2023-05-15T10:29:23-05:00 2022-06-30 570381582 ELLIOTT DAVIS LLCPLLC 500 EAST MOREHEAD STREET SUITE 700 CHARLOTTE NC 28202 990 2022-01-01 454166209 UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER INC UNIV 7067747710 1350 WALTON WAY AUGUSTA GA 30901 DAVID BELKOSKI CFO 7067747710 2023-05-15 1 DAVID BELKOSKI 999009999 1 JANICE A RATICA P00358837 7043338881 2023-05-15 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z UNIVERSITY HOSPITAL MCDUFFIE JAMES R DAVIS 1350 WALTON WAY AUGUSTA GA 30901 14746844 0 X WWW.UNIVERSITYHEALTH.ORG X 2012 GA THE MISSION OF THE UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER, INC. IS TO PROVIDE HEALTH CARE SERVICES WITH THE HELP OF OUR COMMUNITIES AND PARTNERS, AND ENRICH THE LIVES WE TOUCH BY PROVIDING COMPASSIONATE QUALITY CARE IN A COST EFFECTIVE MANNER. WE STRIVE TO BE UTILIZED AS THE HEALTHCARE PARTNER OF CHOICE FOR THE COMMUNITIES WE SERVE. 5 2 0 15 0 0 3562189 205729 26294861 14539193 229539 280 1250 1642 30087839 14746844 0 0 0 0 8187895 4416859 0 0 0 17071502 9528086 25259397 13944945 4828442 801899 54263219 55545841 36130679 36611402 18132540 18934439 X THE MISSION OF THE UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER, INC. IS TO PROVIDE HEALTH CARE SERVICES WITH THE HELP OF OUR COMMUNITIES AND PARTNERS, AND ENRICH THE LIVES WE TOUCH BY PROVIDING COMPASSIONATE QUALITY CARE IN A COST EFFECTIVE MANNER. WE STRIVE TO BE UTILIZED AS THE HEALTHCARE PARTNER OF CHOICE FOR THE COMMUNITIES WE SERVE. 0 0 13238530 14539193 UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER, A 25 BED FACILITY, PROVIDES MUCH OF THEIR EDUCATION AND SUPPORT GROUP ACTIVITIES ONLINE. STAFF MEMBERS SERVE ON A VARIETY OF BOARDS AND ARE INVOLVED IN CIVIC ENDEAVORS THAT PROMOTE HEALTH AND WELLNESS. UNCOMPENSATED CARE WAS PROVIDED AS WELL AS IN INDIGENT AND CHARITY CARE. A HOSPITAL-BASED PROGRAM ASSISTANCE COUNSELOR IS PROVIDED AT THE HOSPITAL'S EXPENSE IN ORDER TO ASSIST PATIENTS WITH QUALIFYING FOR MEDICARE DISABILITY, MEDICAID, SSI OR OTHER GOVERNMENT FINANCIAL ASSISTANCE PROGRAMS. FOR JANUARY - JUNE 2022, THE HOSPITAL HAD A TOTAL OF 1,035 PATIENT DAYS. 71 OF THESE PATIENT DAYS WERE FOR INDIGENT PATIENTS. SWING BEDS WERE 643. OBSERVATION STAYS WERE 368 DAYS. OUTPATIENT VISITS WERE 17,827. OF THE TOTAL OUTPATIENT VISITS, 7,709 WERE FOR EMERGENCY CARE. WITHIN THESE INDICATORS ARE THE EFFORTS OF UNIVERSITY HOSPITAL MCDUFFIE TO SERVICE THE NEEDS OF THE COMMUNITY, WHICH INCLUDE THE INDIGENT. THE COST OF INDIGENT AND CHARITY CARE PROVIDED ALONG WITH MEDICAID SHORTFALLS WAS $901,561. THE HOSPITAL RECEIVED DISPROPORTIONATE SHARE (DSH) FUNDS OF $376,148 AND UPPER PAYMENT LIMIT (UPL) FUNDS OF $252,031 TO HELP OFFSET THESE COSTS. 