UNIVERSITY HEALTH CARE FOUNDATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY HEALTH CARE FOUNDATION INC (EIN 58-1343550)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201413189349303996
Schema version
2013v3.0
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)
Return2014-11-14T11:58:22-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN570381582PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ELLIOTT DAVIS LLCPLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2278AddressLine1
CityAUGUSTACity
StateGAState
ZIP Code30903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581343550EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH CARE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlUNIVBusinessNameControlTxt
Phone7067229011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1
CityAUGUSTACity
StateGAState
ZIP Code30901ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID A BELKOSKIPersonNm
Person TitleCFOPersonTitleTxt
Phone7067229011PhoneNum
Signature2014-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDERON B STANCIL CPAPreparerPersonNm
PTINP00221718PTIN
Phone7067229090PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES R DAVISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1
CityAUGUSTACity
StateGAState
ZIP Code30901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$11,246,385GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UNIVERSITYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionSUPPORT OF UNIVERSITY HOSPITAL RELATING TO HOSPITAL SERVICES AS WELL AS PROVIDING ASSISTANCE TO THE INDIGENT POPULATION.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers205TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,156,273PYContributionsGrantsAmt
CY Contributions Grants$1,519,681CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,925,542PYInvestmentIncomeAmt
CY Investment Income$2,557,480CYInvestmentIncomeAmt
PY Other Revenue$13,556PYOtherRevenueAmt
CY Other Revenue$154,880CYOtherRevenueAmt
PY Total Revenue$4,095,371PYTotalRevenueAmt
CY Total Revenue$4,232,041CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$84,252CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$447,334CYTotalFundraisingExpenseAmt
PY Other Expenses$3,808,201PYOtherExpensesAmt
CY Other Expenses$2,628,335CYOtherExpensesAmt
PY Total Expenses$3,808,201PYTotalExpensesAmt
CY Total Expenses$2,712,587CYTotalExpensesAmt
PY Revenues Less Expenses$287,170PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,519,454CYRevenuesLessExpensesAmt
Total Assets BOY$32,537,062TotalAssetsBOYAmt
Total Assets EOY$36,454,013TotalAssetsEOYAmt
Total Liabilities BOY$403,866TotalLiabilitiesBOYAmt
Total Liabilities EOY$367,368TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$32,133,196NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$36,086,645NetAssetsOrFundBalancesEOYAmt
MissionSUPPORT OF UNIVERSITY HOSPITAL RELATING TO HOSPITAL SERVICES AS WELL AS PROVIDING ASSISTANCE TO THE INDIGENT POPULATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,841,403ExpenseAmt
Grant$84,252GrantAmt
DescSUPPORT OF UNIVERSITY HOSPITAL RELATING TO HOSPITAL SERVICES AS WELL AS PROVIDING ASSISTANCE TO THE INDIGENT POPULATION.Desc
Total Program Service Expenses$1,841,403TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
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 ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 CFOBusinessNameLine1
FieldValueIRS element (for citing)
Phone7067747710PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1UHI 1350 WALTON WAYAddressLine1
CityAUGUSTACity
StateGAState
ZIP Code309012629ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
MAC BOWMAN MD
BOARD MEMBER1.0059.00Yes (X)$0$1,172,666$25,370
RUSSELL MOBLEY
CHAIR ELECT1.00Yes (X)$0$0$0
NATALIE SCHWEERS
CHAIRMAN1.00Yes (X)$0$0$0
PETE CAYE JR
BOARD MEMBER1.00Yes (X)$0$0$0
AVIS B YOUNT
VICE CHAIR1.00Yes (X)$0$0$0
SUSAN HUNNICUTT
BOARD MEMBER1.00Yes (X)$0$0$0
JED W HOWINGTON MD
BOARD MEMBER1.00Yes (X)$0$0$0
CATHERINE D KNOX
BOARD MEMBER1.00Yes (X)$0$0$0
ELAINE CLARK SMITH
BOARD MEMBER1.00Yes (X)$0$0$0
W CRAIG SMITH
BOARD MEMBER1.00Yes (X)$0$0$0
MARK J WILLS
BOARD MEMBER1.00Yes (X)$0$0$0
WILLIAM H WOODWARD
BOARD MEMBER1.00Yes (X)$0$0$0
WILLIAM E BARFIELD JR MD
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID A BELKOSKI
SYSTEM CFO5.0050.00$0$568,873$26,548Yes (X)
LAURIE SMITH
PRESIDENT25.0030.00$0$288,581$8,405Yes (X)
JAMES R DAVIS
