2024-05-14T12:59:27-05:00 2023-06-30 KPMG LLP 303 PEACHTREE ST STE 2000 ATLANTA GA 30308 990 2022-07-01 581581103 UNIVERSITY HEALTH SERVICES INC % MARIE GAFFNEY UNIV 7067747710 1350 WALTON WAY AUGUSTA GA 30901 MARIE GAFFNEY VP CORPORATE FINANCE 4702716007 2024-05-13 true MARIE GAFFNEY 999009999 WHITNEY B HEBRON P01226647 4042223000 2024-05-13 2022 2023-04-26 12:10:37Z PIEDMONT AUGUSTA HOSPITAL DR LILY HENSON 1350 WALTON WAY AUGUSTA GA 30901 496006976 false X HTTPS://WWW.PIEDMONT.ORG/ X 1984 GA To provide compassionate and sustainable healthcare in a progressive environment. 14 9 4525 101 4131441 1509063 763052 535549 281167807 490565944 28860515 -36611 5526486 4633408 316317860 495698290 401948 638245 0 0 153271748 218171895 0 0 0 164938859 281136291 318612555 499946431 -2294695 -4248141 1018157642 1183632975 405715976 338862073 612441666 844770902 The mission of University Health Care Services is to operate an acute and subacute care hospital providing health care services which help the citizens of our communities achieve and maintain optimal health. false false 464775570 638245 490565944 UNIVERSITY HEALTH SERVICES, INC. (d/b/a Piedmont Augusta Hospital) IS AN 812-BED ACUTE-CARE FACILITY LOCATED IN THE CITY OF AUGUSTA IN RICHMOND COUNTY, GEORGIA. PRIMARY CARE AND SPECIALTY PHYSICIANS OF THE MEDICAL STAFF MEET THE PROFESSIONAL CLINICAL NEEDS OF CHILDREN, ADULTS, AND SENIORS WITHIN THE AUGUSTA-RICHMOND COUNTY AREA AND 25 COUNTIES ACROSS TWO STATES, REGARDLESS OF ANY INDIVIUAL'S ABILITY TO PAY FOR SERVICES. FOR THE YEAR ENDED JUNE 30, 2023, THE HOSPITAL HAD 20,302 IN-PATIENT ADMISSIONS WITH A TOTAL OF 117,791 DAYS OF IN-PATIENT HOSPITALIZATION. ER VISITS TOTALED 58,117 AND OUTPATIENT VISITS TOTALED 353,803. SURGICAL SERVICES WERE PROVIDED TO 14,443 PATIENTS. 464775570 true false false true false false false false false false true true false false true true false true false true true false false false false false true true true true true true false false false false false false false false false false false false false false true true false false false true 262 0 4525 true true true true CJ false false false false false false false false true false X 14 9 false false false false true true true true true false false false true true true true true true true false GA SC X MARIE GAFFNEY 4702716007 2727 PACES FERRY RD BLDG 2 STE 70 ATLANTA GA 30339 X KEVIN BROWN BOARD MEMBER 1.0 54.0 X 0 3185079 423467 HOUMAN TAMADDON PHYSICIAN 50.0 0.0 X 1907523 0 28017 JAMES R DAVIS PRESIDENT & CEO (UNTIL 12/22) 50.0 5.0 X X 1604305 0 24618 ELIZABETH LEDDY SECRETARY/CLO PHC 1.0 54.0 X 0 1389485 138711 GREGORY OETTING PHYSICIAN 50.0 0.0 X 1388871 0 23661 CHARLES L BROWNMD BOARD MEMBER 1.0 54.0 X 0 1170962 138163 THOMAS ARNOLD TREASURER/CFO PHC 1.0 54.0 X 0 1173444 130741 SANTOSH VARKEY PHYSICIAN 50.0 0.0 X 1023325 0 12380 JONATHAN TUTTLE PHYSICIAN 50.0 0.0 X 938235 0 26942 TIMOTHY HUNTER PHYSICIAN 50.0 0.0 X 943322 0 17305 DAVID A BELKOSKI CFO 50.0 5.0 X 831457 0 19233 ELIZABETH R GALLUP COO 50.0 5.0 X 756341 0 24255 LILY J HENSON MD PRESIDENT & CEO (AS OF 1/2023) 50.0 5.0 X X 0 642511 92972 BARRY J JENKINS CMO 50.0 5.0 X 628797 0 11072 SCOTT ANSEDE EXEC DIR, PIEDMONT AUGUSTA CAR 1.0 49.0 X 552640 0 18075 SHIRLEY GABRIEL EXECUTIVE DIRECTOR, INFO SVCS 50.0 0.0 X 526959 0 16755 JANEE DOCK CNO 50.0 0.0 X 425204 0 18455 LAURIE OTT SMITH EXEC DIRECTOR, PHILANTHROPY 30.0 25.0 X 403977 0 14534 EDWARD L BURR CAO 50.0 5.0 X 409253 0 3926 TERESA BUSCHBACHER EXEC DIR, HVI & RADIOLOGY SVCS 50.0 0.0 X 388412 0 16692 LISA RITCH CNO 50.0 0.0 X 366445 0 20977 KELLY DUNAVANT VP SUPPORT SVCS 50.0 0.0 X 311504 0 29229 DANIEL H BOONE MD BOARD MEMBER 2.0 50.0 X 298272 0 20568 JAMES C SHERMAN MD BOARD MEMBER 2.0 50.0 X 117698 0 0 HUGH L HAMILTON BOARD MEMBER/CHAIR 1.0 1.0 X X 0 0 0 EUGENE F MCMANUS BOARD MEMBER/VICE CHAIR 1.0 1.0 X 0 0 0 WILLIAM P DOUPE BOARD MEMBER 1.0 1.0 X 0 0 0 TERRY D ELAM BOARD MEMBER 1.0 1.0 X 0 0 0 LEVI W HILL IV BOARD MEMBER 1.0 1.0 X 0 0 0 SANFORD LOYD BOARD MEMBER 1.0 1.0 X 0 0 0 BECKY SMITH BOARD MEMBER 1.0 1.0 X 0 0 0 EDWARD TARVER BOARD MEMBER 1.0 1.0 X 0 0 0 REGINA HARRISON BOARD MEMBER/AST. SECRETARY 1.0 1.0 X 0 0 0 13822540 7561481 1270748 384 false true false SHEARWATER HEALTH INC 20 BURTON HILLS BLVD STE 400 NASHVILLE TN 37215 CLIN PROC OUTSOURCIN 3124897 SHEPEARD COMMUNITY BLOOD CENTER PO BOX 1189 EVANS GA 30809 MEDICAL SUPPLY SVCS 2866135 MICROSOFT CORPORATION 1950 N STEMMONS FWY STE 5010 LB84 DALLAS TX 75207 COMPUTER SERVICES 2540563 MORRISON HEALTHCARE 1350 WALTON WAY AUGUSTA GA 30910 FOOD SERVICES 2508460 STRYKER SALES LLC 21343 NETWORK PLACE CHICAGO IL 606731213 MEDICAL DEVICE SVCS 2358963 34 535549 535549 PATIENT SERVICE REVENUE 621110 488408050 488408050 LAB REVENUE 621500 3728866 3728866 OTHER OPERATING REVENUE 900099 -1570972 -1570972 490565944 7695 389865 -382170 0 0 4816252 182844 4633408 0 4633408 12710 4620698 81536 125842 -44306 -44306 -44306 0 0 0 0 0 0 0 0 0 0 495698290 486837078 4131441 4194222 X 568035 568035 70210 70210 0 0 7117578 6146029 971549 0 167513344 144647773 22865571 0 29980341 25888024 4092317 13560632 11709606 1851026 0 1478282 1478282 128580 128580 27805 27805 0 1400109 1400109 100675289 100675289 0 0 380687 380687 6940670 5993269 947401 9278159 8011690 1266469 0 12170580 10509296 1661284 150261 129750 20511 0 23214 20045 3169 5186479 4478525 707954 0 26777114 23122038 3655076 6049497 5223741 825756 BAD DEBT EXPENSE 25798535 25798535 0 MEDICAL SUPPLIES & DRUGS 118631630 118631630 HOSPITAL TAX 6744093 6744093 MISCELLANEOUS -40704693 -35148502 -5556191 499946431 464775570 35170861 0 57534333 230620652 0 0 0 0 111702035 103266511 0 0 0 0 6753551 0 12473491 15779300 8964852 8807414 375809100 29087571 297586081 346721529 456228380 0 0 468741871 0 0 0 0 66914919 9695698 1018157642 1183632975 41335237 161077873 0 0 0 0 120548930 112647556 0 0 0 0 62662185 0 0 0 181169624 65136644 405715976 338862073 X 612406666 844697813 35000 73089 612441666 844770902 1018157642 1183632975 X -4248141 -18619897 255197274 X false true X true true true X false false false false false false false false true 27805 27805 false Schedule C, Part II-B, Line 1, Lobbying Activities A part of various association dues include a percentage allocation for expenditures on lobbying activities. Dues paid to the Georgia Alliance of Community Hospitals, The American Hospital Association, and other health associations all have a lobbying component. For 2023 these fees amount to $27,805. 0 47820000 47820000 0 188321073 10201877 178119196 0 515355 36034 479321 0 85249847 13438086 71811761 0 53902825 5411574 48491251 346721529 PLANT FUND INVEST-TRUSTCO 440376407 F ALLOWANCE FOR UNREALIZED LOSS 28119421 F INVESTMENT PLANT FUND-OTHER 57528 F ACCRUED INTEREST EARNED 50099 F VHA STOCK INVESTMENTS 138416 F 468741871 0 DUE TO RELATED PARTIES 65177055 MISCELLANEOUS -40411 65136644 X SCHEDULE D, PART X, LINE 2: ASC 740 FOOTNOTE (FKA FIN 48) PHC ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF ASC 740, INCOME TAXES (ASC 740). UNDER THE REQUIREMENTS OF ASC 740, TAX-EXEMPT ORGANIZATIONS MAY BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS UNCERTAIN TAX EXPOSURE ITEMS. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AT JUNE 30, 2023 OR 2022. Central America and the Caribbean 1 2 Investments 0 1 2 1 2 0 0 true false true false false false true true X true X true X true true false false 26512585 26512585 0.05590 19184702 12071535 7113167 0.01500 32174490 21670228 10504262 0.02220 77871777 33741763 44130014 0.09310 854898 854898 0.00180 765339 765339 0.00160 510566 510566 0.00110 2130803 2130803 0.00450 80002580 33741763 46260817 0.09760 5100 5100 72275 72275 77375 77375 true 4809777 112864043 117868633 -5004590 X true true 1 1 UNIVERSITY HEALTH SERVICES INC 1350 WALTON WAY AUGUSTA GA 30901 https://www.piedmont.org/ 121-375 X X X X UNIVERSITY HEALTH SERVICES INC 1 false false true X X X X X X X X 22 true false false true X SEE PART V, SECTION C X X true 22 true SEE PART V, SECTION C false true X 200. 