Civic Intelligence

University Hospice Inc

990 • Fiscal year 2013 • EIN 27-5008428

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 14, 2014

Organization Profilewww.universityhealth.org
1350 Walton Way30901

(706) 828-2406

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

99th percentile

3.17x

Higher debt load relative to assets than 99% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Liabilities / Revenue

96th percentile

3.78x

Higher debt load relative to revenue than 96% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Net Margin

6th percentile

-51%

Higher net margin than 6% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Top Officer Pay

100th percentile

$1,057,980

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 150.9% of source-year revenue.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Asset Growth

99th percentile

541%

Faster asset growth than 99% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2012 to 2013

Revenue Growth

98th percentile

453%

Faster revenue growth than 98% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2012 to 2013

Balance Sheet
Liabilities / Assets99th percentile

Assets

Up

$835,222

Up $704,840 (+541%) from 2012

Net Assets

Down

-$1,815,576

Down $355,825 (-24%) from 2012

Liabilities

Up

$2,650,798

Up $1,060,665 (+67%) from 2012

Revenue And Expenses
Liabilities / Revenue96th percentileNet Margin6th percentile

Revenue

Up

$701,303

Up $574,425 (+453%) from 2012

Expenses

Up

$1,057,128

Up $132,851 (+14%) from 2012

Net Income

Up

-$355,825

Up $441,574 (+55%) from 2012

Historical Trend

Balance Sheet Trend

Asset Growth99th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$4.0M$2.0M$0-$2.0M-$4.0MAssets 2011: $3,559Liabilities 2011: $665,911Net Assets 2011: -$662,3522011Assets 2012: $130,382Liabilities 2012: $1,590,133Net Assets 2012: -$1,459,7512012Assets 2013: $835,222Liabilities 2013: $2,650,798Net Assets 2013: -$1,815,5762013Assets 2014: $149,215Liabilities 2014: $2,378,940Net Assets 2014: -$2,229,7252014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2013

Assets$835,222
Liabilities$2,650,798
Net Assets-$1,815,576
Open 2013 Filing

Operations Trend

Revenue Growth98th percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5M$1.0M$500K$0-$500K-$1.0MRevenue 2011: $2,180Expenses 2011: $664,532Net Income 2011: -$662,3522011Revenue 2012: $126,878Expenses 2012: $924,277Net Income 2012: -$797,3992012Revenue 2013: $701,303Expenses 2013: $1,057,128Net Income 2013: -$355,8252013Revenue 2014: $291,809Expenses 2014: $705,958Net Income 2014: -$414,1492014Revenue 2015: $26,875Expenses 2015: $30Net Income 2015: $26,8452015

Highlighted filing

2013

Revenue$701,303
Expenses$1,057,128
Net Income-$355,825
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 14, 2014
Return Version
2013v3.1
Gross Receipts
$701,303
Mission and Program Overview

Mission

The mission of university hospice is to provide comfort, minimize suffering and improve quality of life as patients and their families move through the last stages of life.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$14,199$714,791▲ $700,592
Accounts Receivable$115,222$118,058▲ $2,836
Prepaid Expenses and Deferred Charges-$1,716-
Land, Buildings, and Equipment, Net$961$657▼ $304
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$130,382$835,222▲ $704,840
Other Assets Total-$0-
Liabilities
Other Liabilities$1,584,338$2,612,020▲ $1,027,682
Accounts Payable and Accrued Expenses$5,795$38,778▲ $32,983
Total Liabilities$1,590,133$2,650,798▲ $1,060,665
Net Assets / Fund Balance
Unrestricted Net Assets$-1,459,751$-1,815,576▼ $355,825
Total Net Assets Fund Balance$-1,459,751$-1,815,576▼ $355,825
Total Liabilities and Net Assets / Fund Balance$130,382$835,222▲ $704,840

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$657$860-
Compensation and Service Providers
Top Officer Pay100th percentile

Employees

NameTitleOtherTotal
Caroline ThomasBoard Member$78,928$78,928

Board Members and Trustees

NameTitle
Rev C Gregory Deloach IIIBoard Chairman
Ellen C TereshinskiAdministrative Director
Dr Angela O WrightBoard Member
Dr Cecil SharpBoard Member
Dr Peter F BuckleyBoard Member
Rev Sam DavisBoard Member
William Knox JrBoard Member
Dr Tara A KattineMedical Director
James R DavisUhcs CEO
David a BelkoskiUhcs CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$701,303
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-355,825
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,057,128
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$76,191--$76,191
Occupancy$62,014--$62,014
All Other Expenses$5,873$2,349-$8,222
Other Expenses$6,021--$6,021
Office Expenses$4,716--$4,716
Advertising-$2,441-$2,441
Depreciation Depletion$303--$303
Total Functional Expenses$1,052,338$4,790$0$1,057,128
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to University Health Services, Inc$2,612,020
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B: Form 990 Review Process

“A copy of the 990 form 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 web site on which the entire 990 could be viewed. The email explained that the Form 990 was available for review on the web site.”