CEO5.0050.00$0$797,502$260,477Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,827,622TotReportableCompRltdOrgAmt
Total Other Compensation$320,800TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$560,385FundraisingAmt
All Other Contributions$959,296AllOtherContributionsAmt
Noncash Contributions$96,905NoncashContributionsAmt
Total Contributions$1,519,681TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,118,610TotalRevenueColumnAmt
Exclusion$1,118,610ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,341,265SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,902,395SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,438,870SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,438,870TotalRevenueColumnAmt
Exclusion$1,438,870ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$266,829FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$560,385ContriRptFundraisingEventAmt
Fundraising Direct Expenses$111,949FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$154,880TotalRevenueColumnAmt
Exclusion$154,880ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,232,041TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,712,360ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$84,252TotalAmt
Program Services$84,252ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$98,070TotalAmt
Program Services$16,949ProgramServicesAmt
Management And General$41,865ManagementAndGeneralAmt
Fundraising$39,256FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,885TotalAmt
Program Services$3,955ProgramServicesAmt
Management And General$9,769ManagementAndGeneralAmt
Fundraising$9,161FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,441TotalAmt
Program Services$2,229ProgramServicesAmt
Management And General$7,050ManagementAndGeneralAmt
Fundraising$5,162FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,651TotalAmt
Program Services$977ProgramServicesAmt
Management And General$2,412ManagementAndGeneralAmt
Fundraising$2,262FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$1,608,936TotalAmt
Program Services$1,608,936ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$38,275TotalAmt
Program Services$6,615ProgramServicesAmt
Management And General$16,339ManagementAndGeneralAmt
Fundraising$15,321FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PURCHASED LABOR$628,351$108,596$268,235$251,520
SUPPLIES$107,429$4,160$3,341$99,928
REVALUATION OF ANNUITY$31,240$31,240
DUES & MEMBERSHIPS$28,168$28,168

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$44,889TotalAmt
Program Services$4,734ProgramServicesAmt
Management And General$15,431ManagementAndGeneralAmt
Fundraising$24,724FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,712,587TotalAmt
Program Services$1,841,403ProgramServicesAmt
Management And General$423,850ManagementAndGeneralAmt
Fundraising$447,334FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,707,780BOYAmt
EOY$1,848,396EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$946,820BOYAmt
EOY$637,554EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$44,893BOYAmt
EOY$19,335EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$832,726LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$512,622LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$358,378BOYAmt
EOY$320,104EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$29,219,927BOYAmt
EOY$33,302,342EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$139,409BOYAmt
EOY$202,267EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$119,855BOYAmt
EOY$124,015EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$32,537,062BOYAmt
EOY$36,454,013EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$15,078BOYAmt
EOY$40,901EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$176BOYAmt
EOY$794EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$388,612BOYAmt
EOY$325,673EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$403,866BOYAmt
EOY$367,368EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$530,592BOYAmt
EOY$885,610EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,304,425BOYAmt
EOY$15,569,965EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,298,179BOYAmt
EOY$19,631,070EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,133,196BOYAmt
EOY$36,086,645EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,537,062BOYAmt
EOY$36,454,013EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,519,454ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,718,580NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$715,415OtherChangesInNetAssetsAmt