400. X X X X X X true true X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5: COMMUNITY REPRESENTATION A COMMUNITY LISTENING SESSION WAS HELD IN RICHMOND COUNTY. INDIVIDUALS FROM VARIOUS HEALTH AND SOCIAL SERVICE AGENCIES FROM RICHMOND, COLUMBIA, AND AIKEN COUNTIES WERE INVITED TO ATTEND. THOSE AGENCIES THAT PARTICIPATED IN THE SESSIONS ARE: RAPE CRISIS AND SEXUAL ASSAULT SERVICES, I AM MY BROTHER'S KEEPER MINISTRY, LONG TERM LIAISONS, CITY OF GROVETOWN, UNITED WAY OF THE CSRA, SAFE HOMES, RICHMOND COUNTY SCHOOL SYSTEM, HARRISBURG FAMILY HEALTHCARE. THESE AGENCIES REPRESENT THE HOMELESS, THE ELDERLY AND 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: AUGUSTA HOUSING & COMMUNITY DEVELOPMENT, AUGUSTA PARTNERSHIP FOR CHILDREN, AUGUSTA RESCUE MISSION, CHRIST COMMUNITY HEALTH, COORDINATED HEALTH SERVICES, INC., CSRA AREA AGENCY ON AGING, FAMILY PROMISE OF AUGUSTA, GAP MINISTRIES, GARDEN CITY RESCUE MISSION, GEORGIA DEPARTMENT OF PUBLIC HEALTH, EAST CENTRAL HEALTH DISTRICT IV, RICHMOND COUNTY HEALTH DEPARTMENT, GOLDEN HARVEST FOOD BANK, HOPE FOR AUGUSTA, HOPE HOUSE, LAMAR MEDICAL CENTER, MERCY MINISTRIES, SENIOR CITIZEN COUNCIL, TURN BACK THE BLOCK, WALTON OPTIONS FOR INDEPENDENT LIVING, COLUMBIA COUNTY, CITY OF HARLEM, COLUMBIA COUNTY COMMUNITY, COLUMBIA COUNTY HEALTH DEPARTMENT, UNITED WAY OF AIKEN COUNTY, COMMUNITY MINISTRY OF NORTH AUGUSTA, AIKEN SENIOR LIFE SERVICES, AIKEN COUNTY HELP LINE, INC., ACTS-AREA CHURCHES TOGETHER SERVING, COMMUNITY MEDICAL CLINIC OF AIKEN COUNTY, JACKSON FIRST ALERT RESCUE SQUAD, LOWER SAVANNAH COG, RURAL HEALTH SERVICES, INC., FAMILY HEALTH CARE, AIKEN COUNTY HEALTH DEPARTMENT. REPRESENTATIVES FROM THESE ORGANIZATIONS WERE SENT AN EMAIL WITH THE LIST OF QUESTIONS FROM THE LISTENING SESSION AND INVITED TO PROVIDE FEEDBACK. SCHEDULE H, PART V, SECTION B, LINE 7A: COMMUNITY HEALTH NEEDS ASSESSMENT https://www.piedmont.org/media/file/Community-Benefit-Needs-Assessment-PAG H.pdf SCHEDULE H, PART V, LINE 7D: PUBLIC AVAILABILITY OF CHNA IN ADDITION TO MAKING ITS CHNA REPORTS AVAILABLE ON ITS WEBSITE AND BY REQUEST, PIEDMONT AUGUSTA SENT COPIES TO EACH PARTICIPANT IN THE CHNA PROCESS, DISTRIBUTED THE ASSESSMENTS TO COMMUNITY CENTERS AND OTHER LOCATIONS THAT PRIMARILY SERVE AN UNINSURED POPULATION, SENT COPIES TO LEGISLATIVE AND ELECTED OFFICIALS, AND WIDELY DISTRIBUTED THE ASSESSMENTS TO OTHER PIEDMONT HEALTHCARE HOSPITALS. SCHEDULE H, PART V, LINE 10A: IMPLEMENTATION STRATEGIES WEBSITE THE BOARD OF DIRECTORS FOR PIEDMONT AUGUSTA APPROVED ITS IMPLEMENTATION STRATEGY FOR THE THREE-YEAR PERIOD BEGINNING WITH FY23 ON OCTOBER 27, 2022, WITHIN THE GRACE PERIOD FOLLOWING THE APPROVAL OF THE NEW COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING LINK IS FOR THE IMPLEMENTATION STRATEGY EFFECTIVE THROUGH JUNE 30, 2025. https://www.piedmont.org/media/file/Community-Benefit-Implementation-Strat egy-PAGH.pdf SCHEDULE H, PART V, LINE 11: ADDRESSING COMMUNITY HEALTH NEEDS DURING FY22, PIEDMONT AUGUSTA CONDUCTED ITS FIRST TRIENNIAL CHNA, BY ASSESSING PUBLICLY AVAILABLE DATA, INTERVIEWING COMMUNITY MEMBERS AND STAKEHOLDERS, CONDUCTING FOCUS GROUPS OF VULNERABLE POPULATIONS, INTERVIEWING PIEDMONT BOARD MEMBERS, AND SURVEYING PIEDMONT EMPLOYEES. THROUGH THIS PROCESS, PIEDMONT AUGUSTA DETERMINED AND PRIORITIZED THE COMMUNITY HEALTH NEEDS IT WOULD ADDRESS BASED ON THE NUMBER OF PERSONS AFFECTED, THE SERIOUSNESS OF THE ISSUE, WHETHER THE HEALTH NEED AFFECTED VULNERABLE POPULATIONS, AND THE AVAILABILITY OF COMMUNITY AND HOSPITAL RESOURCES NECESSARY TO ADDRESS THE ISSUE. ALL PRIORITIES ARE VIEWED THROUGH THE LENS OF HEALTH DISPARITIES, WITH PARTICULAR ATTENTION PAID TO IMPROVING OUTCOMES FOR THOSE MOST VULNERABLE DUE TO INCOME AND RACE. BASED ON THE CHNA, PIEDMONT AUGUSTA IS CURRENTLY FOCUSING ON: (1) ENSURING AFFORDABLE ACCESS TO HEALTH, MENTAL, AND DENTAL CARE (2) REDUCING PREVENTABLE INSTANCES OF, AND DEATHS FROM, CANCER (3) REDUCING PREVENTABLE INSTANCES OF, AND DEATHS FROM, HEART DISEASE (4) REDUCING PREVENTABLE INSTANCES OF DIABETES AND INCREASING ACCESS TO CARE FOR THOSE LIVING WITH THE DISEASE (5) REDUCING RATES OF OBESITY AND INCREASING ACCESS TO HEALTHY FOODS AND RECREATIONAL ACTIVITIES SCHEDULE H, PART V, LINE 16: FINANCIAL ASSISTANCE POLICY WEBSITES FINANCIAL ASSISTANCE POLICY - HTTPS://WWW.PIEDMONT.ORG/MEDIA/FILE/FINANCIAL-ASSISTANCE-POLICY.PDF FINANCIAL ASSISTANCE APPLICATION - HTTPS://WWW.PIEDMONT.ORG/MEDIA/FILE/FINANCIAL-ASSISTANCE-APPLICATION.PDF FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY - HTTPS://WWW.PIEDMONT.ORG/MEDIA/FILE/FINANCIAL-ASSISTANCE-PLAIN LANGUAGE SUMMARY-ENGLISH.PDF 17 UNIVERSITY CARDIOLOGY ASSOCIATES LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UNIVERSITY MEDICAL GROUP LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG HOSPITALIST LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG NEUROSURGERY LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG PRIMARY CARE SOUTH CAROLINA LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG PROMPT CARE LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG GENERAL SURGERY LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UNIVERSITY CRITICAL CARE MEDICINE LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG VASCULAR LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG PROMPT CARE SOUTH CAROLINA LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG CONGESTIVE HEART FAILURE LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG ENDOCRINOLOGY LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG CARDIOTHORACIC SURGERY LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG INFECTIOUS DISEASE 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG NEUROLOGY LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG GASTROENTEROLOY LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES UMG PALLIATIVE LLC 1350 WALTON WAY AUGUSTA GA 30901 PHYSICIAN PRACTICES SCHEDULE H, PART I, LINE 6A PUBLIC AVAILABILITY OF COMMUNITY BENEFIT REPORT We regularly report to the community our community benefit activities in several ways. Each year, we prepare a systemwide community benefit report that is available to the public through publication on our website. We also make available our IRS Form 990 Schedule H on our website and provide copies to anyone upon request. We also provide information on community benefit programming to local, state, and federal lawmakers through our government affairs office and online at piedmont.org. SCHEDULE H, PART I, LINE 7(F) PERCENT OF TOTAL EXPENSE THE DENOMINATOR USED FOR THE CALCULATION OF COLUMN (F), PERCENT OF TOTAL EXPENSE, WAS THE AMOUNT OF TOTAL FUNCTIONAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) OF $499,946,431, LESS BAD DEBT EXPENSE OF $25,798,535 FROM FORM 990, PART IX, LINE 24(A). SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST A RATIO OF PATIENT CARE COST TO CHARGES, CONSISTENT WITH WORKSHEET 2, WAS USED TO REPORT THE AMOUNTS IN PART I, LINES 7A-7D. FOR AMOUNTS ON LINES 7E-7K, ACTUAL EXPENSES FOR EACH COMMUNITY BENEFIT ACTIVITY ARE TRACED AND REPORTED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. SCHEDULE H, PART III, LINES 2-4 BAD DEBT EXPENSE CALCULATION AND FOOTNOTE THE PROVISION FOR BAD DEBTS IS BASED UPON LEADERSHIP'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY, LEADERSHIP ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THE REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. THE AMOUNT REPORTED ON PART III, LINE 3, WAS DETERMINED BY TAKING THE AVERAGE ACCEPTANCE RATE FOR ALL CHARITY CARE APPLICATIONS RECEIVED DURING THE YEAR MULTIPLIED BY THE NUMBER OF DENIALS THAT WERE ATTRIBUTABLE TO INSUFFICIENT INFORMATION. THAT TOTAL WAS THEN ADJUSTED DOWNWARD FOR THE ORGANIZATION'S USE OF PRESUMPTIVE ELIGIBILITY WHEN DETERMINING ITS COMMUNITY BENEFITS. BAD DEBT EXPENSE FOOTNOTE FROM CONSOLIDATED, AUDITED FINANCIAL STATEMENTS: THE