2013-11-13T05:03:13-08:00 2012-12-31 990 2012-01-01 581581102 University Health Inc UNIV 7068282406 1350 Walton Way Augusta GA 30901 David A Belkoski 2013-11-13 2012 2016-02-24 21:20:13Z James Davis 1350 Walton Way Augusta GA 30901 36558548 false false X www.universityhealth.org X 1984 GA Primary functions are the coordination and delivery of health care resources and services, health care education for the hospital service area, long range analysis of health care needs and development of programs, and arranging for financing of health care programs. 13 11 74 0 0 10331389 33342480 2228055 2614636 812614 601432 13372058 36558548 0 0 11050222 42223656 0 0 6571221 13169377 17621443 55393033 -4249385 -18834485 64648791 69553383 21113307 44852384 43535484 24700999 Primary functions are the coordination and delivery of health care resources and services, health care education for the hospital service area, long range analysis of health care needs and development of programs, and arranging for financing of health care programs. false false 51125070 33342480 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. 51125070 true false false false false false false false false false true false true true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false false false true true true false false false true 47 0 true 74 true false false false false false false false false 0 false false false false false false false false false false X 13 11 false false false false false false false true true false true true true true true true true true true true false GA X X David A Belkoski Exec VPCFO 7068282406 1350 Walton Way Augusta GA 30901 X Steven B Vaughn MD 1.00 0.00 X 0 152765 0 Thomas E Sizemore 1.00 0.00 X 0 0 0 Natalie D Schweers 1.00 0.00 X 0 0 0 John P Rhodes 1.00 0.00 X 0 140000 0 Eugene F McManus 1.00 0.00 X 0 0 0 Sanford Loyd 1.00 0.00 X 0 0 0 Levi W Hill IV 1.00 0.00 X 0 0 0 Hugh L Hamilton 1.00 0.00 X 0 0 0 Jeffrey L Foreman 1.00 0.00 X 0 0 0 Richard A Fairey 1.00 0.00 X 0 0 0 Terry D Elam 1.00 0.00 X 0 0 0 Brian J Marks 1.00 0.00 X X 0 0 0 Ellen G Shaver MD 1.00 0.00 X 0 0 0 Randolph R Smith MD 1.00 0.00 X X 0 0 0 David A Belkoski 5.00 50.00 X 0 739265 22277 James Davis 5.00 50.00 X 0 616420 232621 Tim Woodall 50.00 0.00 X 0 179327 18254 Stephen M Gooden 25.00 25.00 X 0 343588 12330 David Clark 50.00 0.00 X 1226365 0 13591 Gordon L Waters 50.00 0.00 X 1205387 0 8915 Mac A Bowman 50.00 0.00 X 1082677 0 13591 Faiz Rehman 50.00 0.00 X 943498 0 13591 Kraig Wangsnes 50.00 0.00 X 931376 0 35784 5389303 2171365 370954 68 false true false 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 3 0 Physician Fees 621110 30923920 30923920 Hospitaltist Services 621110 2418560 2418560 33342480 2614636 2614636 0 0 0 0 0 0 0 Research Revenue 900099 114669 114669 Miscellaneous 900099 486763 486763 601432 36558548 33943912 2614636 0 0 0 0 0 0 34134359 32120666 2013693 398403 374499 23904 6786422 6207363 579059 904472 850204 54268 0 104094 16925 87169 0 0 0 0 2670224 1335111 1335113 29762 29762 210487 198753 11734 718513 718513 2295628 2250559 45069 0 0 0 0 0 0 935563 930739 4824 933373 933274 99 Bad Debt Expense 283900 283900 Education & Travel 325099 312208 12891 Equip Rental 359662 351065 8597 Med Surg & Pharm Supplies 3667415 3667415 635657 573876 61781 55393033 51125070 4267963 0 3892738 3587331 0 0 2410373 4960546 0 0 0 577169 0 1427707 948077 3784830 596149 513568 3188681 0 0 24852111 27466747 0 30975125 29402001 64648791 69553383 1406870 1517438 105608 106909 19600829 43228037 21113307 44852384 X 43535484 24700999 43535484 24700999 64648791 69553383 -18834485 X false true X true false X 0 0 1559258 10331389 33342480 45233127 0 0 1559258 10331389 33342480 45233127 0 0 45233127 2063434 2228055 2614636 6906125 0 2063434 2228055 2614636 6906125 0 15163 812614 601432 1429209 3637855 13372058 36558548 53568461 0.84440 0.69900 0.12890 0.25230 X 902864 902864 811539 109195 702344 2070427 486954 1583473 3188681 27466747 Work force in Place 3173428 Due from University Health Resources Inc 26226166 Assets held in Escrow 2407 29402001 Due to Affiliate 43228037 43228037 X Part X Part X : FIN48 Footnote Accounting for Income Taxes - The Parent, UHS, the Foundation, ARCOA,and University Extended Care, Inc. are exempt from federal income tax under Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. University Health Resources, Inc. is a taxable entity and files a corporate tax return. UHCP is organized under Georgia law and the Internal Revenue Code as a limited liability company (LLC). The members of an LLC report taxable income or loss on their corporate or individual tax returns. With respect to its for-profit entities, as well as any unrelated business income generated by the taxexempt entities, the Parent records income taxes using the liability method under which deferred tax assets and liabilities are determined based on the differences between the financial accounting and tax bases of assets and liabilities. Deferred tax assets or liabilities at the end of each period are determined using the currently enacted tax rate expected to apply to taxable income in the period that the deferred tax asset or liability is expected to be realized or settled. There is presently no taxation imposed by the government of the Cayman Islands on income or premiums of WWI. As a result, no tax liability or expense has been recorded. The Corporation has evaluated its tax positions and has determined that it does not have any material unrecognized tax benefits or obligations as of December 31, 2012. Fiscal years ended on or after December 31, 2008 remain subject to examination by federal and state tax authorities. X true true X X X X X false true false false false false true false false false Tim Woodall 155530 23250 547 7163 11091 197581 Steven B Vaughn MD 152765 152765 Stephen M Gooden 265277 52000 26311 2500 9830 355918 Mac A Bowman 802114 23625 256938 2500 11091 1096268 Kraig Wangsnes 780748 16736 133892 24693 11091 967160 James Davis 577936 38484 222435 10186 849041 Gordon L Waters 999138 21083 185166 2500 6415 1214302 Faiz Rehman 844777 98721 2500 11091 957089 David Clark 1103754 5208 117403 2500 11091 1239956 David A Belkoski 384150 74266 280849 11075 11202 761542 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. 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. 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 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 N/A false University Health Resources Inc 1350 Walton Way Augusta GA 30901 581601372 Physician Support Services GA N/A C Corp 4363254 17600093 1.00000 true false false false true false false false false false false false false false false false false false false false University Health Resources Inc d 26226166 Cost