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,096,592CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,187,987CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,435,475CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,156,273CurrentTaxYearMinus1YearAmt
Current Tax Year$1,520,239CurrentTaxYearAmt
Total$9,396,566TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,096,592CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,187,987CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,435,475CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,156,273CurrentTaxYearMinus1YearAmt
Current Tax Year$1,520,239CurrentTaxYearAmt
Total$9,396,566TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,532,826SubstantialContributorsTotAmt
Public Support Total170$7,863,740PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$729,399CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$767,852CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$779,994CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$908,641CurrentTaxYearMinus1YearAmt
Current Tax Year$1,118,610CurrentTaxYearAmt
Total$4,304,496TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,260CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$59,636CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,432CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,556CurrentTaxYearMinus1YearAmt
Current Tax Year$154,880CurrentTaxYearAmt
Total$179,492TotalAmt
FieldValueIRS element (for citing)
Total Support$13,880,554TotalSupportAmt
Public Support CY1700.56650PublicSupportCY170Pct
Public Support PY1700.56450PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,981,278BeginningYearBalanceAmt
Contributions$301,329ContributionsAmt
Investment Earnings Or Losses$3,745,231InvestmentEarningsOrLossesAmt
Grants Or Scholarships$30,400GrantsOrScholarshipsAmt
Other Expenditures$479,554OtherExpendituresAmt
Administrative Expenses$92,107AdministrativeExpensesAmt
End Year Balance$30,425,777EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$23,411,726BeginningYearBalanceAmt
Contributions$473,183ContributionsAmt
Investment Earnings Or Losses$3,599,313InvestmentEarningsOrLossesAmt
Grants Or Scholarships$24,400GrantsOrScholarshipsAmt
Other Expenditures$394,316OtherExpendituresAmt
Administrative Expenses$84,228AdministrativeExpensesAmt
End Year Balance$26,981,278EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,425,233BeginningYearBalanceAmt
Contributions$400,349ContributionsAmt
Investment Earnings Or Losses-$850,995InvestmentEarningsOrLossesAmt
Grants Or Scholarships$27,500GrantsOrScholarshipsAmt
Other Expenditures$407,602OtherExpendituresAmt
Administrative Expenses$127,759AdministrativeExpensesAmt
End Year Balance$23,411,726EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,992,851BeginningYearBalanceAmt
Contributions$674,386ContributionsAmt
Investment Earnings Or Losses$3,196,451InvestmentEarningsOrLossesAmt
Grants Or Scholarships$30,000GrantsOrScholarshipsAmt
Other Expenditures$339,369OtherExpendituresAmt
Administrative Expenses$69,086AdministrativeExpensesAmt
End Year Balance$24,425,233EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,482,594BeginningYearBalanceAmt
Contributions$249,749ContributionsAmt
Investment Earnings Or Losses$4,538,485InvestmentEarningsOrLossesAmt
Grants Or Scholarships$10,900GrantsOrScholarshipsAmt
Other Expenditures$205,556OtherExpendituresAmt
Administrative Expenses$61,521AdministrativeExpensesAmt
End Year Balance$20,992,851EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.64250PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.35750TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$116,300OtherCostOrOtherBasisAmt
Book Value$116,300BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$520,000OtherCostOrOtherBasisAmt
Depreciation$343,200DepreciationAmt
Book Value$176,800BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,806OtherCostOrOtherBasisAmt
Depreciation$64,276DepreciationAmt
Book Value$15,530BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,187OtherCostOrOtherBasisAmt
Depreciation$96,713DepreciationAmt
Book Value$11,474BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,433OtherCostOrOtherBasisAmt
Depreciation$8,433DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$320,104TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCHARITABLE GIFT ANNUITY LIABILITYDesc