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

“The steps in the conflict of interest policy are outlined below:1.Senior management (vice presidents and above) shall complete a Potential Conflict of Interest Questionnaire periodically. Each System organization's CEO, COO, CFO and within their divisions' vice presidents may require any employee to complete a Potential Conflict of Interest Questionnaire.2.Each employee is expected to report a potential conflict of interest when it arises.3.A. An employee will report a potential conflict by initiating a Potential Conflict of Interest Disclosure Form and delivering it to his/her vice president. All employee potential conflicts will be screened by two levels of senior management to identify conflict or duality of interest situations. (A duality of interest exists when an individual has personal or outside interests that can be affected by decisions of the System. Such a duality or even multiplicity of interest can be beneficial to and consistent with the primary goals of the institutions. Duality of interest can raise the potential for conflict of interest when the personal interests of individuals come into conflict with the interests of the System.) B.When a division vice president is notified of a potential conflict/duality of interest, the vice president shall investigate the situation and make a report of his or her findings along with a recommendation to the Executive Vice President (COO) or CEO of the involved System organization.C.The Executive Vice President or CEO who received the 3.B report shall make a decision concerning a potential conflict of interest and any resolution measures to be taken. In the event the potential conflict involves a vice president, the President of University Health shall investigate the situation and make a decision concerning a potential conflict of interest and any resolution measures to be taken. This information shall be communicated directly to the concerned employee.D.The employee may appeal the conflict of interest determination to the President of University Health. The President's decision about a potential conflict of interest and any resolution measures is final and not cognizable under the Employee Grievance Policy A-30.E.In the event the potential conflict involves the CEO of any System organization, the matter shall be reported to the Chairman of the involved System organization board, who shall determine if a conflict exists and what, if any, resolution measures are necessary in accordance with that corporation's conflict of interest policy. 4.Filing of FormsA.Conflict of Interest Questionnaires of those who are required by this policy to complete one periodically shall be filed in the applicable corporation's CEO's office and retained for no less than seven years. Optional Conflict of Interest Questionnaires shall be filed in the office of the vice president who requested completion of the form.B.Completed Potential Conflict of Interest Disclosure Forms shall be filed in the applicable corporation's CEO's office for the CEO, COO, and vice presidents and for all others in the appropriate vice president's office. The forms should be retained for no less than seven years.5.The Vice President for Legal Affairs will be available to advise on potential conflict of interest matters.BOARD MEMBERS:Board Members are also required to complete a Potential Conflict of Interest Questionnaire annually. This questionnaire asks for disclosures related to any family relationships or business relationships with other board members, or business relationships with the Organization.”

Form 990, Part VI, Line 15A: Compensation Review & Approval Process - CEO, Top Management

“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.”

Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public Inspection

“The 990 is also available on www.Guidestar.org”

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

“All governing documents, policies, financial statements, and informational returns are available upon request at the Administrative offices”

Filing and Contact Details

Filer

EIN
27-5008428
Phone
7068282406

Signing Officer

Name
David a Belkoski
Title
Uhcs CFO
Signed
2014-11-14

Organization Details

Principal Officer
James R Davis
Formed
2011
Legal Domicile
Ga
Voting Board Members
7
Independent Board Members
6
Employees
0
Supplemental Narrative

