UNIVERSITY HEALTH INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- UNIVERSITY HEALTH INC (EIN 58-1581102)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-13
- IRS object ID
- 201323179349300707
- Schema version
- 2012v2.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-13T05:03:13-08:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581581102 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | University Health Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UNIV | NameControl |
| Phone | 7068282406 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 Walton Way | AddressLine1 |
| City | Augusta | City |
| State | GA | State |
| ZIP Code | 30901 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | David A Belkoski | Name |
| Title | CFO | Title |
| Date Signed | 2013-11-13 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | James Davis | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 Walton Way | AddressLine1 |
| City | Augusta | City |
| State | GA | State |
| ZIP Code | 30901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 36558548 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.universityhealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 74 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 10331389 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 33342480 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2228055 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2614636 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 812614 | OtherRevenuePriorYear |
| Other Revenue Current Year | 601432 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 13372058 | TotalRevenuePriorYear |
| Total Revenue Current Year | 36558548 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 11050222 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 42223656 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6571221 | OtherExpensePriorYear |
| Other Expenses Current Year | 13169377 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 17621443 | TotalExpensesPriorYear |
| Total Expenses Current Year | 55393033 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4249385 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -18834485 | RevenuesLessExpensesCY |
| Total Assets BOY | 64648791 | TotalAssetsBOY |
| Total Assets EOY | 69553383 | TotalAssetsEOY |
| Total Liabilities BOY | 21113307 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 44852384 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 43535484 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 24700999 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 51125070 | Expense |
| Revenue | 33342480 | Revenue |
| Description | 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. | Description |
| Total Program Service Expense | 51125070 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 47 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 74 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | David A Belkoski Exec VPCFO | NamePerson |
| Telephone Number | 7068282406 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 Walton Way | AddressLine1 |
| City | Augusta | City |
| State | GA | State |
| ZIP Code | 30901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Steven B Vaughn MD | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 152765 | 0 | |||
| Thomas E Sizemore | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Natalie D Schweers | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| John P Rhodes | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 140000 | 0 | |||
| Eugene F McManus | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Sanford Loyd | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Levi W Hill IV | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Hugh L Hamilton | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Jeffrey L Foreman | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Richard A Fairey | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Terry D Elam | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Brian J Marks | |||||||||
| BD Secretary | 1.00 | 0.00 | X | 0 | 0 | 0 | X | ||
| Ellen G Shaver MD | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Randolph R Smith MD | |||||||||
| Board Chairman | 1.00 | 0.00 | X | 0 | 0 | 0 | X | ||
| David A Belkoski | |||||||||
| UHCS CFO | 5.00 | 50.00 | 0 | 739265 | 22277 | X | |||
| James Davis | |||||||||
| UHCS CEO | 5.00 | 50.00 | 0 | 616420 | 232621 | X | |||
| Tim Woodall | |||||||||
| Executive Director-Physician Svcs | 50.00 | 0.00 | 0 | 179327 | 18254 | X | |||
| Stephen M Gooden | |||||||||
| VP Physician Services | 25.00 | 25.00 | 0 | 343588 | 12330 | X | |||
| David Clark | |||||||||
| Physician | 50.00 | 0.00 | 1226365 | 0 | 13591 | X | |||
| Gordon L Waters | |||||||||
| Physician | 50.00 | 0.00 | 1205387 | 0 | 8915 | X | |||
| Mac A Bowman | |||||||||
| Physician | 50.00 | 0.00 | 1082677 | 0 | 13591 | X | |||
| Faiz Rehman | |||||||||
| Physician | 50.00 | 0.00 | 943498 | 0 | 13591 | X | |||
| Kraig Wangsnes | |||||||||
| Physician | 50.00 | 0.00 | 931376 | 0 | 35784 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5389303 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2171365 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 370954 | TotalOtherCompensation |
| Number Individuals GT100 K | 68 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Lucca Consulting Group | |||||
| 601 Woodview Drive | Whiteland | IN | 46184 | Consulting-Operation | 316763 |
| Kilpatrick Townsend | |||||
| PO Box 2043 | Augusta | GA | 30903 | Consulting | 113239 |
| Himformatics | |||||
| 1735 Buford Hwy | Cumming | GA | 30041 | AR Consulting | 968029 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Physician Fees | 621110 | 30923920 | 30923920 |
