UNIVERSITY HEALTH CARE FOUNDATION INC: Form 990, tax year 2011
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- Organization
- UNIVERSITY HEALTH CARE FOUNDATION INC (EIN 58-1343550)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-12
- IRS object ID
- 201223179349302007
- Schema version
- 2011v1.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-12T11:01:41-08:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581343550 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | University Health Care Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UNIV | NameControl |
| Phone | 7067229011 | 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 | 2012-11-12 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 11008811 | 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 | 1978 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | Support of University Hospital relating to hospital services as well as providing assistance to the indigent population. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 200 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 2187987 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2435474 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -896738 | InvestmentIncomePriorYear |
| Investment Income Current Year | 523286 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -49595 | OtherRevenuePriorYear |
| Other Revenue Current Year | 73595 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1241654 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3032355 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 547462 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 447871 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3033748 | OtherExpensePriorYear |
| Other Expenses Current Year | 2040473 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3581210 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2040473 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2339556 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 991882 | RevenuesLessExpensesCY |
| Total Assets BOY | 29785853 | TotalAssetsBOY |
| Total Assets EOY | 29528218 | TotalAssetsEOY |
| Total Liabilities BOY | 920534 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 474638 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 28865319 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 29053580 | NetAssetsOrFundBalancesEOY |
| Mission Description | Support of University Hospital relating to hospital services as well as providing assistance to the indigent population. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1270696 | Expense |
| Description | Support of University Hospital relating to hospital services as well as providing assistance to the indigent population. | Description |
| Total Program Service Expense | 1270696 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | 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 | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | 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 | true | FundraisingActivities |
| Gaming | true | 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 | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | 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 | 24 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Employment Tax Returns Filed | false | 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 |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| 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 |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| 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 | Dave Belkoski CFO UHI | NamePerson |
| Telephone Number | 7067747710 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 Walton Way | AddressLine1 |
| City | Augusta | City |
| State | GA | State |
| ZIP Code | 309012629 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | FormerFormer |
|---|---|---|---|---|---|---|---|
| WILLIAM H WOODWARD | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| MARK J WILLS | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| W CRAIG SMITH | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| ELAIN CLARK SMITH | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| CATHERINE D KNOX | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| JED W HOWINGTON MD | |||||||
| Chairman | 3.00 | X | 0 | 0 | 0 | X | |
| SUSAN HUNNICUTT | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| AVIS B YOUNT | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| TRISH THORNHILL | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| NATALIE SCHWEERS | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| RUSSELL MOBLEY | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| RICHARD A FAIREY | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| HARDIE DAVIS JR | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| DAVID A BELKOSKI | |||||||
| System CFO | 55.00 | 0 | 528031 | 42471 | X | ||
| LAURIE SMITH | |||||||
| President & CEO | 55.00 | 0 | 128114 | 6706 | X | ||
| PA BRODIE III | |||||||
| President & CEO | 55.00 | 0 | 113641 | 2874 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp Frm Rltd Orgs | 769786 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 52051 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 546867 | FundraisingEvents |
| All Other Contributions | 1888607 | AllOtherContributions |
| Noncash Contributions | 35827 | NoncashContributions |
| Total Contributions | 2435474 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 779994 | TotalRevenueColumn |
| Exclusion | $779,994 | 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 |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7439056 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7695764 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -256708 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -256708 | TotalRevenueColumn |
| Related Or Exempt Function Income | -256708 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 337593 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 546867 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 270161 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67432 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 16694 | GrossIncomeGaming |
| Gaming Direct Expenses | 10531 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6163 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6163 | RelatedOrExemptFunctionIncome |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3032355 | TotalRevenueColumn |