PROVISION FOR BAD DEBTS IS BASED UPON leadership's ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, leadership ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBT TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. PAG PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE. SCHEDULE H, PART III, LINE 8 MEDICARE SHORTFALLS AS COMMUNITY BENEFIT The amount reported on Part III, Line 6, was calculated in accordance with Schedule H instructions by utilizing our allowable Medicare cost as reported in the Medicare cost report, which is based on a cost to charge ratio. However, the allowable costs in the Medicare cost report do not reflect the actual cost of providing care to patients since the Medicare cost report excludes many direct patient care costs that are essential to provide quality healthcare for Medicare patients. For example, certain coverage fees to physicians, cost of Medicare C and D, and other similar direct patient care expenses are specifically excluded from allowable cost in the Medicare Cost Report. We believe our Medicare shortfall reported on Part III, Line 7 of Schedule H, should be considered a community benefit as the IRS community benefit standard includes the provision of care to elderly and Medicare patients. IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health insurance, such as Medicare, is an indication we operate to promote health in the community. Our policy is to treat Medicare patients, regardless of the extent to which Medicare pays for the treatment. For many services, Medicare's reimbursement is less than the cost of the care provided, resulting in shortfalls that are to be absorbed by us in honor of our commitment to treat elderly patients. Many of these patients live on a low, fixed income, and would qualify for financial assistance or other means-tested programs, absent from their enrollment in Medicare. SCHEDULE H, PART III, LINE 9(B) COLLECTION PRACTICES INITIAL SCREENINGS OF ALL INPATIENT, EMERGENCY, AND SURGERY ENCOUNTERS, AS WELL AS MOST OUTPATIENT VISITS, ARE CONDUCTED BY FINANCIAL COUNSELORS IN ORDER TO IDENTIFY ANY AVAILABLE INSURANCE OR OTHER COVERAGE FOR EACH PATIENT. COUNSELORS CONTACT PATIENTS AND THEIR FAMILIES DIRECTLY, EITHER IN PERSON OR BY LETTER, TO ASSIST THE FAMILY IN IDENTIFYING ANY PROGRAMS FOR WHICH THE PATIENT/SERVICE MAY QUALIFY (INCLUDING MEDICAID, STATE CHILDREN'S HEALTH INSURANCE PROGRAM ("SCHIP"), PRIVATE OR GOVERNMENT INSURANCE COVERAGE, AND CHARITY ASSISTANCE). IF THE FAMILY CANNOT BE TIMELY LOCATED OR IS UNCOOPERATIVE, RELATED ACCOUNTS ARE TRANSFERRED TO AN INTERNAL COLLECTION DEPARTMENT FOR FURTHER ATTEMPTS TO OBTAIN PAYMENT OR, IF THE PATIENT MAY QUALIFY FOR ASSISTANCE, TO SECURE A FINANCIAL ASSISTANCE APPLICATION. THE ORGANIZATION'S DEBT COLLECTION POLICY AND PROCEDURES PROHIBIT ANY COLLECTION EFFORTS FOR THE PORTION OF A PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. Schedule H, Part VI, Line 2: Needs Assessment As a designated 501(c)(3) nonprofit hospital, we are required by the Internal Revenue System to conduct a triennial community health needs assessment (CHNA), in accordance with regulations put forth by the IRS following the 2010 Patient Protection and Affordable Care Act (ACA). Through this assessment, we hope to better understand local health challenges, identify health trends in our community, determine gaps in the current health delivery system and craft a plan to address those gaps and the identified health needs. In FY22, we conducted our first triennial CHNA and FY23 was the first year for activities outlined in its subsequent Implementation Strategy. The CHNA was led by the Piedmont Healthcare community benefits team and consulting organization Public Goods Group, with input and direction from Piedmont leadership and Piedmont Healthcare's Department of External Affairs. Process The CHNA started with a definition of our community, which is our home county due to the impact of our tax-exempt status. Property taxes make up the largest segment of a hospital's tax exemption, which impacts county revenues. Because of this, we aim to ensure that we are providing ample benefit to our county and its residents. Additionally, we take into consideration patient origin, especially that of our lower-income patients such as those who qualify for financial assistance or receive insurance coverage through Medicaid. Our secondary communities are considered the areas in which we have the highest concentration of patients fitting that criterion, including ones from nearby communities. Once we established our primary and secondary communities, we then conducted an analysis of available public health data. This included resources from: US Census, US Health and Human Services' Community Health Status Indicators, US Department of Agriculture, Economic Research Service, National Center for Education Statistics, Kaiser Family Foundation's State Health Facts, American Heart Association, County Health Rankings and Georgia Online Analytical Statistical Information System (OASIS). All figures within the CHNA were for 2020, unless otherwise noted. Health indicators are estimates provided by County Health Rankings and hospital data were internally sourced. We then interviewed key stakeholders who have a particular expertise or knowledge of our communities. Specifically, we interviewed representatives of local and regional public health entities, minority populations, faith-based communities, local business owners, the philanthropic community, mental health agencies, elected officials and individuals representing our most vulnerable patients. An internal survey was also conducted throughout the healthcare system for both clinical and non-clinical employees. Information was gathered on knowledge and understanding of community benefit and current programs, as well as suggestions for how we can better serve our patients and communities. Approximately 1,053 employees spanning the system responded. Additionally, we conducted a community-based survey that was widely advertised to the community. Once both qualitative and quantitative data was gathered, we authored the preliminary report, which was then vetted and reviewed by hospital and health system leadership. In this report, we identified several key community health needs that emerged during the assessment process. The chosen priorities were recommended by the community benefit department with sign-off from hospital and board leadership. The following criteria were used to establish the priorities: - The number of persons affected; - The seriousness of the issue; - Whether the health need particularly affected persons living in poverty or reflected health disparities; and, - Availability of community and/or hospital resources to address the need. All priorities are viewed through the lens of health disparities, with particular attention paid to improving outcomes for those most vulnerable due to income and race. The priorities we chose reflected a collective agreement on what hospital leadership, staff and the community felt was most important and within our ability to positively impact the issue. Once priorities were approved by the board of directors, we then authored the CHNA and presented our findings and recommendations to the hospital's board of directors for their input and approval. Our priorities A key component of the CHNA is to identify the top health priorities we will address over fiscal years 2023, 2024, and 2025. These priorities will guide our community benefit work. They are, in no order: - Ensure affordable access to health, mental, and dental care - Reduce preventable instances of and deaths from cancer - Reduce preventable instances of and deaths from heart disease - Reduce preventable instances of diabetes and increase access to care for those living with the disease - Reduce rates of obesity and increase access to healthy foods and recreational activities With