13238530 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 2 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 GA X DAVID A BELKOSKI CFO 7067747710 1350 WALTON WAY AUGUSTA GA 30901 X JOHN BIELTZ DO DIRECTOR 2.00 38.00 X 0 0 0 ROBIN S DUDLEY DIRECTOR 1.00 X 0 0 0 WILLIAM P DOUPE CHAIRMAN 1.00 X X 0 0 0 JAMES R DAVIS UHCS CEO 5.00 35.00 X X 0 0 0 ELIZABETH R GALLUP COO ACUTE CARE SERVICES 5.00 35.00 X X 0 0 0 EDWARD L BURR LEGAL ADVISOR 5.00 35.00 X 0 0 0 DAVID A BELKOSKI UHCS & UHM CFO 5.00 35.00 X 0 0 0 WILLIAM L FARR JR CMO 5.00 35.00 X 0 0 0 BARRY J JENKINS CMO 5.00 35.00 X 0 0 0 0 0 0 0 0 0 0 MORRISON MANAGEMENT HEALTHCARE INC PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 222184 UNIVERSITY ANESTHESIOLOGY ASSOCIATES PO BOX 3967 AUGUSTA GA 30914 ANESTHESIA SERVICES 210000 CROTHALL LAUNDRY SERVICES INC 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 LINEN/LAUNDRY SERVICE 144498 3 62654 143075 205729 PATIENT SERVICE REVENUE 621990 14539193 14539193 14539193 280 280 MISCELLANEOUS 812900 1642 1642 1642 14746844 14540835 0 280 X 3400181 3310076 90105 53314 51901 1413 700297 681739 18558 263067 256096 6971 1271748 1271748 3348 3348 1846447 1797516 48931 6099 6099 7847 7639 208 72943 71010 1933 277465 270112 7353 1619 1576 43 346828 346828 782374 761641 20733 87270 84957 2313 BAD DEBT 2108746 2108746 MED/SURG SUPPLIES 2032904 2032904 REPAIRS & MAINTENANCE 410092 399225 10867 TAXES 137129 137129 135227 131644 3583 13944945 13238530 706415 0 10454327 6009943 4848838 4886793 592259 622265 281153 202667 40566092 15010656 25201131 25555436 12885511 18268737 54263219 55545841 11979513 12266435 23461322 23461322 689844 883645 36130679 36611402 X 18132540 18934439 18132540 18934439 54263219 55545841 801899 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3348 3348 0 PART II-B, LINE 1: DESCRIPTION OF LOBBYING ACTIVITY A PART OF VARIOUS ASSOCIATION DUES INCLUDE A PERCENTAGE ALLOCATION FOR EXPENDITURES ON LOBBYING ACTIVITIES. DUES PAID TO THE GEORGIA ALLIANCE OF COMMUNITY HOSPITALS AND THE AMERICAN HOSPITAL ASSOCIATION HAVE A LOBBY COMPONENT. FOR 2022 THESE FEES AMOUNTED TO $3,348. 1683198 1683198 25719610 4887361 20832249 680578 122877 557701 12433115 10000418 2432697 49591 49591 25555436 PHYSICIAN GUARANTEE ASSET 235277 DUE FROM UHS 18033106 DUE FROM UNIVERSITY CARDIOLOGISTS ASSOCIATES 354 18268737 LONG-TERM CAPITAL LEASE OBLIGATION 402863 DUE TO UNIVERSITY MEDICAL GROUP 457862 DUE TO UNIVERSITY EXTENDED GROUP 22920 883645 X PART X, LINE 2: FIN 48 FOOTNOTE ACCOUNTING FOR INCOME TAXES- UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER, INC. 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 MCDUFFIE COUNTY REGIONAL MEDICAL CENTER, INC. HAS EVALUATED THEIR TAX POSITION AND DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2022. 