| Hospitaltist Services | 621110 | 2418560 | 2418560 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 33342480 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2614636 | TotalRevenueColumn |
| Exclusion | $2,614,636 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Research Revenue | 900099 | 114669 | 114669 |
| Miscellaneous | 900099 | 486763 | 486763 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 601432 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36558548 | TotalRevenueColumn |
| Related Or Exempt Function Income | 33943912 | RelatedOrExemptFunctionIncome |
| Exclusion | $2,614,636 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34134359 | Total |
| Program Services | 32120666 | ProgramServices |
| Management And General | 2013693 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 398403 | Total |
| Program Services | 374499 | ProgramServices |
| Management And General | 23904 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6786422 | Total |
| Program Services | 6207363 | ProgramServices |
| Management And General | 579059 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 904472 | Total |
| Program Services | 850204 | ProgramServices |
| Management And General | 54268 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104094 | Total |
| Program Services | 16925 | ProgramServices |
| Management And General | 87169 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2670224 | Total |
| Program Services | 1335111 | ProgramServices |
| Management And General | 1335113 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29762 | Total |
| Management And General | 29762 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210487 | Total |
| Program Services | 198753 | ProgramServices |
| Management And General | 11734 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 718513 | Total |
| Program Services | 718513 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2295628 | Total |
| Program Services | 2250559 | ProgramServices |
| Management And General | 45069 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 935563 | Total |
| Program Services | 930739 | ProgramServices |
| Management And General | 4824 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 933373 | Total |
| Program Services | 933274 | ProgramServices |
| Management And General | 99 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt Expense | 283900 | 283900 | |
| Education & Travel | 325099 | 312208 | 12891 |
| Equip Rental | 359662 | 351065 | 8597 |
| Med Surg & Pharm Supplies | 3667415 | 3667415 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 635657 | Total |
| Program Services | 573876 | ProgramServices |
| Management And General | 61781 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55393033 | Total |
| Program Services | 51125070 | ProgramServices |
| Management And General | 4267963 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3892738 | BOY |
| EOY | 3587331 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2410373 | BOY |
| EOY | 4960546 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 577169 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1427707 | BOY |
| EOY | 948077 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3784830 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 596149 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 513568 | BOY |
| EOY | 3188681 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24852111 | BOY |
| EOY | 27466747 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30975125 | BOY |
| EOY | 29402001 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64648791 | BOY |
| EOY | 69553383 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1406870 | BOY |
| EOY | 1517438 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105608 | BOY |
| EOY | 106909 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19600829 | BOY |
| EOY | 43228037 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21113307 | BOY |
| EOY | 44852384 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43535484 | BOY |
| EOY | 24700999 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43535484 | BOY |
| EOY | 24700999 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64648791 | BOY |
| EOY | 69553383 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -18834485 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1559258 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10331389 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33342480 | CurrentTaxYear |
| Total | 45233127 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1559258 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10331389 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33342480 | CurrentTaxYear |
| Total | 45233127 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 45233127 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 2063434 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2228055 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2614636 | CurrentTaxYear |
| Total | 6906125 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 2063434 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2228055 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2614636 | CurrentTaxYear |
| Total | 6906125 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 15163 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 812614 | CurrentTaxYearMinus1Year |
| Current Tax Year | 601432 | CurrentTaxYear |
| Total | 1429209 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 3637855 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13372058 | CurrentTaxYearMinus1Year |
| Current Tax Year | 36558548 | CurrentTaxYear |