each priority, we work to achieve greater health equity by reducing the impact of poverty and other socioeconomic indicators. This means that health equity is built into each priority, which is demonstrated through our implementation strategies. Our subsequent implementation strategy was developed in partnership with hospital leadership and community stakeholders to address the identified priorities in our FY22 community health needs assessment. The implementation strategy was designed to be executed over a three-year period and included specific metrics by which we would be able to evaluate our work and its impact. The implementation strategy was developed by utilizing community feedback from the assessment in partnership with the system community benefits department, our leadership, and our board of directors. We included proven and successful interventions and programming, investing further in work we felt was successful in addressing unmet health needs. Schedule H, Part VI, Line 3: Patient Education of Assistance Eligibility We understand that not everyone can pay their hospital bill due to their insurance status or a limited income, and because of this, we offer financial assistance to qualifying patients. Notification about financial assistance includes, but is not limited to, a dedicated contact number, notices in patient bills, and posted notices in key areas of the hospital. These locations are the emergency room, admitting and registration departments, our business office, and patient financial services offices that are located on site. We also publish and widely publicize a plain language summary of this financial assistance care policy on our website, as well as the full policy. Referral of patients for financial assistance may be made by any staff or medical staff member at the hospital, including physicians, nurses, financial counselors, social workers, case managers, chaplains, and religious sponsors. A request for financial assistance may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws. Additionally, we provide copies of our financial assistance policy to our partner clinics and others who work closely with low-income populations. We help our partners in understanding the policy, how it relates to their populations, and receive feedback in ways our financial assistance programming could be improved. Schedule H, Part VI, Line 4: Community Information While Piedmont Augusta serves patients throughout Georgia, we consider our community to be Richmond County. We do this in recognition of the direct impact of our tax-exempt status on county residents. In Richmond County, an average of approximately 205,800 people lived in the 324-square-mile area each year from 2017 to 2021. The population density for this area, estimated at more than 600 people per square mile, is more than the national average population density of 93 people per square mile. Richmond County is mostly urban, as 92 percent were living in an urban setting in 2020. The median age of people living within the county from 2017 to 2021 was 35, a little younger than state and national averages. About 23 percent of the population were 17 or younger, 14 percent were over the age of 65, and the rest were between the ages of 18 and 64. Three percent of the population identified as being born outside of the US and about one percent did not possess US citizenship status. The Hispanic population within the community is growing and now represents more than five percent of the community. An average of about 12 percent of county residents were veterans each year from 2017 to 2021. The majority were under the age of 65, with the highest percentage being between the ages of 25 and 54. About 18 percent of the county population lived with a disability, and most were over the age of 65. The community is growing, and more than 6,000 people moved into Richmond County between 2010 and 2020, representing a three percent growth rate. With this growth comes increased diversity, as white populations decreased and those of all other races and ethnicities increased. Specifically, there was a 10 percent decrease in white populations, a five percent increase in Black or African American populations, a 19 percent increase in Asian populations, and a 40 percent increase in Hispanic or Latino populations. Between 2017 and 2021, the median household income was $46,237, which is significantly lower than the state and national median incomes of $65,030 and $69,021, respectively. When broken down by the four dominant races in the community, income disparities are evident. Of employers in the community, the largest sector by number of employees was government and government enterprises, which employed about 44,300 people at an average wage of $82,420 in 2019. Health care and social assistance was the next largest sector, employing nearly 18,000 people at an average wage of $59,576. Administrative and support and waste management and remediation service was the third largest sector, employing nearly 13,000 people at an average wage of $28,845. According to the 2017-2021 American Community Survey, of the more than 163,500 working-age adults in the county, approximately 94,000 were part of the labor force, yielding a labor force participation rate of approximately 58 percent. Total unemployment in the county in September 2023 equaled about 4,000 people, or five percent of the civilian non-institutionalized population aged 16 and older. Low food access is defined as living more than one mile (urban) or 10 miles (rural) from the nearest supermarket, supercenter, or large grocery store. This indicator is relevant because it highlights populations and geographies facing food insecurity. According to the 2019 Food Access Research Atlas database, nearly 50 percent of the total population in the county have low food access, meaning about 95,418 county residents may struggle to access healthy foods. In 2021, the county had a food insecurity rate of about 13 percent, meaning more than 27,600 people had been unsure how they would access adequate food at some point during the year. Unfortunately, many of these community members are ineligible for public assistance via SNAP, WIC (Special Supplemental Nutrition Program for Women, Infants and Children), free or reduced-cost school meals, the Commodity Supplemental Food Program (CSFP), or The Emergency Food Assistance Program (TEFAP). In 2020, of the 1,540 food-insecure children in the county, 28 percent were ineligible for public assistance programs. In 2021, about 79 percent of adults aged 18 or older saw a doctor for a routine check-up the previous year, a measure that is higher than both state and national averages. For Medicare recipients, this number drops to nearly 68 percent of adult beneficiaries, which is below both state and national averages. Routine check-ups are a critical component to maintaining good health and identifying conditions that can be treated affordably in a community-based setting. Absent that, even simple-to-treat conditions can escalate to deeper issues, eventually requiring more intensive care, later stage diagnoses, or reduced life expectancy. Heart disease is the leading cause of death in Richmond County. Between 2016 and 2020, there were nearly 2,600 deaths due to heart disease. This resulted in a county age-adjusted death rate of approximately 240 deaths for every 100,000 people, which is worse than both state and national averages, but a number that has decreased steadily over the last 10 years. Like heart disease, we see a significant trend in stroke deaths in Richmond County. Between 2016 and 2020, there were nearly 500 deaths due to stroke, resulting in an age-adjusted death rate of 47 deaths per every 100,000 people. This is worse than the state and national rates of about 43 and 38 deaths, respectively. The hospitalization rates for heart disease and stroke among Medicare recipients have