEMBER 31, 2014 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANIEL H BOONE MD
BOARD MEMBER$258,275$0$16,500$0$2,269$0$5,423$0$7,405$0$289,872$0$0$0
DAVID A BELKOSKI
UHCS CFO$0$424,781$0$138,195$0$117,877$0$1,405$0$9,366$0$691,624$0$0
JAMES R DAVIS
UHCS PRESIDENT & CEO$0$746,360$0$224,697$0$618,496$0$298,650$0$18,217$0$1,906,420$0$0
MARILYN A BOWCUTT
PRESIDENT UNIVERSITY HOSPI$0$448,378$0$144,922$0$119,561$0$7,350$0$9,444$0$729,655$0$0
WILLIAM L FARR JR
CMO$0$386,872$0$111,378$0$44,314$0$8,079$0$9,759$0$560,402$0$0
EDWARD L BURR
CAO$0$383,412$0$123,125$0$70,093$0$8,104$0$13,818$0$598,552$0$0
VELVETTE L JONES
HEALTHCARE ADMINISTRATOR$0$151,586$0$23,924$0$5,574$3,123$0$8,738$0$11,861$181,084$0$0
SCOTT ANSEDE
VP PROFESSIONAL SERVICES$0$276,270$0$82,842$0$38,553$8,120$0$15,106$0$23,226$397,665$0$0
BOZEMAN SHERWOOD
PHYSICIAN$314,272$0$13,000$0$8,490$0$5,742$0$8,473$0$349,977$0$0$0
MAC BOWMAN
CMA UCA$546,681$0$78,784$0$44,312$0$6,777$0$10,203$0$686,757$0$0$0
GREGORY M OETTING
PHYSICIAN$1,097,322$0$25,000$0$21,870$0$8,128$0$14,198$0$1,166,518$0$0$0
MARK J STEWART
PHYSICIAN$1,284,327$0$0$0$3,813$0$8,339$0$14,014$0$1,310,493$0$0$0
DAVID CLARK
PHYSICIAN$777,665$0$62,500$0$19,664$0$6,782$0$10,496$0$877,107$0$0$0
HOUMAN TAMADDON
PHYSICIAN$1,292,081$0$12,500$0$99,732$0$8,135$0$14,198$0$1,426,646$0$0$0
TIMOTHY J HUNTER
PHYSICIAN$691,430$0$132,334$0$32,587$0$6,842$0$14,014$0$877,207$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ASOCIAL CLUB DUES- THE RELATED ORGANIZATION PAYS MEMBERSHIP FEES FOR THE CEO (JAMES DAVIS) 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 4BJAMES R. DAVIS - SERP - $290,468 DAVID BELKOSKI - ROTH IUL - $56,036 MARILYN BOWCUTT - CAA BENEFITS - $44,995 WILLIAM L. FARR, JR. - CAA BENEFITS - $38,076 EDWARD BURR - CAA BENEFITS $66,173 SCOTT ANSEDE - ROTH IUL - $28,500 - SECT. 162 - $6,626 HOUMAN TAMADDON - ROTH IUL - $44,300 - SECT 162 - $4,737 PLEASE NOTE THAT ALL OF THE BENEFITS LISTED ABOVE ARE INCLUDED IN THE TOTALS REPORTED ON FORM 990, SCHEDULE VII AS REPORTABLE COMPENSATION OR OTHER COMPENSATION AND HAVE BEEN INCLUDED IN THE INDIVIDUALS' W-2, WITH THE EXCEPTION OF THE SERP FOR JAMES R. DAVIS.
