2014-11-14T05:32:11-08:00 2013-12-31 990 2013-01-01 581581102 University Health Inc UNIV 7068282406 1350 Walton Way Augusta GA 30901 David A Belkoski CFO 2014-11-14 2013 2015-11-30 17:44:51Z James Davis 1350 Walton Way Augusta GA 30901 38681710 false false X www.universityhealth.org X 1984 GA Primary 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. 14 13 85 0 0 33342480 34600585 2614636 3407503 601432 673622 36558548 38681710 0 0 42223656 49491233 0 0 13169377 10344065 55393033 59835298 -18834485 -21153588 69553383 81459378 44852384 19219046 24700999 62240332 Primary 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. false false 55955167 36600585 University 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. 55955167 true false false false false false false false false false true false true true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false false false true true true false false false true 43 0 true 85 true false false false false false false false false 0 false false false false false false false false false false X 14 13 false false false false false false false true true false true true true true true true true true true true false X X David A Belkoski Exec VPCFO 7068282406 1350 Walton Way Augusta GA 30901 X Randolph R Smith MD Board Chairman 1.00 0.00 X X 0 0 0 Ellen G Shaver MD Board Member 1.00 0.00 X 0 0 0 Brian J Marks BD Secretary 1.00 0.00 X X 0 0 0 Terry D Elam Board Member 1.00 0.00 X 0 0 0 Dana T Atkins Board Member 1.00 0.00 X 0 0 0 Jeffrey L Foreman Board Member 1.00 0.00 X 0 0 0 Hugh L Hamilton Board Member 1.00 0.00 X 0 0 0 Levi W Hill IV Board Member 1.00 0.00 X 0 0 0 Sanford Loyd Board Member 1.00 0.00 X 0 0 0 Eugene F McManus Board Member 1.00 0.00 X 0 0 0 James W Bennett Jr Board Member 1.00 0.00 X 0 0 0 Natalie D Schweers Board Member 1.00 0.00 X 0 0 0 Daniel H Boone MD Board Member 1.00 0.00 X 0 35000 0 William P Doupe Board Member 1.00 0.00 X 0 0 0 James Davis UHCS CEO 5.00 50.00 X 0 797503 260477 David A Belkoski UHCS CFO 5.00 50.00 X 0 568872 26548 Tim Woodall Executive Director-Physician Svcs 50.00 0.00 X 0 171085 17859 David Clark Physician 50.00 0.00 X 1277030 0 19876 Gordon L Waters Physician 50.00 0.00 X 1199076 0 12802 Mac A Bowman Physician 50.00 0.00 X 1172666 0 25370 Faiz Rehman Physician 50.00 0.00 X 1178438 0 21421 Kraig Wangsnes Physician 50.00 0.00 X 951140 0 22717 5778350 1572460 407070 78 false true false Optimum Outcomes Inc 4524 Southlake PKWY Suite 15 Hoover AL 35244 Revenue Cycle 339176 Himformatics 1735 Buford Hwy Cumming GA 30041 AR Consulting 111755 2 0 Hospitaltist Services 621110 5862331 5862331 Physician Fees 621110 28738254 28738254 34600585 3407503 3407503 0 0 0 0 0 0 0 Miscellaneous 900099 132287 132287 Research Revenue 900099 541335 541335 673622 38681710 35274207 3407503 0 0 0 0 0 0 40376907 37921526 2455381 454424 427159 27265 7622876 7165503 457373 1037026 974814 62212 0 47211 8599 38612 0 0 0 0 1824806 1234064 590742 29751 29751 470151 431653 38498 937623 937623 0 2621261 2514224 107037 0 0 0 0 0 1311527 1299976 11551 913518 913146 372 Med Surg & Pharm Supplies 895251 895251 Education & Travel 341210 323719 17491 Dues & Misc Annual Fees 277157 263281 13876 General Supplies 224578 213999 10579 450021 430630 19391 59835298 55955167 3880131 0 3587331 3311999 0 0 4960546 3066409 0 0 0 0 948077 984781 5732179 1502651 3188681 4229528 0 0 27466747 27077171 0 29402001 42789490 69553383 81459378 1517438 2150915 106909 19045 13920000 43228037 3129086 44852384 19219046 X 24700999 62240332 24700999 62240332 69553383 81459378 X -21153588 58692921 X false true X true false X 0 0 1559258 10331389 33342480 34600585 79833712 0 0 1559258 10331389 33342480 34600585 79833712 0 0 79833712 2063434 2228055 2614636 3407503 10313628 0 2063434 2228055 2614636 3407503 10313628 0 15163 812614 601432 673622 2102831 3637855 13372058 36558548 38681710 92250171 0.86540 0.84440 0.11180 0.12890 X 902864 902864 1202335 295216 907119 3606799 1207435 2399364 20181 20181 4229528 27077171 Assets held in Escrow 13920000 Due from University Health Resources Inc 26226166 Work force in Place 2643324 42789490 Due to Affiliate 3129086 3129086 X Part X : FIN48 Footnote Accounting 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 taxexempt 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, 2013. Fiscal years ended on or after December 31, 2008 remain subject to examination by federal and state tax authorities. X true true X X X X X false true false