been decreasing steadily over the past five years. On average each year from 2017 to 2019, there were approximately 11 hospitalizations for cardiovascular disease for every 1,000 Medicare beneficiaries. This rate is lower than the state average of 12 hospitalizations per 1,000 beneficiaries, but on par with the national average. Furthermore, the hospitalization rate for stroke is also lower than the state average, with eight hospitalizations per 1,000 Medicare beneficiaries, compared to the state average of nine. While heart disease remains the leading cause of death in the county, cancer remains a critical issue within the community. The cancer incidence rate for Richmond County averaged more than 480 cases per 100,000 people annually between 2016 and 2020, resulting in more than 1,000 new cases each year. When broken down by cancer site, the breast cancer incidence rate stood at 135 diagnoses per 100,000 females, which was notably higher than both the state and national averages of 129 and 127, respectively. Additionally, other diagnosed cancer sites were also higher than the state and national averages, apart from colon cancer. In 2019, a total of about 22,000 adults aged 20 and older had diabetes, equaling 14 percent of the county's population. This rate is higher than the state average of 10 percent. Diabetes is a prevalent issue in the US, often linked to an unhealthy lifestyle, and it poses risks for various health problems. This figure has fluctuated over the last five years. In 2021, about four percent of the county's population had a diagnosis of kidney disease, a rate higher than the state and national percentages of three. That same year, 32 percent of the county's total population of adults 18 and older reported having high cholesterol. Too much cholesterol puts one at risk for heart disease and stroke, two of the main causes of death within the county. High blood pressure can damage the arteries by making them less elastic, which decreases the flow of blood and oxygen to the heart and leads to heart disease. In 2021, 41 percent of adults 18 and older in Richmond County had a diagnosis of high blood pressure. Schedule H, Part VI, Line 5: Promotion of Community Health We actively promote the health of our community through clinic-hospital partnerships, community-based health screenings, educational activities, community-building activities, the operation of a 24-hour emergency department available to the entire community, the operation of an emergency room open to all members of the community without regard to ability to pay, a governance board composed of community members, use of surplus revenue for facilities improvement, patient care, and medical training, education, and research, the provision of inpatient hospital care for all persons in the community able to pay, including those covered by Medicare and Medicaid, and an open medical staff with privileges available to all qualifying physicians. In FY23, Piedmont Healthcare launched the Empowering You platform to connect community members and patients with resources to address social determinant of health issues. Powered by FindHelp.org, Piedmont clinicians and case managers can search and refer patients to supporting organizations. In FY23, Piedmont Augusta offered financial and medical support to several community clinics, improving access to care in the region. Benefiting from this support were Harrisburg Family Health Care, Miracle Ministries, Belle Terrace, Christ Community Health Services, St. Vincent Paul, and Lamar Medical Center. The hospital contributed medical services, including labs and x-rays, to these clinics, incurring a cost of $641,436. We also promoted local food initiatives such as Augusta Locally Grown, by providing reusable shopping bags for use at their market. The organization supports small farms and gardeners by making their all-natural, locally grown and sustainable fresh foods available for sale in the Augusta community. Jo Anne Hill, executive director of Diversity, Equity and Inclusion at Piedmont, served as a panelist on the Black Health Forum that was a part of Juneteenth Augusta activities. Piedmont Augusta actively promoted nutritional guidance and diabetes education in the community through various events. Despite weather challenges at the Juneteenth Festival, our educators set up to offer diabetes education. Additionally, we offered monthly classes at the I Am My Brother's Keeper/Love Center homeless day shelter, and the open monthly community event Sweet Success, a free class for under- or uninsured individuals discussing healthy eating, food choices and label reading. We participated in several community and business events, focused on manufacturing companies with low-income wage earners, to promote cancer awareness, prevention, screenings, and education. Many of those events were physician-led opportunities for patients in the community where we promoted cancer awareness, screenings, and wellness information. We participated in The Miracle Mile Walk by the Piedmont Augusta Foundation, with more than 200 participants. The event supported the Randy W. Cooper, M.D., Center for Breast Health Services, providing essential screenings to women regardless of their ability to pay. Piedmont Augusta set up an education table at the walk, offering insights into breast health best practices and cancer education. Piedmont Augusta hosted monthly mobile mammogram events, conducting more than 1,500 mammograms in FY23 through our accredited mobile unit, Women's Wellness on Wheels. Recognizing the importance of exercise and therapy in cancer recovery, our cancer services survivorship programs offered continued care, including musical therapy and yoga, to 40 patients, supporting them on their recovery journey. Centered on heart health and stroke prevention, we participated in approximately 13 community and business health events sharing heart health and stroke awareness. Businesses involved were large manufacturers with low-income wage earners along with a wide range of community members. Piedmont Augusta actively engaged in promoting community health by providing educational information, plaque scans and blood pressure checks to approximately 300 attendees at the Liberty Park Community Center. Dr. Mac Bowman, a Piedmont cardiologist, interacted with the audience during screenings and addressed heart health. Similar outreach initiatives extended to events at the I Am My Brother's Keeper/Love Center homeless day shelter and an HIV awareness event at Angelic Community Resource Development. Collaborating with the Department of Health and Richmond County Public Library for the Golden Blocks - Block Party, Piedmont Augusta, and Dr. Bowman provided health education, plaque scans and cholesterol checks to about 500 attendees, emphasizing cardiovascular risk factors. Dr. Bowman further extended this educational effort to various community churches, reaching more than 1,000 members, and was featured on the weekly radio show Health Matters on WAAW Shout 94.7 FM. Piedmont Augusta prioritized annual health screenings for community well-being. Collaborating with Faith Outreach Church's Community Day, we provided screenings, education, food and entertainment to more than 300 attendees. In collaboration with VFW, American Legion, and the Department of Veterans' Affairs veterans appreciation event, we provided plaque scans to veterans in our community throughout the event. Additionally, we conducted health screenings at various businesses, including FPL Foods and Savannah River Site, reaching more than 300 employees. Piedmont Augusta was also a title sponsor for the Indian American Cultural Association's Indian Day, providing health screenings, most notably carotid artery scans, and health education at the event. Piedmont Augusta partnered with WJBF Giving Your Best Partners in Project Refresh, an initiative providing mobile showers for