PART I, LINE 6THE BONUS PLAN FOR MANAGEMENT IS CALCULATED BASED ON STRATEGIC INITIATIVES AS DETERMINED BY THE COMPENSATION COMMITTEE. THESE INITIATIVES ARE GOALS THAT MUST BE ACHIEVED DURING THE YEAR IN ORDER FOR BONUS PAYOUT. FOR 2017 THESE INITIATIVES WERE WEIGHTED AS DISPLAYED IN THE FOLLOWING SCHEDULE: UNIVERSITY HEALTH SERVICES, INC 2017 STRATEGIC INITIATIVES WEIGHT QUALITY 15% ACHIEVE NRC OVERALL RATING OF CARE SCORE 15% ACHIEVE AGGREGATE COMPOSITE CORE MEASURE SCORE FOR THE 2017 CORE MEASURE SET GROWTH 10% INCREASE ADMISSIONS FROM AIKEN AND COLUMBIA COUNTIES OVER 2016 LEVELS SAFETY 15% MINIMIZE THE NUMBER OF HOSPITAL ACQUIRED CONDITIONS PER 1000 DISCHARGES PEOPLE 15% ACHIEVE EMPLOYEE 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE 990 FORM AND ALL RELATED SCHEDULES WAS PROVIDED TO THE GOVERNING BOARD BEFORE FILING IN ELECTRONIC FORM. AN EMAIL WAS SENT TO ALL MEMBERS OF THE GOVERNING BODY CONTAINING A LINK TO A PASSWORD-PROTECTED WEBSITE ON WHICH THE ENTIRE 990 COULD BE VIEWED. THE EMAIL EXPLAINED THAT THE FORM 990 WAS AVAILABLE FOR REVIEW ON THE WEBSITE.
FORM 990, PART VI, SECTION B, LINE 12CTHE STEPS IN THE CONFLICT OF INTEREST POLICY ARE OUTLINED BELOW: 1. SENIOR MANAGEMENT (VICE PRESIDENTS AND ABOVE) SHALL COMPLETE A POTENTIAL CONFLICT OF INTEREST QUESTIONNAIRE PERIODICALLY. EACH SYSTEM ORGANIZATION'S CEO, COO, CFO AND WITHIN THEIR DIVISION'S VICE PRESIDENTS MAY REQUIRE ANY EMPLOYEE TO COMPLETE A POTENTIAL CONFLICT OF INTEREST QUESTIONNAIRE. 2.EACH EMPLOYEE IS EXPECTED TO REPORT A POTENTIAL CONFLICT OF INTEREST WHEN IT ARISES. 3. A. AN EMPLOYEE WILL REPORT A POTENTIAL CONFLICT OF INTEREST BY INITIATING A POTENTIAL CONFLICT OF INTEREST DISCLOSURE FORM AND DELIVERING IT TO HIS/HER VICE PRESIDENT. ALL EMPLOYEE POTENTIAL CONFLICTS WILL BE SCREENED BY TWO LEVELS OF SENIOR MANAGEMENT TO IDENTIFY CONFLICT OR DUALITY OF INTEREST SITUATIONS. (A DUALITY OF INTEREST EXISTS WHEN AN INDIVIDUAL HAS PERSONAL OR OUTSIDE INTERESTS THAT CAN BE AFFECTED BY DECISIONS OF THE SYSTEM. SUCH A DUALITY OR EVEN MULTIPLICITY OF INTEREST CAN BE BENEFICIAL TO AND CONSISTENT WITH THE PRIMARY GOALS OF THE INSTITUTIONS. DUALITY OF INTEREST CAN RAISE THE POTENTIAL FOR CONFLICT OF INTEREST WHEN THE PERSONAL INTERESTS OF INDIVIDUALS COME INTO CONFLICT WITH THE INTERESTS OF THE SYSTEM.) B. WHEN A DIVISION VICE PRESIDENT IS NOTIFIED OF A POTENTIAL CONFLICT/DUALITY OF INTEREST, THE VICE PRESIDENT SHALL INVESTIGATE THE SITUATION AND MAKE A REPORT OF HIS OR HER FINDINGS ALONG WITH A RECOMMENDATION TO THE EXECUTIVE VICE PRESIDENT (COO) OR CEO OF THE INVOLVED SYSTEM ORGANIZATION. C. THE EXECUTIVE VICE PRESIDENT OR CEO WHO RECEIVED THE 3.B REPORT SHALL MAKE A DECISION CONCERNING A POTENTIAL CONFLICT OF INTEREST AND ANY RESOLUTION MEASURES TO BE TAKEN. IN