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Nonprofiteer
← UNIVERSITY HEALTH CARE FOUNDATION INC

Form 990 for tax year 2022

Filed by UNIVERSITY HEALTH CARE FOUNDATION INC.

What the amendment changed

Compared with the return it replaced , filed 15 May 2023. matched by us Only the Part I totals and the names listed in Part VII are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Total revenue
$2,105,646 changed to $4,073,339
Total expenses
$1,351,330 changed to $1,058,784
Contributions and grants received
$1,790,927 changed to $2,984,372
Grants paid
$4,800 changed to $74,000
Investment income
$308,106 changed to $1,117,594
Other revenue
$6,613 changed to -$28,627
Total assets, end of year
$36,830,416 changed to $42,683,325
Total liabilities, end of year
$112,236 changed to $99,909
Net assets or fund balances, end of year
$36,718,180 changed to $42,583,416
Program services expenses
$1,066,273 changed to $898,078
Management and general expenses
$141,153 changed to $160,706
Fundraising expenses
$143,904 changed to $0
Program service expenses (Part III)
$1,066,273 changed to $898,078

Listed only on the earlier return

  • Cargill Alleyne MD
  • Harry W Jernigan IV
  • Joshua B Rafoth MD
  • Laurie Smith
  • Mark J Wills
  • Patricia Bensema
  • Philip A Gaffney

Listed only on the later return

  • Cargill Alleyene MD
  • Elizabeth Leddy
  • Joshua Rafoth MD
  • Laurie Ott Smith
  • Lily Henson
  • Mark Wills
  • Philip Gaffney
  • Robin Smith Dudley
  • Thomas Arnold

Listed under a different title

  • Anne D Trotter: IMMEDIATE PAST CHAIR then BOARD MEMBER
  • David A Belkoski: SYSTEM CFO then CFO
  • David Hogg Jr: CHAIR then BOARD MEMBER
  • James R Davis: CEO then CEO(UNTIL 12/2022)

Totals

Total revenue
$4,073,339
Total expenses
$1,058,784
Contributions and grants received
$2,984,372
Grants paid
$74,000
Program service revenue
$0
Investment income
$1,117,594
Other revenue
-$28,627
Total assets, end of year
$42,683,325
Total liabilities, end of year
$99,909
Net assets or fund balances, end of year
$42,583,416
Program services expenses (Part IX)
$898,078
Management and general expenses
$160,706
Fundraising expenses
$0
Program service expenses (Part III)
$898,078

Program services were 84.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $850,746

  • 1d · Related organizations

    $15,000

  • 1f · All other contributions, gifts and grants

    $2,118,626

  • 1g · Noncash contributions included above

    $129,617

  • 3 · Investment income

    total $1,117,594 · related or exempt $0 · unrelated business $3,540 · excluded $1,114,054

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $74,400

  • 8a · Fundraising events: contributions included on line 1c

    $850,746

  • 8b · Fundraising events: direct expenses

    $119,673

  • 8c · Net income from fundraising events

    total -$45,273 · excluded -$45,273

  • 9a · Gaming: gross income

    $37,619

  • 9b · Gaming: direct expenses

    $20,973

  • 9c · Net income from gaming

    total $16,646 · excluded $16,646

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $74,000 · program services $74,000

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $137,848 · program services $99,306 · management and general $38,542

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $95,825 · program services $69,032 · management and general $26,793

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $103,472 · program services $103,472

  • 12 · Advertising and promotion

    total $30,366 · program services $30,366

  • 13 · Office expenses

    total $154,617 · program services $111,386 · management and general $43,231

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $2,728 · program services $2,728

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $6,539 · program services $6,539

  • 23 · Insurance

    total $0

  • 24a · Other expenses: PROFESSIONAL DUES

    total $12,717 · program services $12,717 · fundraising $0

  • 24b · Other expenses: OTHER ADMINISTRATIVE EXPENSES

    total $186,479 · program services $134,339 · management and general $52,140

  • 24c · Other expenses: SUPPLIES

    total $16,693 · program services $16,693

  • 24d · Other expenses: BAD DEBT

    total $237,500 · program services $237,500

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $619,232 · end of year $4,663,379

  • 3 · Pledges and grants receivable

    beginning of year $1,654,860 · end of year $1,413,494

  • 4 · Accounts receivable

    beginning of year $0 · end of year $100

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $22,606 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $34,468,894 · end of year $36,456,902

  • 12 · Investments: other securities

    beginning of year $42,219 · end of year $126,845

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $22,605 · end of year $22,605