the homeless community. Piedmont Augusta was a proud supporter of continuing education for health professionals, regardless of their job placement, through the continued financial support of Allied Health Schools. In FY23, we provided health professions education to students and residents training to be health professionals at a cost of $826,000. This program was vital in training future health professionals who need that crucial hands-on learning. Schedule H, Part VI, Line 6: Affiliated Health Care System We are part of Piedmont Healthcare, a regional not-for-profit organization and the parent company of 19 hospitals, the Piedmont Physicians Group, the Piedmont Heart Institute, the Piedmont Clinic and the Piedmont Healthcare Foundation. Our community relations team works directly with the community. Our community benefit department oversees the community benefit activities on behalf of all hospitals throughout the system, and this includes conducting the triennial CHNA and subsequent implementation strategy, ensuring the financial assistance policy is communicated to the community, maintaining the community benefit webpage, authoring the community benefit annual report, preparing board materials, developing and executing the community benefit grants program and compiling all community benefit figures. Each hospital and certain departments of Piedmont Healthcare execute community benefit programming, such as our revenue department, which oversees the financial assistance program. Schedule H, Part VI, Line 7: State of Filing of Community Benefit Report We are not required to file a community benefit report; however, we are required to file with the Georgia Department of Community Health information on our indigent and charity care, as well as our Medicaid and Medicare shortfalls. true CHRIST COMMUNITY HEALTH SERVICES 519 SCOTTS WAY AUGUSTA GA 30909 205404353 501(c)(3) 150000 CLINIC FINANCIAL SUPPORT HARRISBURG FAMILY HEALTH CARE 423 CRAWFORD AVE AUGUSTA GA 30904 264366421 501(c)(3) 120000 CLINIC FINANCIAL SUPPORT COORDINATED HEALTH SERVICES 2110 BROAD STREET AUGUSTA GA 30904 582060572 501(c)(3) 120000 CLINIC FINANCIAL SUPPORT NEIGHBORHOOD IMPROVEMENT PROJECT 2467 GOLDEN CAMP RD AUGUSTA GA 30906 311491242 501(c)(3) 90000 CLINIC FINANCIAL SUPPORT BEULAH GROVE COMMUNITY RESOURCE 1446 LEE BEARD WAY AUGUSTA GA 30904 582159621 501(c)(3) 20000 CLINIC FINANCIAL SUPPORT MIRACLE MAKING MINISTRIES 1127 DRUID PARK AVE AUGUSTA GA 30904 582358527 501(c)(3) 20000 CLINIC FINANCIAL SUPPORT MORRIS MUSEUM OF ART 1 TENTH ST STE 320 AUGUSTA GA 30901 586189260 501(c)(3) 10000 PROGRAM SUPPORT CITY OF NORTH AUGUSTA 100 GEORGIA AVE NORTH AUGUSTA GA 29841 576001089 GOVERNMENT 8500 PROGRAM SUPPORT AMERICAN CANCER SOCIETY PO BOX 6051 ATHENS GA 30604 131788491 501(c)(3) 7500 PROGRAM SUPPORT 9 SCHOLARSHIP AND AWARD DISBURSEMENTS 19 70210 Schedule I, Part I, Line 2 UNIVERSITY HEALTH SERVICES, INC. does not provide "grants" to assist other organizations, but does donate funds based on the following policy and procedures: Policy: UNIVERSITY HEALTH SERVICES, INC. is committed to the overall health and well-being of the communities it serves and recognizes the need to support other non-profit organizations who share this commitment. Corporate contributions and sponsorships are sometimes an appropriate vehicle for building partnerships with these non-profit organizations and maximizing our overall positive impact on the community. Procedure: 1.All contribution/sponsorship requests should be submitted in writing to the corporate communications department for consideration. Every effort should be made to process these requests and notify the requester within two weeks of receiving the written information required to evaluate the opportunity. 2.In consultation with the CEO, the director of corporate communications will prepare the annual budget for corporate contributions/sponsorships and process/manage actual disbursements during the year. 3.Requests will be evaluated based on the following criteria: a. Does the organization, event or publication promote the overall health and well-being of the communities we serve? Special consideration will be given to requests that directly impact health and wellness even though support may be available for organizations, events and/or publications that have a positive impact on the CSRA by: "Assisting in attracting and retaining a viable work-force" "Assisting in attracting and retaining viable businesses and employers in the CSRA" "Promoting the continued growth and economic well-being of the community" "Enhancing the quality of life in the CSRA" b. Does the Proposed contribution/sponsorship primarily assist people living locally rather than a national effort/initiative? c. Does the requesting organization have an approved tax-exempt status? d. Will the proposed contribution/sponsorship enhance the overall image/reputation of UNIVERSITY HEALTH SERVICES, INC.? e. Will the proposed contribution/sponsorship heighten awareness of a significant health issue or disease that has a negative impact on the citizens in the communities we serve? 4.Under no circumstances will contributions be made to political campaigns. 5.Because of the large number of public and private schools in the CSRA, UNIVERSITY HEALTH SERVICES, INC. will limit financial support/contributions to the various boards of education rather than individual schools (elementary, middle and high schools). 6.Because of the large number of churches in the CSRA, UNIVERSITY HEALTH SERVICES, INC. will limit financial support/contributions to programs that include health-related services for underserved residents such as community clinics. 7.Exception: financial support and partnerships with area colleges and technical schools do not fall under this policy. X X true true false true false false false false false true false JAMES R DAVIS PRESIDENT & CEO (UNTIL 12/22) 871554 0 323575 0 409176 0 0 0 0 0 1604305 0 0 0 DAVID A BELKOSKI CFO 520973 0 238280 0 72204 0 0 0 0 0 831457 0 0 0 LILY J HENSON MD PRESIDENT & CEO (AS OF 1/2023) 0 435927 0 152198 0 54386 0 0 0 8431 0 650942 0 0 ELIZABETH R GALLUP COO 541643 0 174178 0 40520 0 0 0 0 0 756341 0 0 0 BARRY J JENKINS CMO 417855 0 160751 0 50191 0 0 0 0 0 628797 0 0 0 EDWARD L BURR CAO 75799 0 64890 0 268564 0 0 0 0 0 409253 0 0 0 THOMAS ARNOLD TREASURER/CFO PHC 0 640918 0 356487 0 176039 0 0 0 15644 0 1189088 0 96797 ELIZABETH LEDDY SECRETARY/CLO PHC 0 547780 0 295524 0 546181 0 0 0 20761 0 1410246 0 490447 KEVIN BROWN BOARD MEMBER 0 1586846 0 1024812 0 573421 0 0 0 21793 0 3206872 0 383374 CHARLES L BROWNMD BOARD MEMBER 0 657588 0 322611 0 190763 0 0 0 19989 0 1190951 0 99874 DANIEL H BOONE MD BOARD MEMBER 257830 0 13000 0 27442 0 0 0 0 0 298272 0 0 0 LAURIE OTT SMITH EXEC DIRECTOR, PHILANTHROPY 254417 0 95916 0 53644 0 0 0 0 0 403977 0 0 0 SHIRLEY GABRIEL EXECUTIVE DIRECTOR, INFO SVCS 319391 0 151755 0 55813 0 0 0 0 0 526959 0 0 0 TERESA BUSCHBACHER EXEC DIR, HVI & RADIOLOGY SVCS 238039 0 93538 0 56835 0 0 0 0 0 388412 0 0 0 SCOTT ANSEDE EXEC DIR, PIEDMONT AUGUSTA CAR 328468 0 145091 0 79081 0 0 0 0 0 552640 0 0 0 JANEE DOCK CNO 284015 0 100285 0 40904 0 0 0 0 0 425204 0 0 0 LISA RITCH CNO 219145 0 104937 0 42363 0 0 0 0 0 366445 0 0 0 KELLY DUNAVANT VP SUPPORT SVCS 193837 0 74828 0 42839 0 0 0 0 0 311504 0 0 0 HOUMAN TAMADDON PHYSICIAN 1817051 0 18750 0 71722 0 0 0 0 0 1907523 0 0 0 GREGORY OETTING PHYSICIAN 1337431 0 25000 0 26440 0 0 0 0 0 1388871 0 0 0 TIMOTHY HUNTER PHYSICIAN 810194 0 90500 0 42628 0 0 0 0 0 943322 0 0 0 SANTOSH VARKEY PHYSICIAN 902069 0 100000 0 21256 0 0 0 0 0 1023325 0 0 0 JONATHAN TUTTLE PHYSICIAN 889161 0 25000 0 24074 0 0 0 0 0 938235 0 0 0 Schedule J, Part I, Line 1A: Other Compensation Items Thomas Arnold, Elizabeth Leddy, Lily Henson, and Charles Brown received a discretionary spending account totaling $12,000, a fixed amount determined by their job level. Kevin Brown received a