THE EVENT THE POTENTIAL CONFLICT INVOLVES A VICE PRESIDENT, THE PRESIDENT OF UNIVERSITY HEALTH SHALL INVESTIGATE THE SITUATION AND MAKE A DECISION CONCERNING A POTENTIAL CONFLICT OF INTEREST AND ANY RESOLUTION MEASURES TO BE TAKEN. THIS INFORMATION SHALL BE COMMUNICATED DIRECTLY TO THE CONCERNED EMPLOYEE. D. THE EMPLOYEE MAY APPEAL THE CONFLICT OF INTEREST DETERMINATION TO THE PRESIDENT OF UNIVERSITY HEALTH. THE PRESIDENT'S DECISION ABOUT A POTENTIAL CONFLICT OF INTEREST AND ANY RESOLUTION MEASURES IS FINAL AND NOT COGNIZABLE UNDER THE EMPLOYEE GRIEVANCE POLICY A-30. E. IN THE EVENT THE POTENTIAL CONFLICT INVOLVES THE CEO OF A SYSTEM ORGANIZATION, THE MATTER SHALL BE REPORTED TO THE CHAIRMAN OF THE INVOLVED SYSTEM ORGANIZATION BOARD, WHO SHALL DETERMINE IF A CONFLICT EXISTS AND WHAT, IF ANY, RESOLUTION MEASURES ARE NECESSARY IN ACCORDANCE WITH THE CORPORATION'S CONFLICT OF INTEREST POLICY. 4. FILING OF FORMS A. CONFLICT OF INTEREST QUESTIONNAIRES OF THOSE WHO ARE REQUIRED BY THIS POLICY TO COMPLETE ONE PERIODICALLY SHALL BE FILED IN THE APPLICABLE CORPORATION'S CEO'S OFFICE AND RETAINED FOR NO LESS THAN SEVEN YEARS. OPTIONAL CONFLICT OF INTEREST QUESTIONNAIRES SHALL BE FILED IN THE OFFICE OF THE VICE PRESIDENT WHO REQUESTED COMPLETION OF THE FORM. B. COMPLETED POTENTIAL CONFLICT OF INTEREST DISCLOSURE FORMS SHALL BE FILED IN THE APPLICABLE CORPORATION'S CEO'S OFFICE FOR THE CEO, COO, AND VICE PRESIDENTS AND FOR ALL OTHERS IN THE APPROPRIATE VICE PRESIDENT'S OFFICE. THE FORMS SHOULD BE RETAINED FOR NO LESS THAN SEVEN YEARS. 5.THE VICE PRESIDENT FOR LEGAL AFFAIRS WILL BE AVAILABLE TO ADVISE ON POTENTIAL CONFLICT OF INTEREST MATTERS. BOARD MEMBERS: BOARD MEMBERS ARE ALSO REQUIRED TO COMPLETE A POTENTIAL CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THIS QUESTIONNAIRE ASKS FOR DISCLOSURES RELATED TO ANY FAMILY RELATIONSHIPS OR BUSINESS RELATIONSHIPS WITH OTHER BOARD MEMBERS, OR BUSINESS RELATIONSHIPS WITH THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION FOLLOWS THE PROCESS DESCRIBED IN TREASURY REGULATION 53.4958-6(C) FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS IN THE REVIEW, APPROVAL, AND DOCUMENTATION OF ANY OFFICER, KEY MANAGEMENT, AND DIRECTOR COMPENSATION. THE CEO AND CFO ARE PAID BY UNIVERSITY HEALTH SERVICES, INC. (58-1581103). ANNUALLY, A COMPENSATION COMMITTEE OF THE UNIVERSITY HEALTH SERVICES (UHS) COMPRISED OF THREE INDEPENDENT BOARD MEMBERS REVIEWS THE COMPENSATION OF THE CEO AND OTHER SENIOR MANAGEMENT MEMBERS. THE REVIEW IS CONDUCTED IN THE CONTEXT OF A BOARD APPROVED EXECUTIVE COMPENSATION PHILOSOPHY. BOTH THE DEVELOPMENT OF THE COMPENSATION PHILOSOPHY AND THE REVIEWS INVOLVE THE ADVICE AND ASSISTANCE OF AN INDEPENDENT COMPENSATION CONSULTING FIRM. MINUTES OF THE COMPENSATION ARE RECORDED.