1 1 1 X 1 X 1 1 0 1 1 890223 233212 657011 0.05550 1521831 1277281 244550 0.02070 2412054 1510493 901561 0.07620 2412054 1510493 901561 0.07620 6150 6150 0.00040 6150 6150 0.00040 1 2108746 42175 X 1 1 1 1 UNIVERSITY MCDUFFIE REGIONAL MEDICAL CENTER DBA UHM 2460 WASHINGTON ROAD NE THOMSON GA 30824 WWW.UNIVERSITYHEALTHCARE.ORG 097-107 X X X SWING-BED CERTIFIED BY MEDICARE 11/15/15 UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDI 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X HTTP://WWW.UNIVERSITYHEALTH.ORG/FULLPANEL/UPLOADS/FILES/CHNA-2019-MCDUFFIE- X X 1 19 1 HTTP://WWW.UNIVERSITYHEALTH.ORG/FULLPANEL/UPLOADS/FILES/CHNA-2019-MCDUFFIE- 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 0 X X 0 0 UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: SEE PAGE 8 OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT LISTENING SESSIONS WERE HELD IN MCDUFFIE, WARREN, LINCOLN AND COLUMBIA COUNTIES. THOSE AGENCIES WHO PARTICIPATED IN THE SESSIONS ARE: UGA ARCHWAY PARTNERSHIP, CRAWFORD & BREAZEALE DRUG, MCDUFFIE COUNTY HEALTH DEPARTMENT, FAMILY CARE GROUP OF THOMSON, THOMSON DENTAL WELLNESS, FAMILY CONNECTION OF WARREN COUNTY, WARREN COUNTY EXTENSION, LINCOLN COUNTY COMMISSION, LINCOLN COUNTY HEALTH DEPARTMENT, LINCOLN COUNTY OFFICE OF EMERGENCY SERVICES, CITY OF HARLEM, COLUMBIA COUNTY COMMUNITY CONNECTIONS, COLUMBIA COUNTY HEALTH DEPARTMENT, HARLEM MERCHANT'S ASSOCIATION, HOPE HOUSE. THESE AGENCIES REPRESENT THE CITIZENS OF MCDUFFIE WARREN, LINCOLN AND COLUMBIA COUNTIES INCLUDING THE ELDERLY, INDIVIDUALS LIVING IN POVERTY, AS WELL AS THOSE FACING FOOD INSECURITY, MENTAL HEALTH ISSUES OR ADDICTION. THOSE WHO WERE INVITED BUT DID NOT ATTEND WERE FROM THE FOLLOWING ORGANIZATIONS: THOMSON FAMILY YMCA, PARTNERS FOR SUCCESS, SHAW, WARREN COUNTY SENIOR CENTER, HOMETOWN WARRENTON, COMMUNITY HEALTH CARE SYSTEMS, COMMUNITY MEDICAL ASSOCIATES, LINCOLNTON FAMILY DENTISTRY, LINCOLNTON FAMILY MEDICINE, COLUMBIA COUNTY COMMISSION, THE ALZHEIMER'S ASSOCIATION AND CITY OF GROVETOWN. REPRESENTATIVES FROM THESE ORGANIZATIONS WERE SENT AN EMAIL WITH THE LIST OF QUESTIONS FROM THE LISTENING SESSION AND INVITED TO PROVIDE FEEDBACK. UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 7D: CHNA MADE AVAILABLE UPON REQUEST UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: SEE IMPLEMENTATION STRATEGY PAGES 3-6 1. LEVERAGE MOBILE PLATFORM TO BRING CARDIOVASCULAR DISEASE SCREENING TO THE COMMUNITY. 2. DEVELOP A DIABETES PREVENTION PROGRAM TO EDUCATE AND ENCOURAGE DIABETICS ABOUT NUTRITION AND PHYSICAL ACTIVITY 3. TEACH EXPECTANT MOTHERS TO RECOGNIZE LIFE THREATENING POST-PARTUM WARNING SIGNS OUR PRIORITIZATION PROCESS IS DETAILED ON PAGE 33. WE CHOSE TO FOCUS ON 3 TOP PRIORITIES WHERE WE FELT WE COULD MAKE THE GREATEST IMPACT. OUR PRIORITIZATION PROCESS IS DETAILED ON PAGE 33. WE CHOSE TO FOCUS ON 3 TOP PRIORITIES WHERE WE FELT WE