| Total | 53568461 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.84440 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.69900 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.12890 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.25230 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 902864 | OtherCostOrOtherBasis |
| Book Value | 902864 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 811539 | OtherCostOrOtherBasis |
| Depreciation | 109195 | Depreciation |
| Book Value | 702344 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2070427 | OtherCostOrOtherBasis |
| Depreciation | 486954 | Depreciation |
| Book Value | 1583473 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3188681 | TotalOfBookValueLandBuildings |
| Total Of Book Value Program Related | 27466747 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Work force in Place | 3173428 |
| Due from University Health Resources Inc | 26226166 |
| Assets held in Escrow | 2407 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 29402001 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due to Affiliate | Description |
| Amount | $43,228,037 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 43228037 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X | Identifier |
| Return Reference | Part X : FIN48 Footnote | ReturnReference |
| Explanation | 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, 2012. Fiscal years ended on or after December 31, 2008 remain subject to examination by federal and state tax authorities. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tim Woodall | ||||||||||||
| Executive Director-Physician Svcs | 155530 | 23250 | 547 | 7163 | 11091 | 197581 | ||||||
| Steven B Vaughn MD | ||||||||||||
| Board Member | 152765 | 152765 | ||||||||||
| Stephen M Gooden | ||||||||||||
| VP Physician Services | 265277 | 52000 | 26311 | 2500 | 9830 | 355918 | ||||||
| Mac A Bowman | ||||||||||||
| Physician | 802114 | 23625 | 256938 | 2500 | 11091 | 1096268 | ||||||
| Kraig Wangsnes | ||||||||||||
| Physician | 780748 | 16736 | 133892 | 24693 | 11091 | 967160 | ||||||
| James Davis | ||||||||||||
| UHCS CEO | 577936 | 38484 | 222435 | 10186 | 849041 | |||||||
| Gordon L Waters | ||||||||||||
| Physician | 999138 | 21083 | 185166 | 2500 | 6415 | 1214302 | ||||||
| Faiz Rehman | ||||||||||||
| Physician | 844777 | 98721 | 2500 | 11091 | 957089 | |||||||
| David Clark | ||||||||||||
| Physician | 1103754 | 5208 | 117403 | 2500 | 11091 | 1239956 | ||||||
| David A Belkoski | ||||||||||||
| UHCS CFO | 384150 | 74266 | 280849 | 11075 | 11202 | 761542 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Sch J, Part I, Line 6b | 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 2012 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. 2012 Strategic InitiativesWeight Quality20% Value Based Purchasing-% recovered Growth10% Aiken/Grovetown-Board Ready Plans10% McDuffie CON Documents Finance20% Operating Margin People5% Nursing Turnover Systems20% EPIC Go-Live15% 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. |
| Sch J, Part I, Line 1a | 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. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 19 | 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 |
| Form 990, Part VI, Line 15b | 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 12c | 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 11b | Form 990, Part VI, Line 11b: Form 990 Review Process | A copy of the 990 was provided to each board member before filing. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Medical Oncology LLC | |||||||||
| 1350 Walton Way | Augusta | GA | 30901 | 452695782 | Physician Offices | GA | 4331548 | 304638 | University Health Inc thru UHCP |
| University Cardiology Associates | |||||||||
| 1350 Walton Way | Augusta | GA | 30901 | 451437971 | Physician Offices | GA | 14816185 | 8214230 | University Health Inc thru UHCP |
| University Medical Group LLC | |||||||||
| 1350 Walton Way | Augusta | GA | 30901 | 274467379 | Physician Offices | GA | 19643755 | 7646240 | University Health Inc thru UHCP |
| University Healthcare Physicians LLC | |||||||||
| 1350 Walton Way | Augusta | GA | 30901 | 272042386 | Physician offices | GA | University Health Inc | ||
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| University McDuffie County Regional | |||||||||||
| 1350 Walton Way | Augusta | GA | 30901 | 454166209 | Hospital | GA | 501(c)(3) | 3 | 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 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 Health Services Inc | |||||||||||
| 1350 Walton Way | Augusta | GA | 30901 | 581581103 | Hospital | GA | 501(c)(3) | 3 | 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 | |
| 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 | |
| Richmond County Hospital Authority | |||||||||||
| 1350 Walton Way | Augusta | GA | 30901 | 586001901 | Leased facilities | GA | 501(c)(3) | 3 | false | N/A | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | University Health Resources Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 Walton Way | AddressLine1 |
| City | Augusta | City |
| State | GA | State |
| ZIP Code | 30901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581601372 | EIN |
| Primary Activity | Physician Support Services | PrimaryActivity |
| Legal Domicile State | GA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C Corp | TypeOfEntity |
| Share Of Total Income | 4363254 | ShareOfTotalIncome |
| Share Of EOY Assets | 17600093 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | true | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | University Health Resources Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | d | TransactionType |
| Amount Involved | 26226166 | AmountInvolved |
| Method Of Amt Determination | Cost | MethodOfAmtDetermination |
Comments