FORM 990, PART VI, SECTION C, LINE 18THE 990 IS ALSO AVAILABLE ON WWW.GUIDESTAR.ORG
FORM 990, PART VI, SECTION C, LINE 19ALL GOVERNING DOCUMENTS, POLICIES, FINANCIAL STATEMENTS, AND INFORMATIONAL RETURNS ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION OFFICE.
FORM 990, PART XI, LINE 9:EQUITY TRANSFER FROM UHS 25,874,626.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
UNIVERSITY HEALTHCARE PHYSICIANS LLC
1350 WALTON WAYAUGUSTAGA30901272042386PHYSICIAN OFFICESGA$0$0UNIVERSITY HEALTH INC
UNIVERSITY MEDICAL GROUP LLC
1350 WALTON WAYAUGUSTAGA30901274467379PHYSICIAN OFFICESGA$8,012,530$13,493,277UNIVERSITY HEALTH INC THRU UHCP
UNIVERSITY CARDIOLOGY ASSOCIATES
1350 WALTON WAYAUGUSTAGA30901451437971PHYSICIAN OFFICESGA$15,800,651$3,258,475UNIVERSITY HEALTH INC THRU UHCP
MEDICAL ONCOLOGY LLC
1350 WALTON WAYAUGUSTAGA30901452695782PHYSICIAN OFFICESGA$1,966,893$174,278UNIVERSITY HEALTH INC THRU UHCP
UMG NEUROLOGY LLC
1350 WALTON WAYAUGUSTAGA30901463326102PHYSICIAN OFFICESGA$931,077$35,447UNIVERSITY HEALTH INC THRU UHCP
UMG VASCULAR LLC
1350 WALTON WAYAUGUSTAGA30901463342973PHYSICIAN OFFICESGA$2,612,223$218,349UNIVERSITY HEALTH INC THRU UHCP
UNIVERSITY CRITICAL CARE MEDICINE LLC
1350 WALTON WAYAUGUSTAGA30901463105093PHYSICIAN OFFICESGA$3,628,099$150,690UNIVERSITY HEALTH INC THRU UHCP
UMG HOSPITALIST LLC
1350 WALTON WAYAUGUSTAGA30901463347646PHYSICIAN OFFICESGA$16,809,859$441,636UNIVERSITY HEALTH INC THRU UHCP
UMG INFECTIOUS DISEASE
1350 WALTON WAYAUGUSTAGA30901464694861PHYSICIAN OFFICESGA$850,380$30,363UNIVERSITY HEALTH INC THRU UHCP
UMG CARDIOTHORACIC SURGERY LLC
1350 WALTON WAYAUGUSTAGA30901463295395PHYSICIAN OFFICESGA$1,337,990$165,618UNIVERSITY HEALTH INC THRU UHCP
UNIVERSITY PRIMARY CARE AIKEN LLC (1)
1350 WALTON WAYAUGUSTAGA30901461175328PHYSICIAN OFFICESGA$0$0UNIVERSITY HEALTH INC THRU UHCP
UMG ENDOCRINOLOGY LLC
1350 WALTON WAYAUGUSTAGA30901463316180PHYSICIAN OFFICESGA$1,241,726$76,264UNIVERSITY HEALTH INC THRU UHCP
UMG GASTROENTEROLOY LLC
1350 WALTON WAYAUGUSTAGA30901471564753PHYSICIAN OFFICESGA$562,209$15,495UNIVERSITY HEALTH INC THRU UHCP
UMG NEUROSURGERY LLC
1350 WALTON WAYAUGUSTAGA30901471125478PHYSICIAN OFFICESGA$8,698,128$659,577UNIVERSITY HEALTH INC THRU UHCP
UMG GENERAL SURGERY LLC