COULD MAKE THE GREATEST IMPACT. ON PAGE 33 OF THE CHNA, WE IDENTIFY OUR 3 PRIORITIES. THOSE THREE PRIORITIES CORRESPOND TO THE RESULTS OF THE NOMINAL GROUP PROCESS. EMBEDDED IN PRIORITY #1 AND PRIORITY #2 ARE THE TOP FOUR VOTE GETTING ITEMS "HEART DISEASE AND STROKE AS IT PERTAINS TO ACCESS AND "DIABETES AS IT PERTAINS TO NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT STATUS". WE PUT A LIST OF CATEGORIES IN FRONT OF THE NOMINAL GROUP PROCESS. ONE OF THEM WAS CHRONIC KIDNEY DISEASES, BUT IT'S PRETTY CLEARLY A LOW PRIORITY. BEING A CATEGORY DOESN'T MAKE IT A PRIORITY, THE GROUP DISCUSSING THE CATEGORIES CHOOSE WHAT THEY BELIEVE ARE THE PRIORITIES AND WE ADDRESSED WHAT WE PRIORITIZED. UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16J: WWW.UNIVERSITYHEALTH.ORG/OUR-LOCATIONS/UNIVERSITY-HOSPITAL-MCDUFFIE/PATIENT-INFORMATION/INDEGENT-AND-CHARITY-CARE UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 21D: FAP INCLUDED ER MEDICAL CARE CONDITIONS. IN ADDITION, UHM FOLLOWS EMTALA REGULATIONS. PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.UNIVERSITYHEALTH.ORG/INDIGENT-AND-CHARITY-CARE PART V, LINE 16B, FAP WEBSITE: HTTPS://WWW.UNIVERSITYHEALTH.ORG/FULLPANEL/UPLOADS/FILES/UHM--8310-123-INDIGENT-CARE---ICCP.PDF PART V, LINE 16C, FAP WEBSITE: HTTPS://WWW.UNIVERSITYHEALTH.ORG/FULLPANEL/UPLOADS/FILES/UHM-PLAIN-LANGUAGE-SUMMARY---2020-00001.PDF PART I, LINE 3C: MAY USE BOTH FPG AND ASSET TEST PART I, LINE 7: EXPLANATION OF COSTING METHODOLOGYUSED COST TO CHARGE RATIO CALCULATED USING WORKSHEET 2 --THE OPTIONAL WORKSHEETS PROVIDED TO ASSIST IN PREPARATION OF SCHEDULE H. PART II, COMMUNITY BUILDING ACTIVITIES: THE COMMUNITY BUILDING ACTIVITIES REPORTED ARE SUPPORT FOR THE VARIOUS CHAMBERS OF COMMERCE FOR THE COMMUNITIES THAT UHM SERVES. IN SUPPORTING THESE ORGANIZATIONS, UHM CAN SUPPORT THE DEVELOPMENT OF OUR COMMUNITY BY BRINGING IN NEW INDUSTRIES, AND JOBS, INCREASING THE AVERAGE HOUSEHOLD INCOME, IMPROVING LIVING CONDITIONS, AND IMPACTING OVERALL GENERAL HEALTH. PART III, LINE 2: FOR RECEIVABLES ASSOCIATED WITH SELFPAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), UH RECORDS PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO THE PROVISION FOR BAD DEBT EXPENSE WHEN RECEIVED. PART III, LINE 3: BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT SINCE THE SERVICES THAT INCUR BAD DEBT ARE PROVIDED BY THE HOSPITAL TO PROMOTE THE WELL-BEING OF THE COMMUNITY. THESE SERVICES ARE RENDERED IN CONJUNCTION WITH THE HOSPITAL'S CHARITABLE TAX-EXEMPT PURPOSES. THERE IS NO LOCAL SUPPORT FOR UNINSURED PATIENTS; THEREFORE, THE SERVICES PROVIDED BY THE HOSPITAL RELIEF THE HEALTH CARE BURDENS OF THE LOCAL GOVERNMENTS. PART III, LINE 4: BAD DEBT EXPENSEPAGE 15 - 17 OF AUDITED FINANCIAL STATEMENT FOR PIEDMONT HEALTHCARE INC AND