Amt$325,673Amt
FieldValueIRS element (for citing)
Total Liability$325,673TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,950,621TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,718,580NetUnrealizedGainsInvstAmt
Revenue Not Reported$1,718,580RevenueNotReportedAmt
Revenue Subtotal$4,232,041RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,232,041TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,712,587TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,712,587ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,712,587TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2013. FISCAL YEARS ENDED ON OR AFTER DECEMBER 31, 2010 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1MIRACLE MILE WALKNameOfEvent1Amt
Gross Receipts Event1$456,538GrossReceiptsEvent1Amt
Charitable Contri Event1$400,992CharitableContriEvent1Amt
Gross Revenue Event1$55,546GrossRevenueEvent1Amt
Rent Facility Costs Event1$650RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$32,204OtherDirectExpensesEvent1Amt
Name Of Event2JERNIGAN GOLFNameOfEvent2Amt
Gross Receipts Event2$197,681GrossReceiptsEvent2Amt
Charitable Contri Event2$73,956CharitableContriEvent2Amt
Gross Revenue Event2$123,725GrossRevenueEvent2Amt
Cash Prizes Event2$1,200CashPrizesEvent2Amt
Non Cash Prizes Event2$11,498NonCashPrizesEvent2Amt
Rent Facility Costs Event2$13,872RentFacilityCostsEvent2Amt
Food And Beverage Event2$1,077FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$15,788OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$172,995GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$85,437CharitableContriOtherEventsAmt
Gross Revenue Other Events$87,558GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$2,500RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$17,189FoodAndBeverageOtherEventsAmt
Entertainment Other Events$150EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$15,821OthDirectExpnssOtherEventsAmt
Gross Receipts Total$827,214GrossReceiptsTotalAmt
Charitable Contributions Tot$560,385CharitableContributionsTotAmt
Gross Revenue Total Events$266,829GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,200CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$11,498NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$17,022RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$18,266FoodAndBeverageTotalEventsAmt
Entertainment Total Events$150EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$63,813OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$111,949DirectExpenseSummaryEventsAmt
Net Income Summary$154,880NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIP AND AWARD DISBURSEMENTSGrantTypeTxt
Recipient55RecipientCnt
Cash Grant$84,252CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2:UNIVERSITY HEALTH CARE FOUNDATION HAS A TOTAL OF EIGHT 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 EIGHT 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

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
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 (4 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
MAC BOWMAN MD
BOARD MEMBER$0$783,716$0$75,698$0$313,252$0$10,901$0$14,469$0$1,198,036$0$0
DAVID A BELKOSKI
SYSTEM CFO$0$377,771$0$95,254$0$95,848$0$10,351$0$16,197$0$595,421$0$0
LAURIE SMITH
PRESIDENT$0$216,023$0$35,648$0$36,910$0$6,779$0$1,626$0$296,986$0$0
JAMES R DAVIS
CEO$0$623,566$0$152,342$0$21,594$0$246,139$0$14,338$0$1,057,979$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ASOCIAL CLUB DUES SOCIAL CLUB DUES - THE ORGANIZATION 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 CEOS AND CFO.
PART I, LINE 4BMAC A BOWMAN - ROTH IUL - $58,100 - SECTION 162 - $33,095 JAMES R DAVIS - SERP - $235,504 DAVID A BELKOSKI - ROTH IUL - $53,025 LAURIE OTT SMITH - ROTH IUL - $15,208 - 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 6BONUS PLAN 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: UNIVERSITY HEALTH SERVICES, INC. 2013 STRATEGIC INITIATIVES WEIGHT QUALITY 20% IMPROVE AGGREGATE CORE MEASURE SCORE GROWTH 10% EVANS ED/GROVETOWN UC/AIKEN UC LAUNCH 10% MCDUFFIE CONSTRUCTION LAUNCH FINANCE 10% UHS OPERATING MARGIN 20% UHI OPERATING MARGIN PEOPLE 5% REDUCE 365-DAY NEW HIRE TURNOVER RATE SYSTEMS 10% MEANINGFUL USE SUBMISSION 15% PERSONNEL 100% EACH GOAL THAT WAS ACHIEVED REPRESENTED THAT PERCENTAGE OF BONUS PAYOUT OF A POSSIBLE 100% BASED ON THRESHOLD LEVEL, TARGET LEVEL, OR AN EXCEED LEVEL.