1350 WALTON WAYAUGUSTAGA30901471016310PHYSICIAN OFFICESGA$1,440,584$93,052UNIVERSITY HEALTH INC THRU UHCP
UMG PROMPT CARE LLC
1350 WALTON WAYAUGUSTAGA30901472519838PHYSICIAN OFFICESGA$2,653,515$76,697UNIVERSITY HEALTH INC THRU UHCP
UMG PRIMARY CARE SOUTH CAROLINA LLC
1350 WALTON WAYAUGUSTAGA30901472345170PHYSICIAN OFFICESGA$2,227,959$99,882UNIVERSITY HEALTH INC THRU UHCP
UMG PROMPT CARE SOUTH CAROLINA LLC
1350 WALTON WAYAUGUSTAGA30901472361218PHYSICIAN OFFICESGA$2,357,345$96,836UNIVERSITY HEALTH INC THRU UHCP
UMG RHEUMATOLOGY LLC
1350 WALTON WAYAUGUSTAGA30901474285985PHYSICIAN OFFICESGA$171,706$14,935UNIVERSITY HEALTH INC THRU UHCP
UMG CONGESTIVE HEART FAILURE LLC
1350 WALTON WAYAUGUSTAGA30901812205908PHYSICIAN OFFICESGA$1,289,999$46,789UNIVERSITY HEALTH INC THRU UHCP
UMG PALLATIVE CARE LLC
1350 WALTON WAYAUGUSTAGA30901820648367PHYSICIAN OFFICESGA$168,495$22,767UNIVERSITY HEALTH INC THRU UHCP

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
UNIVERSITY HEALTH SERVICES INC
1350 WALTON WAYAUGUSTAGA30901581581103COMMUNITY HOSPITALGA501(C)(3)3UNIVERSITY HEALTH INCYes (1)
RICHMOND COUNTY HOSPITAL AUTHORITY
1350 WALTON WAYAUGUSTAGA30901586001901LEASED FACILITIESGA501(C)(3)30N/A
AUGUSTA RESOURCE CENTER ON AGING I
4275 OWENS ROADEVANSGA30809581728812NON PROFIT LIFE CARE COMMUNITYGA501(C)(3)9UNIVERSITY HEALTH INCYes (1)
UNIVERSITY EXTENDED CARE INC
1350 WALTON WAYAUGUSTAGA30901581581105SKILLED NURSING HOMESGA501(C)(3)3UNIVERSITY HEALTH INCYes (1)
UNIVERSITY HEALTH CARE FOUNDATION
2100 CENTRAL AVENUE SUITE D-1AUGUSTAGA30904581343550PHILANTHROPYGA501(C)(3)7UNIVERSITY HEALTH INCYes (1)
UNIVERSITY MCDUFFIE COUNTY REGIONAL
1350 WALTON WAYAUGUSTAGA30901454166209HOSPITALGA501(C)(3)3UNIVERSITY HEALTH INCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
UNIVERSITY HEALTH RESOURCES INC
1350 WALTON WAYAUGUSTAGA30901581601372PHYSICIAN SUPPORT SERVICESGAUNIVERSITY HEALTH INCC$5,615,087$11,548,1671.00000Yes (1)
UNIVERSITY HOSPITAL AIKEN INC
1350 WALTON WAYAUGUSTAGA30901472713774HOSPITALSCUNIVERSITY HEALTH INCC1.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
UNIVERSITY HEALTH RESOURCES INC
D$26,161,016COST
AUGUSTA RESOURCE CENTER ON AGING INC
D$6,323,336COST
UNIVERSITY MDUFFIE COUNTY REGIONAL
D$284,230COST
UNIVERSITY HEALTH SERVICES INC
E$1,688,805COST