Financial Statement Notes

Part X : FIN48 Footnote

“Accounting for Income Taxes - The Parent, University Hospice, UHS, the Foundation, ARCOA,and University Extended Care, Inc. are exempt from federal income tax under Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. University Health Resources, Inc. is a taxable entity and files a corporate tax return. UHCP is organized under Georgia law and the Internal Revenue Code as a limited liability company (LLC). The members of an LLC report taxable income or loss on their corporate or individual tax returns. With respect to its for-profit entities, as well as any unrelated business income generated by the taxexempt entities, the Parent records income taxes using the liability method under which deferred tax assets and liabilities are determined based on the differences between the financial accounting and tax bases of assets and liabilities. Deferred tax assets or liabilities at the end of each period are determined using the currently enacted tax rate expected to apply to taxable income in the period that the deferred tax asset or liability is expected to be realized or settled. There is presently no taxation imposed by the government of the Cayman Islands on income or premiums of WWI. As a result, no tax liability or expense has been recorded. The Corporation has evaluated its tax positions and has determined that it does not have any material unrecognized tax benefits or obligations as of December 31, 2013. Fiscal years ended on or after December 31, 2010 remain subject to examination by federal and state tax authorities.”

Raw XML AppendixShowing 400 of 583 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd0false
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt05795
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt038778
IRS990/AccountsReceivableGrp/BOYAmt0115222
IRS990/AccountsReceivableGrp/EOYAmt0118058
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0The Mission of University Hospice is to provide comfort, minimize suffering and improve quality of life as patients and their families move through the last stages of life.
IRS990/AdvertisingGrp/ManagementAndGeneralAmt02441
IRS990/AdvertisingGrp/TotalAmt02441
IRS990/AllAffiliatesIncludedInd0false
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt02349
IRS990/AllOtherExpensesGrp/ProgramServicesAmt05873
IRS990/AllOtherExpensesGrp/TotalAmt08222
IRS990/AnnualDisclosureCoveredPrsnInd0true
IRS990/AuditCommitteeInd0true
IRS990/BackupWthldComplianceInd0false
IRS990/BenefitsToMembersGrp/TotalAmt00
IRS990/BooksInCareOfDetail/PersonNm0David Belkoski
IRS990/BooksInCareOfDetail/PhoneNum07047747710
IRS990/BooksInCareOfDetail/USAddress/AddressLine101350 Walton Way
IRS990/BooksInCareOfDetail/USAddress/City0Augusta
IRS990/BooksInCareOfDetail/USAddress/State0GA
IRS990/BooksInCareOfDetail/USAddress/ZIPCode030901
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOfficerEntInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt014199
IRS990/CashNonInterestBearingGrp/EOYAmt0714791
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd0false
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt00
IRS990/CompDisqualPersonsGrp/TotalAmt00
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0true
IRS990/ConferencesMeetingsGrp/TotalAmt00
IRS990/ConflictOfInterestPolicyInd0true
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0true
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt01057128
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt0701303
IRS990/CYRevenuesLessExpensesAmt0-355825
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt01057128
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0701303
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/ProgramServicesAmt0303
IRS990/DepreciationDepletionGrp/TotalAmt0303
IRS990/Desc0In 2013 one hundred and forty-seven patients were treated in Hospice. 92 patients lived in Richmond county, 29 patients in Columbia county, 14 patients in Burke county, 6 patient in McDuffie county and 6 from other surrounding counties. Of the 147 patients, 73 were male and 74 were female. The patients ranged in age from 43 to 99. Top diagnosis was cancer at 39%, followed by heart disease at 21%, respiratory disease at 12%, Alzheimer's/Dementia at 9%, CVA at 8%, Liver Disease at 4%, Neurological Disease at 3%, failure to thrive at 2%, and Pancreatitis and Renal Disease at 1% each. In 2013 University Hospice served 156 families on bereavement.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DistributionToDonorInd0false
IRS990/DocumentRetentionPolicyInd0true
IRS990/DonorAdvisedFundInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/EmploymentTaxReturnsFiledInd0false
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/EscrowAccountInd0false
IRS990/ExcessBusinessHoldingsInd0false
IRS990/ExpenseAmt01052338
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FeesForServicesAccountingGrp/TotalAmt00
IRS990/FeesForServicesLegalGrp/TotalAmt00
IRS990/FeesForServicesLobbyingGrp/TotalAmt00
IRS990/FeesForServicesManagementGrp/TotalAmt00
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt076191
IRS990/FeesForServicesOtherGrp/TotalAmt076191
IRS990/FeesForServicesProfFundraising/TotalAmt00
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt00
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignGrantsGrp/TotalAmt00
IRS990/ForeignOfficeInd0false
IRS990/Form1098CFiledInd0false
IRS990/Form8282FiledCnt00
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form8899Filedind0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt10.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt20.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt30.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt40.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt50.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt640.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt750.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt850.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt90.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt1025.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt41.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt51.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt61.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt72.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt82.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt940.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1025.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt65471