| Related Or Exempt Function Income | -250545 | RelatedOrExemptFunctionIncome |
| Exclusion | $779,994 | 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 | 0 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 640 | Total |
| Management And General | 640 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 133216 | Total |
| Program Services | 18253 | ProgramServices |
| Management And General | 53670 | ManagementAndGeneral |
| Fundraising | 61293 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13170 | Total |
| Program Services | 1526 | ProgramServices |
| Management And General | 7946 | ManagementAndGeneral |
| Fundraising | 3698 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30495 | Total |
| Program Services | 4179 | ProgramServices |
| Management And General | 12286 | ManagementAndGeneral |
| Fundraising | 14030 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11697 | Total |
| Program Services | 1482 | ProgramServices |
| Management And General | 5239 | ManagementAndGeneral |
| Fundraising | 4976 | Fundraising |
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 | 16519 | Total |
| Program Services | 1399 | ProgramServices |
| Management And General | 4114 | ManagementAndGeneral |
| Fundraising | 11006 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1149766 | Total |
| Program Services | 1149766 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35229 | Total |
| Program Services | 4827 | ProgramServices |
| Management And General | 14193 | ManagementAndGeneral |
| Fundraising | 16209 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Supplies | 45864 | 1212 | 3664 | 40988 |
| Purchased Labor | 611138 | 83738 | 246215 | 281185 |
| Printing and Publications | 10437 | 1430 | 4205 | 4802 |
| Dues & Memberships | 17471 | 17471 | ||
| Bank Fees | 15088 | 2067 | 6079 | 6942 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -50257 | Total |
| Program Services | 817 | ProgramServices |
| Management And General | -53816 | ManagementAndGeneral |
| Fundraising | 2742 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2040473 | Total |
| Program Services | 1270696 | ProgramServices |
| Management And General | 321906 | ManagementAndGeneral |
| Fundraising | 447871 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1750437 | BOY |
| EOY | 2515504 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 767921 | BOY |
| EOY | 982753 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | 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) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4976 | BOY |
| EOY | 5125 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 832726 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 431802 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 414356 | BOY |
| EOY | 400924 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26679113 | BOY |
| EOY | 25437801 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53597 | BOY |
| EOY | 66255 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115453 | BOY |
| EOY | 119856 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29785853 | BOY |
| EOY | 29528218 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 352531 | BOY |
| EOY | 78813 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25605 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 542398 | BOY |
| EOY | 395825 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 920534 | BOY |
| EOY | 474638 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46473 | BOY |
| EOY | 269433 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10422210 | BOY |
| EOY | 10018723 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18396636 | BOY |
| EOY | 18765424 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28865319 | BOY |
| EOY | 29053580 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29785853 | BOY |
| EOY | 29528218 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 991882 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -803621 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2569990 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1988022 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1096592 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2187987 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2435475 | CurrentTaxYear |
| Total | 10278066 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2569990 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1988022 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1096592 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2187987 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2435475 | CurrentTaxYear |
| Total | 10278066 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 1632787 | AmountsSubstContributorsTotal |
| Public Support Total170 | 8645279 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1012720 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 804831 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 729399 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 767852 | CurrentTaxYearMinus1Year |
| Current Tax Year | 779994 | CurrentTaxYear |
| Total | 4094796 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 366523 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3260 | CurrentTaxYearMinus2Years |
| Total | 369783 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 14742645 | TotalSupport |
| Public Support Pertcentage170 | 0.58640 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.47030 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| Facts And Circumstances Test | Part II, Line 10--Fundraising events and raffle ticket sales were previously included in the Gifts, Grants, and Contributions line, but in 2008 were broken out seperately as required by Part VIII on form 990. | FactsAndCircumstancesTest |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 24425233 | BeginningOfYearBalance |
| Contributions | 400349 | Contributions |
| Investment Earnings Or Losses | -850995 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 27500 | GrantsOrScholarships |
| Other Expenditures | 407602 | OtherExpenditures |
| Administrative Expenses | 127759 | AdministrativeExpenses |
| End Of Year Balance | 23411726 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 20992851 | BeginningOfYearBalance |
| Contributions | 674386 | Contributions |
| Investment Earnings Or Losses | 3196451 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 30000 | GrantsOrScholarships |
| Other Expenditures | 339369 | OtherExpenditures |
| Administrative Expenses | 69086 | AdministrativeExpenses |