AFFILIATES. PART III, LINE 8: EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITTHE SERVICES PROVIDED TO THE MEDICARE BENEFICIARIES ARE TO PROMOTE THE WELL-BEING OF THE COMMUNITY WHICH IS PART OF THE HOSPITAL'S CHARITABLE TAX-EXEMPT PURPOSE. THE MEDICARE DIFFERENCE BETWEEN COST AND MEDICARE REIMBURSEMENT SHOULD BE ALLOWED AS COMMUNITY BENEFIT SINCE PROVIDERS CANNOT NEGOTIATE RATES WITH CENTERS FOR MEDICARE/MEDICAID SERVICES (CMS). CMS REGULATES THAT THE REIMBURSEMENT BE FEDERAL BUDGET NEUTRAL THUS PLACING THE COST OF THE CARING FOR MEDICARE BENEFICIARIES AS A COST TO THE HOSPITALS. PART III, LINE 9B: PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTSAS OUTSTANDING BALANCES AGE, STATEMENT MESSAGES, COLLECTION LETTERS AND/OR TELEPHONE CALLS MAY BE USED AT APPROPRIATE INTERVALS DETERMINED BY THE PATIENT ACCOUNTING/COLLECTION DEPARTMENT. THE PATIENT ACCOUNTING/COLLECTION DEPARTMENT RECOGNIZES THAT THERE ARE OCCASIONS WHEN A PATIENT IS NOT FINANCIALLY ABLE TO PAY HIS OR HER MEDICAL BILL IN FULL AND/OR THE PATIENT IS EXPERIENCING FINANCIAL HARDSHIP. THE HOSPITAL HAS ESTABLISHED A CATASTROPHIC POLICY WHICH ALLOWS FOR THE COLLECTION DEPARTMENT TO APPLY THE INDIGENT CRITERIA AND WRITE-OFF AS MEDICALLY INDIGENT. AND AT ANY POINT DURING THE COLLECTION PROCESS IF A PATIENT STATES OR PATIENT ACCOUNTING/COLLECTIONS BELIEVES THAT THE PATIENT CANNOT AFFORD TO PAY, THEN AN INDIGENT/CHARITY CARE APPLICATION IS BEGUN BY THE COLLECTION DEPARTMENT WHERE DISCOUNTS MAY BE GIVEN. PART VI, LINE 2: NEEDS ASSESSMENTUHM WORKS WITH ER PERSONNEL AND AREA HEALTH DEPARTMENT DIRECTOR TO IDENTIFY NEEDS BASED ON PATIENTS SEEKING HELP THROUGH THE EMERGENCY ROOM AND HEALTH DEPARTMENT. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEREGISTRARS INFORM PATIENT OF FINANCIAL ASSISTANCE PROGRAMS. ALSO, THERE ARE SIGNS POSTED IN ER AND REGISTRATION AREAS WHICH DENOTE THE AVAILABILITY OF ASSISTANCE WITH HOSPITAL BILLS. IN ADDITION, UHM UTILIZES THE SERVICES OF RCA (RESOURCE CENTER OF AMERICA) WHICH AIDS PATIENTS IN GETTING CERTIFIED FOR SSI AND MEDICAID. PART VI, LINE 4: SEE COMMUNITY NEEDS ASSESSMENT PAGES 5-7MCDUFFIE COUNTY IS A COUNTY LOCATED IN THE U.S. STATE OF GEORGIA. AS OF THE 2014 CENSUS, THE POPULATION WAS 21,400.[1] THE COUNTY SEAT IS THOMSON.[2] THE COUNTY WAS CREATED ON OCTOBER 18, 1870[3] AND NAMED AFTER THE SOUTH CAROLINA GOVERNOR AND SENATOR GEORGE MCDUFFIE. MCDUFFIE COUNTY IS PART OF THE AUGUSTA-RICHMOND COUNTY, GA-SC METROPOLITAN STATISTICAL AREA. ALSO MCDUFFIE IS IN THE CMS -CORE BUSINESS STATISTICAL AREA FOR WAGE INDEX CALCULATIONS. THE % OF POPULATION THAT IS UNDER 18 YEARS IS 25%; AGE 18-64 IS 61%; OVER 65 IS 14%. THE RACE/ETHNICITY IS MADE UP OF 42% BLACK; 53% WHITE AND HISPANIC IS 3%. PART VI, LINE 5: COLLABORATION WITH/SUPPORT OF COMMUNITY ORGANIZATIONS