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt7260477
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt826548
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt914686
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1016691
IRS990/Form990PartVIISectionAGrp/PersonNm0Dr Peter F Buckley
IRS990/Form990PartVIISectionAGrp/PersonNm1Rev Sam Davis
IRS990/Form990PartVIISectionAGrp/PersonNm2Rev C Gregory Deloach III
IRS990/Form990PartVIISectionAGrp/PersonNm3William Knox Jr
IRS990/Form990PartVIISectionAGrp/PersonNm4Dr Angela O Wright
IRS990/Form990PartVIISectionAGrp/PersonNm5Dr Cecil Sharp
IRS990/Form990PartVIISectionAGrp/PersonNm6Caroline Thomas
IRS990/Form990PartVIISectionAGrp/PersonNm7JAMES R DAVIS
IRS990/Form990PartVIISectionAGrp/PersonNm8DAVID A BELKOSKI
IRS990/Form990PartVIISectionAGrp/PersonNm9Dr Tara A Kattine
IRS990/Form990PartVIISectionAGrp/PersonNm10Ellen C Tereshinski
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt673457
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt7797503
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt8568872
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt9247391
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10156174
IRS990/Form990PartVIISectionAGrp/TitleTxt0Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt1Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt2Board Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt3Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt4Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt5Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt7UHCS CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt8UHCS CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt9Medical Director
IRS990/Form990PartVIISectionAGrp/TitleTxt10Administrative Director
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/Form990TFiledInd0false
IRS990/FormationYr02011
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt07
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt00
IRS990/GrantsToDomesticOrgsGrp/TotalAmt00
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0701303
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0true
IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt00
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt06
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InformationTechnologyGrp/TotalAmt00
IRS990/InsuranceGrp/TotalAmt00
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InterestGrp/TotalAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt00
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/InvestTaxExemptBondsInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt0860
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0961
IRS990/LandBldgEquipBasisNetGrp/EOYAmt0657
IRS990/LandBldgEquipCostOrOtherBssAmt01517
IRS990/LegalDomicileStateCd0GA
IRS990/LicensedMoreThanOneStateInd0false
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0true
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0false
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0The Mission of University Hospice is to provide comfort, minimize suffering and improve quality of life as patients and their families move through the last stages of life.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0-1459751
IRS990/NetAssetsOrFundBalancesEOYAmt0-1815576
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt00
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/ProgramServicesAmt062014
IRS990/OccupancyGrp/TotalAmt062014
IRS990/OfficeExpensesGrp/ProgramServicesAmt04716
IRS990/OfficeExpensesGrp/TotalAmt04716
IRS990/OfficerMailingAddressInd0false
IRS990/OnBehalfOfIssuerInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OrgFiledInLieuOfForm1041Ind0false
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherEmployeeBenefitsGrp/TotalAmt00
IRS990/OtherExpensesGrp/Desc0Purchased Services-Staffing
IRS990/OtherExpensesGrp/Desc1Med Surg supplies
IRS990/OtherExpensesGrp/Desc2Travel & Education
IRS990/OtherExpensesGrp/Desc3Computer rental
IRS990/OtherExpensesGrp/ProgramServicesAmt0775017
IRS990/OtherExpensesGrp/ProgramServicesAmt177678
IRS990/OtherExpensesGrp/ProgramServicesAmt244525
IRS990/OtherExpensesGrp/ProgramServicesAmt36021
IRS990/OtherExpensesGrp/TotalAmt0775017
IRS990/OtherExpensesGrp/TotalAmt177678
IRS990/OtherExpensesGrp/TotalAmt244525
IRS990/OtherExpensesGrp/TotalAmt36021
IRS990/OtherInd0X
IRS990/OtherLiabilitiesGrp/BOYAmt01584338
IRS990/OtherLiabilitiesGrp/EOYAmt02612020
IRS990/OtherRevenueTotalAmt00
IRS990/OtherSalariesAndWagesGrp/TotalAmt00
IRS990/OtherWebsiteInd0X
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliciesReferenceChaptersInd0true
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt01716
IRS990/PrincipalOfficerNm0JAMES R DAVIS
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0624100
IRS990/ProgramServiceRevenueGrp/Desc0Hospice Care
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0701303
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0701303
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYExcessBenefitTransInd0false
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0924277
IRS990/PYProgramServiceRevenueAmt0126878
IRS990/PYRevenuesLessExpensesAmt0-797399
IRS990/PYTotalExpensesAmt0924277
IRS990/PYTotalRevenueAmt0126878
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-355825
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0true
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt0701303
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/First5Years509Ind0X
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt00
IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt00
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0701303
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt0126878
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt0828181
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt00
IRS990ScheduleA/OtherIncome509Grp/TotalAmt00
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.00000
IRS990ScheduleA/PublicSupportTotal509Amt0828181
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt00
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0701303
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0126878
IRS990ScheduleA/Total509Grp/TotalAmt0828181
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0701303
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0126878
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0828181