discretionary spending account totaling $37,700. This spending account was included in their taxable wages. Schedule J, Part I, Line 1A: Social Club Dues The organization pays membership fees for the CEO (James Davis) to Sage Valley and The Augusta Country Club. These membership fees are paid so the organization can have access to the meeting facilities and catering services these organizations provide for meetings that are held off campus. Any personal use, related to these memberships, is reimbursed by the CEO. Schedule J, Part I, Line 3: Compensation of the CEO/Executive Director The compensation for the president/CEO of UNIVERSITY HEALTH SERVICES, INC. is set by the entity's parent, Piedmont Healthcare, Inc. Please see the Schedule O narrative for Form 990, Part VI, Section B, Line 15A & 15B for additional information. Schedule J, Part I, Line 4B: Supplemental compensation information The following individuals received payments from their supplementary executive retirement plans: Thomas Arnold: $96,797 Elizabeth Leddy: $490,447 Kevin Brown: $383,374 Charles Brown: $99,874 Lily Henson participated in a supplemental nonqualified retirement plan but did not receive a current year payment. The following individuals received a CAA redemption: James Davis: $339,489 Edward Burr: $7,000 These payments are included in the total reported on Form 990, Part VII as reportable compensation or other compensation, and have been included in the individuals' W-2. The following individuals received a Roth IUL payment: Dave Belkoski: $67,440 Elizabeth Gallup: $53,517 Barry Jenkins: $40,000 Laurie Ott Smith: $28,201 Shirley Gabriel: $33,592 Teresa Buschbacher: $27,502 Scott Ansede: $35,150 Janee Dock: $28,500 Lisa Ritch: $23,504 Kelly Dunavant: $22,000 Houman Tamaddon: $44,300 These payments are included in the total reported on Form 990, Part VII as reportable compensation or other compensation, and have been included in the individuals' W-2. The following individuals received a Sec. 162 payment: Barry Jenkins: $9,559 Lauri Ott Smith: $2,541 Shirley Gabriel: $7,036 Teresa Buschbacher: $7,043 Scott Ansede: $6,626 Janee Dock: $3,265 Lisa Ritch: $6,876 Kelly Dunavant: $10,264 Houman Tamaddon: $4,737 These payments are included in the total reported on Form 990, Part VII as reportable compensation or other compensation, and have been included in the individuals' W-2. Schedule J, Part I, Line 7: Non-fixed payments Certain employees participated in an "annual incentive plan" under which they received non-fixed bonus payments based on job level and several different performance metrics. A THE RICHMOND COUNTY HOSPITAL AUTHORITY 586001901 764603BV7 2016-10-25 135745000 ADVANCE REFUNDING false false false A 28385000 0 154488348 0 0 152829733 1658615 0 0 0 0 0 2016 false true true true A false true true true true true 0.02700 0.00200 0.02900 false false false true A false false false true false false 0 false 0 false true A true SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: THE RICHMOND COUNTY HOSPITAL AUTHORITY (F) DESCRIPTION OF PURPOSE: REFUND BOND CERTIFICATES (SERIES 2009) ISSUED 12/09/2009 SCHEDULE K, PART IV, LINE 2C: REBATE CALCULATION THE REBATE CALCULATION WAS LAST PERFORMED ON DECEMBER 16, 2021. NO REBATE DUE. FORM 990, PART VI, SECTION A, LINE 6: ORGANIZATION'S SOLE MEMBER PIEDMONT HEALTHCARE, INC., (EIN 58-1503902) IS THE SOLE MEMBER OF UNIVERSITY HEALTH SERVICES, INC. ("PAG"). FORM 990, PART VI, SECTION A, LINE 7A: ELECTION OF GOVERNING BODY THE BOARD OF PIEDMONT HEALTHCARE, UNIVERSITY HEALTH SERVICES, INC.'S SOLE MEMBER, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF UNIVERSITY HEALTH SERVICES, INC. FORM 990, PART VI, SEC A, LINE 7B: DECISIONS OF GOVERNING BODY UNIVERSITY HEALTH SERVICES INC.'S BOARD POLICIES AND DECISIONS MUST BE FILED, IMMEDIATELY AFTER ADOPTION, WITH THE SECRETARY OF THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS. SUCH POLICIES AND DECISIONS OF THE UNIVERSITY HEALTH SERVICES BOARD OF DIRECTORS ARE NOT SUBJECT TO THE APPROVAL OF OR RATIFICATION BY THE PIEDMONT HEALTHCARE BOARD, BUT SHOULD THE NEED ARISE, THEY MAY BE RESCINDED BY THE PIEDMONT HEALTHCARE BOARD THROUGH A MAJORITY VOTE OF ITS DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B: 990 REVIEW PROCESS INFORMATION NEEDED TO PREPARE UNIVERSITY HEALTH SERVICES INC.'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT. THE INFORMATION IS REVIEWED BY UNIVERSITY HEALTH SERVICES INC.'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE, INC.'S TAX DEPARTMENT AND SUBMITTED TO AN EXTERNAL TAX PREPARER FOR REVIEW. PRIOR TO FILING, COPIES OF FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE, INC., THE ORGANIZATION'S SOLE MEMBER, FOR BOARD REVIEW. FORM 990, PART VI, SEC B, LINE 12C: CONFLICT OF INTEREST POLICY COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY ORGANIZATION MANAGEMENT IN COORDINATION WITH PIEDMONT HEALTHCARE'S CHIEF COMPLIANCE OFFICER. ALL SENIOR LEADERS, BOARD MEMBERS, PHYSICIAN EMPLOYEES, NURSE PRACTITIONERS/PHYSICIAN ASSISTANTS AND EMPLOYEES AND NON-EMPLOYEES ENGAGED IN RESEARCH ARE REQUIRED TO ANNUALLY DISCLOSE ALL MATTERS WHICH COULD POTENTIALLY CONSTITUTE A CONFLICT OF INTEREST. MATTERS DISCLOSED UNDER THE POLICY MUST BE REVIEWED IN WRITING BY THE PIEDMONT HEALTHCARE CONFLICT OF INTEREST COMMITTEE IN ORDER TO DETERMINE WHETHER A CONFLICT EXISTS AND, IF SO, WHETHER TO ELIMINATE OR MANAGE THE CONFLICT. ALL BOARD MEMBERS AND EMPLOYEES OF UNIVERSITY HEALTH SERVICES ARE PROVIDED TRAINING ON CONFLICT OF INTEREST ISSUES, INCLUDING REPORTING REQUIREMENTS, AT NEW EMPLOYEE ORIENTATION AND AT LEAST ANNUALLY THEREAFTER. NONCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY MUST BE REPORTED TO PIEDMONT HEALTHCARE'S chief compliance officer FOR INVESTIGATION, AND REMEDIAL STEPS MUST BE TAKEN AS APPROPRIATE UNDER THE PIEDMONT HEALTHCARE DISCIPLINARY POLICIES. Form 990, Part VI, Sec B, Line 15a, 15b: Executive Compensation Compensation for executives of UNIVERSITY HEALTH SERVICES is set by the board of directors of Piedmont Healthcare, Inc. The Piedmont Healthcare, Inc., board of director's executive performance and compensation committee ("The Committee") is composed of at least three members of the PHC board of directors, serving terms of three years, and the majority of which are community directors who generally do not have conflicts of interest related to fulfillment of the duties as outlined below. The committee oversees executive performance and compensation on behalf of the PHC board, subject to the ultimate authority and oversight of the board. The committee also formulates policies and makes decisions in order to ensure a high level of executive performance. The committee is authorized to act on behalf of the PHC board as set out in its charter, and the committee is also charged with providing recommendations and periodic reports to the PHC board regarding executive performance and compensation. All decisions and comparability date are documented in the committee meeting minutes. Functions of the committee -Assess and implement policies regarding performance, compensation and benefits of the president/CEO and other executives as determined by the committee -Select an executive compensation consultant who reports to the committee -Annually review the President/CEO succession plan -Formulate and implement annual performance objectives for the President/CEO, and review and approve annually recommendations from the President/CEO relating to compensation, performance objectives, and succession plans for EVP executives -Annually assess President/CEO performance; If necessary, implement action plan with President/CEO input to improve his/her performance; adjust compensation as appropriate; the committee chair shall consult with the PHC governance committee chair and the PHC board chair and shall coordinate the annual performance review of the PHC president/CEO, unless the PHC board chair has a real or