| End Of Year Balance | 24425233 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 16482594 | BeginningOfYearBalance |
| Contributions | 249749 | Contributions |
| Investment Earnings Or Losses | 4538485 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 10900 | GrantsOrScholarships |
| Other Expenditures | 205556 | OtherExpenditures |
| Administrative Expenses | 61521 | AdministrativeExpenses |
| End Of Year Balance | 20992851 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.80000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.20000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 116300 | InvestmentCostOrOtherBasis |
| Book Value | 116300 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 520000 | OtherCostOrOtherBasis |
| Depreciation | 301600 | Depreciation |
| Book Value | 218400 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 79806 | OtherCostOrOtherBasis |
| Depreciation | 43826 | Depreciation |
| Book Value | 35980 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 108187 | OtherCostOrOtherBasis |
| Depreciation | 77943 | Depreciation |
| Book Value | 30244 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8433 | OtherCostOrOtherBasis |
| Depreciation | 8433 | Depreciation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 400924 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Fidelity Investments | Description |
| Book Value | 40476 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Charitable Gift Annuity Liability | Description |
| Amount | $395,825 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 395825 | TotalOfAmounts |
| Total Revenue | 3032355 | TotalRevenue |
| Total Expenses | 2040473 | TotalExpenses |
| Excess Or Deficit For Year | 991882 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -1514574 | NetUnrealizedGLOnInvestments |
| Other | $710,953 | OtherAmount |
| Total Adjustments | -803621 | TotalAdjustments |
| Excess Or Deficit Per FS | 188261 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1517785 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1514574 | NetUnrealizedGainsInvestments |
| Other Revenues | 4 | OtherRevenues |
| Revenue Not Rptd F990 | -1514570 | RevenueNotRptdF990 |
| Revenue Subtotal | 3032355 | RevenueSubtotal |
| Total Revenue Per Form990 | 3032355 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2040473 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 2040473 | ExpensesSubtotal |
| Total Expenses Per Form990 | 2040473 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X | Part X : FIN48 Footnote | 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, 2011. Fiscal years ended on or after December 31, 2008 remain subject to examination by federal and state authorities. |
| Part XII, Line 2d | Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990 | Rounding $4 |
| Part XI, Line 8 | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | Equity Transfer from UHS $710949 Rounding $4 |
| Part V, Line 4 | Part V, Line 4: Intended uses of the endowment fund. | 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. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agreement Ref Fundraising | false | AgreementRefFundraising |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Miracle Mile Walk | NameOfEvent1 |
| Gross Receipts Event1 | 352307 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 334920 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 17387 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 7124 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 650 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 725 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 43551 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Young Philanthropist Event - Concert | NameOfEvent2 |
| Gross Receipts Event2 | 266486 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 65655 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 200831 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 1410 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 8486 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 4215 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 8300 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 82901 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 3 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 265667 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 146292 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 119375 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 34523 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 21783 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 11437 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 3000 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 42056 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 884460 | GrossReceiptsTotal |
| Charitable Contributions Total | 546867 | CharitableContributionsTotal |
| Gross Revenue Total Events | 337593 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 43057 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 30919 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 16377 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 11300 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 168508 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 270161 | DirectExpenseSummaryEvents |
| Net Income Summary | 67432 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteer Labor Bingo | false | VolunteerLaborBingo |
| Volunteer Labor Pull Tabs | false | VolunteerLaborPullTabs |
| Gross Revenue Other Gaming | 16694 | GrossRevenueOtherGaming |
| Non Cash Prizes Other Gaming | 10531 | NonCashPrizesOtherGaming |
| Volunteer Labor Other Gaming | false | VolunteerLaborOtherGaming |
| Gross Revenue Total Gaming | 16694 | GrossRevenueTotalGaming |
| Non Cash Prizes Total Gaming | 10531 | NonCashPrizesTotalGaming |
| Direct Expense Summary Gaming | 10531 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 6163 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | GA | StatesWhereGamingConducted |
| Licensed | true | Licensed |
| License Suspended Etc | false | LicenseSuspendedEtc |
| Gaming With Nonmembers | false | GamingWithNonmembers |
| Member Of Other Entity | false | MemberOfOtherEntity |
| Percentage Of Gaming Othr Facility | 1.00000 | PercentageOfGamingOthrFacility |
| Name Of Gaming Rec Keeper Person | Jamie Greenway | NameOfGamingRecKeeperPerson |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Central Avenue Ste D1 | AddressLine1 |
| City | Augusta | City |
| State | GA | State |