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/BookValueAmt0657
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0860
IRS990ScheduleD/EquipmentGrp/InvestmentCostOrOtherBasisAmt01517
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt02612020
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Due to University Health Services, Inc
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Accounting for Income Taxes - The Parent, University Hospice, UHS, the Foundation, ARCOA,and University Extended Care, Inc. are exempt from federal income tax under Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. University Health Resources, Inc. is a taxable entity and files a corporate tax return. UHCP is organized under Georgia law and the Internal Revenue Code as a limited liability company (LLC). The members of an LLC report taxable income or loss on their corporate or individual tax returns. With respect to its for-profit entities, as well as any unrelated business income generated by the taxexempt entities, the Parent records income taxes using the liability method under which deferred tax assets and liabilities are determined based on the differences between the financial accounting and tax bases of assets and liabilities. Deferred tax assets or liabilities at the end of each period are determined using the currently enacted tax rate expected to apply to taxable income in the period that the deferred tax asset or liability is expected to be realized or settled. There is presently no taxation imposed by the government of the Cayman Islands on income or premiums of WWI. As a result, no tax liability or expense has been recorded. The Corporation has evaluated its tax positions and has determined that it does not have any material unrecognized tax benefits or obligations as of December 31, 2013. Fiscal years ended on or after December 31, 2010 remain subject to examination by federal and state tax authorities.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X : FIN48 Footnote
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0657
IRS990ScheduleD/TotalLiabilityAmt02612020
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/ClubDuesOrFeesInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0true
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/CompensationCommitteeInd0X
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/IndependentConsultantInd0X
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990ScheduleJ/RebuttablePresumptionProcInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt095254
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt110650
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt2152342
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0377770
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1229436
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2137848
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt3623567
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt010351
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt17564
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt24865
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt3246139
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt016197
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt17122
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt211826
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt314338
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt095848
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt117955
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt27676
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt321594
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0DAVID A BELKOSKI
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1Dr Tara A Kattine
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2Ellen C Tereshinski
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3JAMES R DAVIS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0UHCS CFO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1Medical Director
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2Administrative Director
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3UHCS CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0595420
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1262077
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2172865
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt31057980
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SubstantiationRequiredInd0true
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0Social Club Dues- The organization pays membership fees for the CEO (James Davis) CFO (David Belkoski) to the Augusta Country Club and West Lake Country Club. These membership fees are paid so the organization can have access to the meeting facilities and catering services these organizations provide for meetings that are held off campus. Any personal use related to these memberships are included in the wages of the CEOs and CFO.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1The 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 2013 these initiatives were weighted as displayed in the following schedule: UNIVERSITY HEALTH SERVICES, Inc. 2013 Strategic InitiativesWeight Quality20% Improve aggregate Core Measure Score Growth10% Evans ED/Grovetown UC/Aiken UC Launch10% McDuffie Construction Launch Finance10% UHS Operating Margin20% UHI Operating Margin People5% Reduce 365-day New Hire Turnover Rate Systems10% Meaningful Use Sumbission (UH/Medicare)15% Personal100% Each goal that was achieved represented that percentage of bonus payoutout of a possible 100% based on a Threshold level, Target Level, or an Exceed Level.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 1a: Relevant information in regards to selections on 1a.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0true

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$835,222
Liabilities
$2,650,798
Net assets
-$1,815,576
Revenue
$701,303
Expenses
$1,057,128
Net income
-$355,825
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2015Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.03$0.00$0.03
2014Detailed filing. Detailed filing data is available for this year.$0.15$2.38$2.23$0.29$0.71$0.41
2013Detailed filing. Detailed filing data is available for this year.$0.84$2.65$1.82$0.70$1.06$0.36
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.13$1.59$1.46$0.13$0.92$0.80
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.67$0.66$0.00$0.66$0.66