false false false true false false false David A Belkoski UHCS CFO 377770 95254 95848 10351 16197 595420 David Clark Physician 1085356 51736 139938 8050 11826 1296906 Faiz Rehman Physician 922235 68630 187573 9595 11826 1199859 Gordon L Waters Physician 981180 58493 159403 5781 7021 1211878 James Davis UHCS CEO 623567 152342 21594 246139 14338 1057980 Kraig Wangsnes Physician 783097 64857 103186 10891 11826 973857 Mac A Bowman Physician 783716 75698 313252 10901 14469 1198036 Tim Woodall Executive Director-Physician Svcs 166034 5051 6033 11826 188944 Part I, Line 1a: Relevant information in regards to selections on 1a. Social Club Dues- The related organization pays membership fees for the CEO (James Davis) CFO (David Belkoski) to the Augusta Country Club and 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 are included in the wages of the CEOs and CFO. Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or 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 2013 these initiatives were weighted as displayed in the following schedule and applies to System Executives & Vice Presidents of the related organization, University Health Services Inc: UNIVERSITY HEALTH SERVICES, Inc. 2013 Strategic InitiativesWeight Quality20% Improve aggregate Core Measure Score Growth10% Evans ED/Grovetown UC/Aiken UC Launch10% McDuffie Construction Launch Finance10% UHS Operating Margin20% UHI Operating Margin People5% Reduce 365-day New Hire Turnover Rate Systems10% Meaningful Use Sumbission (UH/Medicare)15% Personal100% Each goal that was achieved represented that percentage of bonus payoutout of a possible 100% based on a Threshold level, Target Level, or an Exceed Level. 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 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 MembersBoard Members are required to complete a Potential Conflict of Interest Questionnaire annually. The questionnaire asks for disclosures related to any family or business relationships with other board members or business relationships with the Organization. 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. 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, Line 19: Other Organization Documents Publicly Available Governing docs, policies, and financial statements are available upon request to the administration office.The 990 is also available on www.Guidestar.org Other Changes In Net Assets Or Fund Balances - Other Decreases Adjustment Implementation of FASB ASU 2012-1 = -$3797079 Other Changes In Net Assets Or Fund Balances - Other Increases Equity Transfer from UHS = $62489999 Other Changes In Net Assets Or Fund Balances - Other Increases Rounding = $1 University Healthcare Physicians LLC 1350 Walton Way Augusta GA 30901 272042386 Physician offices GA University Health Inc University Medical Group LLC 1350 Walton Way Augusta GA 30901 274467379 Physician Offices GA 23111644 7960594 University Health Inc thru UHCP University Cardiology Associates 1350 Walton Way Augusta GA 30901 451437971 Physician Offices GA 11847938 6871201 University Health Inc thru UHCP Medical Oncology LLC 1350 Walton Way Augusta GA 30901 452695782 Physician Offices GA 1110446 374516 University Health Inc thru UHCP Richmond County Hospital Authority 1350 Walton Way Augusta GA 30901 586001901 Leased facilities GA 501(c)(3) 3 N/A false Augusta Resource Center on Aging Inc 4275 Owens Rd Evans GA 30809 581728812 Nonprofit Life Care Community GA 501(c)(3) 9 University Health Inc true University Extended Care Inc 1350 Walton Way Augusta GA 30901 581581105 Skilled Nursing Home GA 501(c)(3) 3 University Health Inc true University Health Services Inc 1350 Walton Way Augusta GA 30901 581581103 Hospital GA 501(c)(3) 3 University Health Inc true University Health Care Foundation Inc 2100 Central Ave Suite D-1 Augusta GA 30904 581343550 Philantrophy GA 501(C)(3) 7 University Health Inc true University Hospice Inc 1350 Walton Way Augusta GA 30901 275008428 Provide services for end of life issues GA 501(c) (3) 9 Univeristy Health Inc true University McDuffie County Regional 1350 Walton Way Augusta GA 30901 454166209 Hospital GA 501(c)(3) 3 University Health Inc true University Health Resources Inc 1350 Walton Way Augusta GA 30901 581601372 Physician Support Services GA N/A C Corp 4622152 17363919 1.00000 true false false false true false false false false false false false false false false false false false false false University Health Resources Inc d 26226166 Cost