2015-11-13T10:00:25-06:00 2014-12-31 570381582 ELLIOTT DAVIS DECOSIMO LLCPLLC ONE 10TH STREET SUITE 400 AUGUSTA GA 30901 990 2014-01-01 581343550 UNIVERSITY HEALTH CARE FOUNDATION INC UNIV 7068282406 1350 WALTON WAY AUGUSTA GA 30901 DAVID A BELKOSKI CFO 7068282406 2015-11-12 1 DERON B STANCIL CPA P00221718 7067229090 2014 2016-04-25 22:37:26Z JAMES R DAVIS 1350 WALTON WAY AUGUSTA GA 30901 18703674 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 0 164 0 0 1519681 2428547 0 0 2557480 2894521 154880 103883 4232041 5426951 84252 53400 0 0 0 0 0 0 375181 2628335 3129453 2712587 3182853 1519454 2244098 36454013 38560325 367368 322314 36086645 38238011 SUPPORT OF UNIVERSITY HOSPITAL RELATING TO HOSPITAL SERVICES AS WELL AS PROVIDING ASSISTANCE TO THE INDIGENT POPULATION. 0 0 2335434 53400 SUPPORT OF UNIVERSITY HOSPITAL RELATING TO HOSPITAL SERVICES AS WELL AS PROVIDING ASSISTANCE TO THE INDIGENT POPULATION. 2335434 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 19 0 0 0 0 0 0 0 1 1 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 7067747710 UHI 1350 WALTON WAY AUGUSTA GA 309012629 MAC BOWMAN MD BOARD MEMBER 1.00 59.00 X 0 1130410 21247 RUSSELL MOBLEY CHAIR 1.00 X 0 0 0 PETE CAYE JR VICE CHAIR 1.00 X 0 0 0 AVIS B YOUNT CHAIR ELECT 1.00 X 0 0 0 SUSAN HUNNICUTT BOARD MEMBER 1.00 X 0 0 0 JED W HOWINGTON MD BOARD MEMBER 1.00 X 0 0 0 CATHERINE D KNOX BOARD MEMBER 1.00 X 0 0 0 ELAINE CLARK SMITH BOARD MEMBER 1.00 X 0 0 0 W CRAIG SMITH BOARD MEMBER 1.00 X 0 0 0 MARK J WILLS BOARD MEMBER 1.00 X 0 0 0 RHONDA S GRAYBEAL BOARD MEMBER 1.00 X 0 0 0 WILLIAM E BARFIELD JR MD BOARD MEMBER 1.00 X 0 0 0 ANNE D TROTTER BOARD MEMBER 1.00 X 0 0 0 DAVID A BELKOSKI SYSTEM CFO 5.00 50.00 X 0 559019 19967 LAURIE SMITH PRESIDENT 25.00 30.00 X 0 333929 6858 JAMES R DAVIS CEO 5.00 50.00 X 0 785464 283187 0 2808822 331259 0 0 1 0 0 655465 1773082 85313 2428547 1050041 1050041 15009463 13164983 1844480 1844480 1844480 175041 655465 99312 75729 75729 40582 12428 28154 28154 5426951 0 0 2998404 53400 53400 77771 17619 36011 24141 4572 4572 14588 3305 6755 4528 15251 3033 8062 4156 2706 613 1253 840 23775 23775 2083075 2083075 36751 8326 17017 11408 PURCHASED LABOR 667888 151310 309255 207323 SUPPLIES 97501 6380 3586 87535 REVALUATION OF ANNUITY 51976 51976 PURCHASED SERVICES 18768 4252 8690 5826 34831 4121 25061 5649 3182853 2335434 472238 375181 1848396 734181 637554 649645 19335 21387 832726 549373 320104 283353 33302342 36488482 202267 259262 124015 124015 36454013 38560325 40901 12146 794 325673 310168 367368 322314 X 885610 929366 15569965 17379837 19631070 19928808 36086645 38238011 36454013 38560325 X 2244098 -851231 758499 X 0 1 X 1 0 X 2187987 2435475 2156273 1520239 2428547 10728521 2187987 2435475 2156273 1520239 2428547 10728521 1628044 9100477 767852 779994 908641 1118610 1050041 4625138 -59636 67432 13556 154880 103883 280115 15633774 0.58210 0.56650 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: VARIOUS FUNDRAISERS - 2010 AMOUNT: $ -59,636. 2011 AMOUNT: $ 67,432. 2012 AMOUNT: $ 13,556. 2013 AMOUNT: $ 154,880. 2014 AMOUNT: $ 103,883. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30425777 279480 1863438 53400 449516 70606 31995173 26981278 301329 3745231 30400 479554 92107 30425777 23411726 473183 3599313 24400 394316 84228 26981278 24425233 400349 -850995 27500 407602 127759 23411726 20992851 674386 3196451 30000 339369 69086 24425233 0.62080 0.37920 0 0 116300 116300 520000 364000 156000 79806 71702 8104 116620 113671 2949 283353 CHARITABLE GIFT ANNUITY LIABILITY 310168 310168 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, 2014. FISCAL YEARS ENDED ON OR AFTER DECEMBER 31, 2011 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. MIRACLE MILE WALK 431664 370745 60919 650 29230 JERNIGAN GOLF 217225 182024 35201 10332 10030 4457 3 181617 102696 78921 2239 9372 19459 13543 830506 655465 175041 12571 20052 19459 47230 99312 75729 40582 12428 1 0.75000 40582 12428 12428 28154 GA 1 0 1 0 1.00000 JUDY MORRIS 1350 WALTON WAY AUGUSTA GA 30901 0 JUDY MORRIS 42691 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 53 53400 PART I, LINE 2: UNIVERSITY HEALTH CARE FOUNDATION HAS A TOTAL OF ELEVEN 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 ELEVEN 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 781571 0 35479 0 313360 0 6659 0 14588 0 1151657 0 0 DAVID A BELKOSKI SYSTEM CFO 0 398409 0 60000 0 100610 0 7823 0 12144 0 578986 0 0 LAURIE SMITH PRESIDENT 0 227570 0 60000 0 46359 0 5232 0 1626 0 340787 0 0 JAMES R DAVIS CEO 0 630798 0 70000 0 84666 0 268961 0 14226 0 1068651 0 0 PART I, LINE 1A SOCIAL CLUB DUES SOCIAL CLUB DUES - A RELATED ORGANIZATION (UNIVERSITY HEALTH SERVICES, INC.) PAYS MEMBERSHIP FEES FOR THE CEO (JAMES DAVIS) AND CFO (DAVID BELKOSKI) TO THE AUGUSTA COUNTRY CLUB AND THE WEST LAKE COUNTRY CLUB. THESE MEMBERSHIP FEES ARE PAID SO THE ORGANIZATION CAN HAVE ACCESS TO THE MEETING FACILITIES AND CATERING SERVICES THESE ORGANIZATIONS PROVIDE FOR MEETINGS THAT ARE HELD OFF CAMPUS. ANY PERSONAL USE, RELATED TO THESE MEMBERSHIPS, IS INCLUDED IN THE WAGES OF THE CEO AND CFO. PART I, LINE 4B MAC A BOWMAN - ROTH IUL - $58,100 - SECTION 162 - $33,095 JAMES R DAVIS - SERP - $261,080 DAVID A BELKOSKI - ROTH IUL - $54,619 LAURIE OTT SMITH - ROTH IUL - $24,330 - SECTION 162 - $2,541 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 2014 THESE INITIATIVES WERE WEIGHTED AS DISPLAYED IN THE FOLLOWING SCHEDULE: UNIVERSITY HEALTH SERVICES, INC 2014 STRATEGIC INITIATIVES WEIGHT QUALITY 12.75% IMPROVE AGGREGATE CORE MEASURE SCORE 12.75% OVERALL RATING OF CARE GROWTH 8.50% DEVELOP AIKEN STRATEGY 8.50% COMPLETE CONSTRUCTION OF UNIVERSITY HOSPITAL MCDUFFIE FINANCE 17% UHS OPERATING MARGIN 17% UHI OPERATING MARGIN PEOPLE 8.50% REDUCE 365-DAY NEW HIRE TURNOVER RATE 15% PERSONAL 100% EACH GOAL THAT WAS ACHIEVED REPRESENTED THAT PERCENTAGE OF BONUS PAYOUT OUT OF A POSSIBLE 100% BASED ON THRESHOLD LEVEL, TARGET LEVEL OR AN EXCEED LEVEL. X 6564 COST X 1 935 COST X 2 2754 COST X 1 83 COST X ADVERTISING 5 36704 COST X GOLF CARTS 3 10791 COST X SHRUBBERY FOR EXTERIOR OF UH-MCDUFFIE 1 8702 COST X GIFT CERTIFICATE 50 6530 COST X VACATION AND HUNTING TRIP PACKAGES 3 5556 COST X SUPPLIES 2 1868 COST X WASHING MACHINE AND DRYER 1 1178 COST X GOLF SUPPLIES 8 1028 COST X GENERATOR 1 800 COST X POOL TABLE 1 800 COST X JUKE BOX 1 600 COST X TICKETS 4 420 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 758,493. ROUNDING 6. UNIVERSITY HEALTH INC 1350 WALTON WAY AUGUSTA GA 30901 581581102 CONSOLIDATING PARENT GA 501(C)(3) LINE 9 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 4275 OWENS RD EVANS GA 30809 581728812 NONPROFIT LIFE CARE COMMUNITY GA 501(C)(3) LINE 9 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 HOSPICE INC 1350 WALTON WAY AUGUSTA GA 30901 275008428 END OF LIFE SUPPORT GA 501(C)(3) LINE 9 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