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$18,492NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution20ContributionCnt
Noncash Contributions Rpt F990$5,548NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$5,730NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (7 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)ADVERTISING10$32,407COST
Yes (X)GOLF CARTS4$13,871COST
Yes (X)GIFT CERTIFIC31$13,293COST
Yes (X)TRIP AND INSU1$2,500COST
Yes (X)SUPPLIES10$2,448COST
Yes (X)GOLF SUPPLIES20$2,374COST
Yes (X)TICKETS2$242COST
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A 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 12CEXPLANATION 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 15COMPENSATION REVIEW & APPROVAL PROCESS - OFFICERS & KEY EMPLOYEES THE ORGANIZATION FOLLOWS THE PROCESS DESCRIBED IN TREASURY REGULATION 4958(6)C FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS IN THE REVIEW, APPROVAL, AND DOCUMENTATION OF OFFICER, KEY MANAGEMENT, AND DIRECTOR COMPENSATION. ANNUALLY, A COMPENSATION COMMITTEE OF THE UNIVERSITY HEALTH SERVICES BOARD, COMPRISED OF THREE INDEPENDENT BOARD MEMBERS, REVIEWS THE COMPENSATION OF THE CEO AND OTHER SENIOR MANAGEMENT MEMBERS. THE REVIEW IS CONDUCTED IN THE CONTEXT OF A BOARD APPROVED EXECUTIVE COMPENSATION PHILOSOPHY. BOTH THE DEVELOPMENT OF THE COMPENSATION PHILOSOPHY AND THE REVIEW INVOLVE THE ADVICE AND ASSISTANCE OF AN INDEPENDENT COMPENSATION CONSULTING FIRM. MINUTES OF THE COMPENSATION COMMITTEE ARE RECORDED. THE COMPENSATION COMMITTEE REPORTS TO THE UNIVERSITY HEALTH SERVICES BOARD EXECUTIVE COMMITTEE. 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 19ALL 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 715,410. ROUNDING 5.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
UNIVERSITY HEALTH INC
1350 WALTON WAYAUGUSTAGA30901581581102CONSOLIDATING PARENTGA501(C)(3)LINE 9N/A0
RICHMOND COUNTY HOSPITAL AUTHORITY
1350 WALTON WAYAUGUSTAGA30901586001901LEASED FACILITIESGA501(C)(3)LINE 3N/A0
AUGUSTA RESOURCE CENTER ON AGING
4275 OWENS RDEVANSGA30809581728812NONPROFIT LIFE CARE COMMUNITYGA501(C)(3)LINE 90UNIVERSITY HEALTH INC
UNIVERSITY EXTENDED CARE INC
1350 WALTON WAYAUGUSTAGA30901581581105SKILLED NURSING FACILITIESGA501(C)(3)LINE 30UNIVERSITY HEALTH INC
UNIVERSITY HEALTH SERVICES INC
1350 WALTON WAYAUGUSTAGA30901581581103HOSPITALGA501(C)(3)LINE 30UNIVERSITY HEALTH INC
UNIVERSITY HOSPICE INC
1350 WALTON WAYAUGUSTAGA30901275008428END OF LIFE SUPPORTGA501(C)(3)LINE 90UNIVERSITY HEALTH INC
UNIVERSITY MCDUFFIE COUNTY REGIONAL
1350 WALTON WAYAUGUSTAGA30901454166209HOSPITALGA501(C)(3)LINE 30UNIVERSITY HEALTH INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH RESOURCES INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 WALTON WAYAddressLine1
CityAUGUSTACity
StateGAState
ZIP Code30901ZIPCode
FieldValueIRS element (for citing)
EIN581601372EIN
Primary ActivitiesSERVICES TO PHYSICIAN PRACTICESPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
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 Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
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 OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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