| ZIP Code | 30904 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | false | ContractWith3rdPartyForGamRev |
| Charitable Distrib Required | false | CharitableDistribRequired |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (2 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|
| PA BRODIE III | |||||
| 38754 | 30518 | 44369 | 1741 | 1133 | 116515 |
| DAVID A BELKOSKI | |||||
| 373170 | 83500 | 71361 | 20825 | 21646 | 570502 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Sch J, Part III, Additional Information | Part III, Additional Information | The organization relied on the Compensation Committee of University Health Services, Inc. (58-1581103) |
| 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 2011 these initiatives were weighted as displayed in the following schedule and represented goals in various categories. Under each category there were a number of specific goals as follows: UNIVERSITY HEALTH SERVICES, Inc. 2011 Strategic InitiativesWeight Quality - Bundle2.0% AMI 2.0% PN 2.0% CHF 2.0% SCIP Achieve patient satisfaction scores for:2.0% Inpatient Quality of Care Rating 2.0% Inpatient Would Recommend Rating 2.0% Emergency Department Quality of Care Rating 2.0% Emergency Department Would Recommend Rating2.0% Discharge Instructions 4.0% Achieve 90 day all cause readmission rate for CHF Achieve device utilization rate for:4.0% Foley Catheters 4.0% Central Lines Finance20.0% Achieve Operating Margin Performance 2.5% Reduce FTE's per Adjusted Occupied Bed 2.5% Reduce all-payer case mix index adjusted Length of Stay Growth 4.0% EPIC system design, build and validation. 4.0% Ambulatory system go-live.1.0% Bring McDuffie Hospital affiliation to a resolution. Finalize employment contracts for:3.0% 4 key Primary Care practices (Physicians) 3.0% 3 Cardiology practices (Physicians) 2.0% Cardiac Surgery practice. 1.0% Launch University Hospice 1.0% Develop "big box" plan for Aiken. 1.0% Develop Emergency Service plan for the future. People 1.0% Implement new performance review system. 1.0% Conduct base-line employee satisfaction survey.3.0% Reduce non-discretionary employee turnover rate Physicians 2.0% Conduct base-line physician satisfaction survey.3.0% Develop marketing approach for Epic ambulatory. 15.0% Personal These were different for each individual.100.0%Each goal that was achieved represented that percentage of bonus payoutout of a possible 100%. |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1300 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenues |
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 5811 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenues |
Collectibles Collectibles
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 5050 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenues |
Food Inventory FoodInventory
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 5 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 11064 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (7 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | Event Tickets | 2 | 463 | Cost |
| X | Bike | 1 | 119 | Cost |
| X | Scooter | 1 | 1200 | Cost |
| X | Golf Clubs | 2 | 446 | Cost |
| X | Golf Carts | 2 | 7324 | Cost |
| X | Gift Certificat | 12 | 1037 | Cost |
| X | Jewelry-not col | 1 | 1138 | Cost |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
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 | All governing documents, policies, financial statements, and informational returns are available upon request.The 990 is also available at 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. 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 above mentioned procedure. |
| Form 990, Part VI, Line 12c | Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The conflict of interest policy is as follows:I. POLICY1. Each corporate board of the University Health Care System has adopted a conflict of interest policy binding upon the board's members 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 OwnershipWhen 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 goods 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 upon 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 ServicesWhen 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 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.C. GiftsWhen 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 pays 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 Hospital is a member.D. Employment and GiftsWhen 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 $10,000.00 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 ones spouse, ones descendants (children, grandchildren, etc.) ones ancestors (parents, grandparents, etc.), ones siblings, the spouse of any of the forgoing, and ones 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 means 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, Line 11 | Form 990, Part VI, Line 11: Form 990 Review Process | A copy of the 990 and related forms was made available to the Board. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 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 Hospice Inc | |||||||||||
| 1350 Walton Way | Augusta | GA | 30901 | 275008428 | End of Life Support | GA | 501 (c) 3 | 9 | University Health Inc | false | |
| University Health Services Inc | |||||||||||
| 1350 Walton Way | Augusta | GA | 30901 | 581581103 | Hospital | GA | 501 (c) 3 | 3 | University Health Inc | false | |
| University Extended Care Inc | |||||||||||
| 1350 Walton Way | Augusta | GA | 30901 | 581581105 | Skilled Nursing Facilities | GA | 501 (c) 3 | 3 | University Health Inc | false | |
| Augusta Resource Center on Aging Inc | |||||||||||
| 4275 Owens Rd | Evans | GA | 30809 | 581728812 | Nonprofit Life Care Community | GA | 501 (c) 3 | 9 | University Health Inc | false | |
| Richmond County Hospital Authority | |||||||||||
| 1350 Walton Way | Augusta | GA | 30901 | 586001901 | Leased Facilities | GA | 501 (c) 3 | 3 | false | N/A | |
| University Health Inc | |||||||||||
| 1350 Walton Way | Augusta | GA | 30901 | 581581102 | Consolidating Parent | GA | 501 (c) 3 | 9 | 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 | Services to Physicians | PrimaryActivity |
| Legal Domicile State | GA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| 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 | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| 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 | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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