perceived conflict of interest, in which case the committee chair shall determine the proper review process -Review and approve long-term and short-term goals to be used in connection with EVP compensation programs as recommended by the President/CEO and validated by the compensation consultant -Periodically review compensation, if any, for the PHC board chair and all board chairs of the PHC subsidiaries -Establish other policies and procedures, and perform other tasks, related to executive performance and compensation, including but not limited to, approval of executive employment contracts and benefits -Periodically report significant decisions and any additional requested information to the PHC board. FORM 990, PART VI, SECTION C, LINE 19: DISCLOSURE OF DOCUMENTS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS SHOULD BE REQUESTED FROM PIEDMONT HEALTHCARE, INC.'S LEGAL COUNSEL. FORM 990, PART XI, LINE 9, RECONCILIATION OF NET ASSETS BOOK/TAX DIFFS $ 423,620 CHANGES IN TEMP. $ 38,089 INTERCOMPANY TRANS. $248,162,518 CHANGES IN UNRESTR. FUND $ 6,573,045 ---------------------------------------------- TOTAL $255,197,272 FORM 990 PART IX LINE 11G DESCRIPTION:GENERAL CONTRACT TOTAL FEES:35144090 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED PROFESSIONAL SERVIC TOTAL FEES:57854 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE MEDICAL SERVICES TOTAL FEES:107500 FORM 990 PART IX LINE 11G DESCRIPTION:PRINTING/DUPLICATION TOTAL FEES:47558 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASE SERV/CONTRACT SERV TOTAL FEES:32044104 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICE CONTRACT TOTAL FEES:13920 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN CALL PAY TOTAL FEES:1438669 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PHYSICIAN SUPPORT TOTAL FEES:20234166 FORM 990 PART IX LINE 11G DESCRIPTION:SERVICE/MAINTENANCE CONTRACTS TOTAL FEES:10494712 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING MGMT SERVICES TOTAL FEES:1092716 UNIVERSITY HEALTHCARE PHYSICIANS LLC 1350 WALTON WAY AUGUSTA GA 30901 272042386 PHYSICIAN OFF GA 0 0 UHS UNIVERSITY MEDICAL GROUP LLC 1350 WALTON WAY AUGUSTA GA 30901 274467379 PHYSICIAN OFF GA 0 0 UHS UNIVERSITY CARDIOLOGY ASSOCIATES 1350 WALTON WAY AUGUSTA GA 30901 451437971 PHYSCIAN OFF GA 0 0 UHS MEDICAL ONCOLOGY LLC 1350 WALTON WAY AUGUSTA GA 30901 452695782 PHYSICIAN OFF GA 0 0 UHS UMG NEUROLOGY LLC 1350 WALTON WAY AUGUSTA GA 30901 463326102 PHYSICIAN OFF GA 0 0 UHS UMG VASCULAR LLC 1350 WALTON WAY AUGUSTA GA 30901 463342973 PHYSICIAN OFF GA 0 0 UHS UNIVERSITY CRITICAL CARE MEDICINE LLC 1350 WALTON WAY AUGUSTA GA 30901 463105093 PHYSICIAN OFF GA 0 0 UHS UMG HOSPITALIST LLC 1350 WALTON WAY AUGUSTA GA 30901 463347646 PHYSICAIN OFF GA 0 0 UHS UMG INFECTIOUS DISEASE 1350 WALTON WAY AUGUSTA GA 30901 464694861 PHYSICIAN OFF GA 0 0 UHS UMG CARDIOTHORACIC SURGERY LLC 1350 WALTON WAY AUGUSTA GA 30901 463295395 PHYSICIAN OFF GA 0 0 UHS UNIVERSITY PRIMARY CARE AIKEN LLC (1) 1350 WALTON WAY AUGUSTA GA 30901 461175328 PHYSICIAN OFF GA 0 0 UHS UMG ENDOCRINOLOGY LLC 1350 WALTON WAY AUGUSTA GA 30901 463316180 PHYSICIAN OFF GA 0 0 UHS UMG GASTROENTEROLOY LLC 1350 WALTON WAY AUGUSTA GA 30901 471564753 PHYSICIAN OFF GA 0 0 UHS UMG NEUROSURGERY LLC 1350 WALTON WAY AUGUSUTA GA 30901 471125478 PHYSICIAN OFF GA 0 0 UHS UMG GENERAL SURGERY LLC 1350 WALTON WAY AUGUSTA GA 30901 471016310 PHYSICIAN OFF GA 0 0 UHS UMG PROMPT CARE LLC 1350 WALTON WAY AUGUSTA GA 30901 472519838 PHYSICIAN OFF GA 0 0 UHS UMG PRIMARY CARE SOUTH CAROLINA LLC 1350 WALTON WAY AUGUSTA GA 30901 472345170 PHYSICIAN OFF GA 0 0 UHS UMG PROMPT CARE SOUTH CAROLINA LLC 1350 WALTON WAY AUGUSTA GA 30901 472361218 PHYSICIAN OFF GA 0 0 UHS UMG RHEUMATOLOGY LLC 1350 WALTON WAY AUGUSTA GA 30901 474285985 PHYSICIAN OFF GA 0 0 UHS UMG CONGESTIVE HEART FAILURE LLC 1350 WALTON WAY AUGUSTA GA 30901 812205908 PHYSICIAN OFF GA 0 0 UHS UMG PALLATIVE CARE LLC 1350 WALTON WAY AUGUSTA GA 30901 820648367 PHYSICIAN OFF GA 0 0 UHS PIEDMONT HEALTHCARE INC 1800 HOWELL MILL RD STE 850 ATLANTA GA 30318 581503902 HC MANAGEMENT GA 501(c)(3) 12C, III-FI NA false PIEDMONT HOSPITAL Inc 1968 PEACHTREE ROAD NW ATLANTA GA 30309 580566213 HOSPITAL GA 501(c)(3) 3 PHC false FAYETTE COMMUNITY HOSPITAL INC 1255 HIGHWAY 54 WEST FAYETTEVILLE GA 30214 582232328 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT MOUNTAINSIDE HOSPITAL INC 1266 HIGHWAY 515 SOUTH JASPER GA 30143 352228583 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT NEWNAN HOSPITAL INC 745 POPLAR ROAD NEWNAN GA 30265 205077249 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT HEALTHCARE FOUNDATION INC 2001 PEACHTREE RD NE STE 400 ATLANTA GA 30309 581272768 FUNDRAISING GA 501(c)(3) 12B, II PHC false PIEDMONT HENRY HOSPITAL INC 1133 EAGLES LANDING PKWY STOCKBRIDGE GA 30281 582200195 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT NEWTON HOSPITAL INC 5126 HOSPITAL DRIVE NE COVINGTON GA 30014 582155150 HOSPITAL GA 501(C)(3) 3 PHC false PIEDMONT ATHENS REGIONAL FOUNDATION INC 1199 PRINCE AVENUE ATHENS GA 30606 581978389 FUNDRAISING GA 501(c)(3) 12B, II PARMC false PIEDMONT ATHENS REGIONAL HEALTH 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331216751 HOSPITAL GA 501(C)(3) 3 CRHS false PIEDMONT ROCKDALE HOSPITAL INC 1412 MILSTEAD AVE CONYERS GA 30012 300999841 HOSPITAL GA 501(C)(3) 3 PHC false PIEDMONT WALTON HOSPITAL INC 2151 WEST SPRING ST MONROE GA 30655 824194264 HOSPITAL GA 501(C)(3) 3 PHC false PIEDMONT HEART INSTITUTE INC 95 COLLIER ROAD NW STE 2045 ATLANTA GA 30309 263553500 HEALTHCARE GA 501(C)(3) 10 PHC false COLUMBUS AMBULATORY HEALTHCARE SERVICES 707 CENTER STREET COLUMBUS GA 31901 581719867 AMBULATORY GA 501(C)(3) 3 CRHS false COLUMBUS REGIONAL SENIOR LIVING INC 707 CENTER STREET COLUMBUS GA 31901 582628502 HEALTHCARE GA 501(C)(3) 12C, III-FI PHC false PIEDMONT CARTERSVILLE HOSPITAL INC 960 JOE FRANK HARRIS PKWY SE CARTERSVILLE GA 30120 870963633 HOSPITAL GA 501(C)(3) 3 PHC false PIEDMONT EASTSIDE HOSPITAL INC 1700 MEDICAL WAY snellville GA 30078 870982886 HOSPITAL GA 501(C)(3) 3 PHC false PIEDMONT MACON HOSPITAL INC 350 HOSPITAL DR MACON GA 31217 871006981 HOSPITAL GA 501(C)(3) 3 PHC false AUGUSTA RESOURCE 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582520623 SURGERY GA NA NONE 0 0 false 0 false PIED ENCOMPASS REHAB 9001 LIBERTY BIRMINGHAM AL 35242 853544795 HEALTHCARE DE NA NONE 0 0 false 0 false COLISEUM SAME DAY 340 HOSP DR MACON GA 31217 621805346 SURGERY GA NA NONE 0 0 false 0 false PIEDMONT MEDICAL CARE CORPORATION 2727 PACES FERRY ROAD STE 1-1100 ATLANTA GA 30339 582092768 HEALTHCARE GA NA C-CORP 0 0 false THE PIEDMONT CLINIC INC 2727 PACES FERRY ROAD STE 1-1100 ATLANTA GA 30339 582005358 HEALTHCARE GA NA C-CORP 0 0 false PIEDMONT HEART INSTITUTE PHYSICIANS INC 95 COLLIER RD NW STE 2045 ATLANTA GA 30309 260593850 HEALTHCARE GA NA C-CORP 0 0 false AMSTER MCRAE INSURANCE COMPANY SPC PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981734069 RELATED INSURANCE CJ NA C-CORP 0 0 false COLUMBUS HEALTHCARE RESOURCES PO BOX 790 COLUMBUS GA 31902 581717754 HEALTHCARE GA NA C-CORP 0 0 false COLUMBUS HEALTH SERVICES INC PO BOX 790 COLUMBUS GA 31902 581640939 HEALTHCARE GA NA C-CORP 0 0 false UNIVERSITY HEALTH RESOURCES INC 1350 WALTON WAY AUGUSTA GA 30901 581601372 HEALTHCARE GA PAG C-CORP 0 0 false UNIVERSITY HOSPITAL AIKEN INC 1350 WALTON WAY AUGUSTA GA 30901 472713774 HOSPITAL SC PAG C-CORP 0 0 false false false false true true false false false false true false true false false true false false false true SCHEDULE R, PART I, LINE 1: DISREGARDED ENTITIES THE LIMITED LIABILITY COMPANIES LISTED IN SCHEDULE R, PART I, OPERATE AS DEPARTMENTS OF UNIVERSITY HEALTH SERVICES AND ARE INCORPORATED INTO THE HOSPITAL'S BOOKS AND RECORDS. SEPARATE BOOKS AND RECORDS ARE NOT MAINTAINED FOR THE LIMITED LIABILITY COMPANIES AND ASSETS AND INCOME CANNOT BE READILY DETERMINED. AS SUCH, COLUMNS (D) AND (E) IN PART I HAVE BEEN LEFT BLANK.