THROUGH SEVERAL SURROUNDING CHAMBERS OF COMMERCE. - SEE PART II ABOVE.SEE PAGE 8 OF THE CHNA FOR THE LIST OF AGENCIES THAT UNIVERSITY HOSPITAL MCDUFFIE WORKS WITH TO SUPPORT AND PROMOTE HEALTH IN OUR COMMUNITY. PART VI, LINE 6: UHM GOVERNING BOARD MEMBERS ARE COMPRISED OF CITZENS WHO RESIDE IN THE UHM'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF UHM. UHM BOARD MEMBERS ARE ACTIVE IN THE COMMUNITY AND ARE EAGER TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITY. UHM EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY FOR ALL OF THE UH DEPARTMENTS. UHM AND UHS COLLABORATE ON HEALTH FAIRS AND SCREENINGS PART VI, LINE 7, REPORTS FILED WITH STATES GA FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS A COPY OF THE FORM 990 AND ALL RELATED SCHEDULES WAS PROVIDED TO THE GOVERNING BOARD BEFORE FILING IN ELECTRONIC FORM. AN EMAIL WAS SENT TO ALL MEMBERS OF THE GOVERNING BODY CONTAINING A LINK TO A PASSWORD-PROTECTED WEBSITE ON WHICH THE ENTIRE 990 COULD BE VIEWED. THE EMAIL EXPLAINED THAT THE FORM 990 WAS AVAILABLE FOR REVIEW ON THE WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C EXPLANATION OF MONITORING AND ENFORCEMENT CONFLICTS DUTY TO DISCLOSE: IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION ARRANGEMENT. DETERMINING WHETHER A CONFLICT EXISTS: AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON WILL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE GOVERNING BOARD OR COMMITTEE DISCUSSES AND VOTES ON A DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS. THE REMAINING BOARD OR COMMITTEE MEMBERS WILL DECIDE IF A CONFLICT OF INTEREST EXISTS. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST: AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING BUT, AFTER THE PRESENTATION, SUCH INTERESTED PERSON WILL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE CHAIRPERSON OR THE GOVERNING BOARD OR COMMITTEE WILL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE WILL DETERMINE WHETHER THE CORPORATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE WILL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IS IT FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, IT WILL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. VIOLATION OF THE CONFLICT OF INTEREST POLICY: IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER OF SUCH BOARD OR COMMITTEE HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT WILL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE MEMBER'S RESPONSE AND MAKING FURTHER INVESTIGATIONS AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW & APPROVAL PROCESS - OFFICERS & KEY EMPLOYEES THE ORGANIZATION FOLLOWS THE PROCESS DESCRIBED IN TREASURY REGULATION 53.4958-6(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 COMMITTEE ARE RECORDED. THE COMPENSATION COMMITTEE REPORTS TO THE UHS BOARD EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 OTHER ORGANIZATION DOCUMENTS ARE PUBLICLY AVAILABLE. FORM 990, PART IX, LINE 11G PHYSICIAN: PROGRAM SERVICE EXPENSES 863,628. MANAGEMENT AND GENERAL EXPENSES 23,509. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 887,137. PHYSICIANS-ON CALL: PROGRAM SERVICE EXPENSES 26,285. MANAGEMENT AND GENERAL EXPENSES 716. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,001. BANKING FEES: PROGRAM SERVICE EXPENSES 16,974. MANAGEMENT AND GENERAL EXPENSES 462. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,436. CONSULTING FEES: PROGRAM SERVICE EXPENSES 53,642. MANAGEMENT AND GENERAL EXPENSES 1,460. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,102. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 795,673. MANAGEMENT AND GENERAL EXPENSES 21,659. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 817,332. DUES & MEMBERSHIPS: PROGRAM SERVICE EXPENSES 10,274. MANAGEMENT AND GENERAL EXPENSES 280. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,554. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 18,871. MANAGEMENT AND GENERAL EXPENSES 514. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,385. PERSONNEL RECRUITMENT: PROGRAM SERVICE EXPENSES 12,169. MANAGEMENT AND GENERAL EXPENSES 331. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,500. FORM 990, HEADER, PART A: CHANGE OF ACCOUNTING PERIOD: THE ORGANIZATION PREVIOUSLY REPORTED ON A CALENDAR YEAR ACCOUNTING PERIOD. EFFECTIVE 01/01/22, THE ORGANIZATION WILL BE REPORTED ON THE FISCAL YEAR ENDED JUNE 30TH. A SHORT TAX PERIOD IS BEING REPORTED FOR 01/01/22 TO 06/30/22. THE RULES UNDER IRS REVENUE PROCEDURE 85-58 APPLY FOR THIS CHANGE IN ACCOUNTING PERIOD. UNIVERSITY HEALTH SERVICES INC 1350 WALTON WAY AUGUSTA GA 30901 581581103 HOSPITAL GA 501(C)(3) LINE 3 PIEDMONT HEALTHCARE INC 0 RICHMOND COUNTY HOSPITAL AUTHORITY 1350 WALTON WAY AUGUSTA GA 30901 586001901 LEASED FACILITIES GA 501(C)(3) LINE 3 N/A 0 AUGUSTA RESOURCE CENTER ON AGING I 1350 WALTON WAY AUGUSTA GA 30901 581728812 NON PROFIT LIFE CARE COMMUNITY GA 501(C)(3) LINE 10 UNIVERSITY HEALTH SERVICES INC 0 UNIVERSITY HEALTH CARE FOUNDATION 2260 WRIGHTSBORO ROAD AUGUSTA GA 30904 581343550 PHILANTHROPY GA 501(C)(3) LINE 7 UNIVERSITY HEALTH SERVICES INC 0 UNIVERSITY EXTENDED CARE INC 1350 WALTON WAY AUGUSTA GA 30901 581581105 HEALTHCARE GA 501(C)(3) LINE 3 UNIVERSITY HEALTH SERVICES INC 0 PIEDMONT HEALTHCARE INC 1800 HOWELL MILL RD STE 850 ATLANTA GA 30318 581503902 MANAGEMENT GA 501(C)(3) LINE 12C, III-FI N/A 0 PIEDMONT HOSPITAL INC 1968 PEACHTREE ROAD NW ATLANTA GA 30309 580566213 HOSPITAL GA 501(C)(3) LINE 3 PIEDMONT HEALTHCARE INC 0 FAYETTE COMMUNITY HOSPITAL INC 1255 HIGHWAY 54 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