  • 17 · Accounts payable and accrued expenses

    beginning of year $13,712 · end of year $7,527

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $210 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $98,314 · end of year $92,382

  • 27 · Net assets without donor restrictions

    beginning of year $884,716 · end of year $2,080,335

  • 28 · Net assets with donor restrictions

    beginning of year $35,833,464 · end of year $40,503,081

Mission and programs · 2022

Mission

UNIVERSITY HEALTH CARE FOUNDATION WAS ESTABLISHED TO RAISE FUNDS AND TO SUPPORT THE VARIOUS PROGRAMS OF UNIVERSITY HEALTH SERVICES IN ITS MISSION TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES TO THE COMMUNITY.

Activities or mission (Part I)

TO ENSURE THAT UNIVERSITY HEALTH SERVICES HAS THE RESOURCES NEEDED TO CARE FOR THE COMMUNITY AND TO FILL ITS PURPOSE TO MAKE A POSITIVE DIFFERENCE IN EVERY LIFE TOUCHED.

  • SUPPORT OF UNIVERSITY HEALTH SERVICES RELATING TO HOSPITAL SERVICES AS WELL AS PROVIDING ASSISTANCE TO THE INDIGENT POPULATION.

    Expenses $898,078 · Grants $74,000

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • James R Davis

    CEO(UNTIL 12/2022)

    Total calculated
    $1,628,923
    From this org
    $0
    From related orgs
    $1,604,305
    Other
    $24,618
    Hours/week
    5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $871,554 related
    Bonus
    $0 + $323,575 related
    Other
    $0 + $409,176 related
    Deferred
    $0 + $8,700 related
    Nontaxable benefits
    $0 + $15,918 related
    Filer's total
    $0 + $1,628,923 related

  • Elizabeth Leddy

    SECRETARY/CLO PHC

    Total calculated
    $1,528,197
    From this org
    $0
    From related orgs
    $1,389,486
    Other
    $138,711
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $547,780 related
    Bonus
    $0 + $295,524 related
    Other
    $0 + $546,182 related
    Deferred
    $0 + $117,950 related
    Nontaxable benefits
    $0 + $20,761 related
    Filer's total
    $0 + $1,528,197 related

  • Thomas Arnold

    TREASURER/CFO PHC

    Total calculated
    $1,304,185
    From this org
    $0
    From related orgs
    $1,173,444
    Other
    $130,741
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $640,918 related
    Bonus
    $0 + $356,487 related
    Other
    $0 + $176,039 related
    Deferred
    $0 + $115,097 related
    Nontaxable benefits
    $0 + $15,644 related
    Filer's total
    $0 + $1,304,185 related

  • Cargill Alleyene MD

    BOARD MEMBER

    Total calculated
    $861,141
    From this org
    $0
    From related orgs
    $839,542
    Other
    $21,599
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $806,647 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $7,895 related
    Deferred
    $0 + $6,100 related
    Nontaxable benefits
    $0 + $15,499 related
    Filer's total
    $0 + $861,141 related

  • David A Belkoski

    CFO

    Total calculated
    $850,690
    From this org
    $0
    From related orgs
    $831,457
    Other
    $19,233
    Hours/week
    5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $520,973 related
    Bonus
    $0 + $238,280 related
    Other
    $0 + $72,204 related
    Deferred
    $0 + $7,421 related
    Nontaxable benefits
    $0 + $11,812 related
    Filer's total
    $0 + $850,690 related

  • Lily Henson

    CEO (AS OF 1/2023)

    Total calculated
    $735,483
    From this org
    $0
    From related orgs
    $642,511
    Other
    $92,972
    Hours/week
    5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $435,927 related
    Bonus
    $0 + $152,198 related
    Other
    $0 + $54,386 related
    Deferred
    $0 + $84,541 related
    Nontaxable benefits
    $0 + $8,431 related
    Filer's total
    $0 + $735,483 related

  • Laurie Ott Smith

    PRESIDENT UHCF

    Total calculated
    $418,511
    From this org
    $0
    From related orgs
    $403,977
    Other
    $14,534
    Hours/week
    25 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $254,417 related
    Bonus
    $0 + $95,916 related
    Other
    $0 + $53,644 related
    Deferred
    $0 + $4,230 related
    Nontaxable benefits
    $0 + $10,304 related
    Filer's total
    $0 + $418,511 related

  • Robin Smith Dudley

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Philip Gaffney

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • David Hogg Jr

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Jed W Howington MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Jay Murray

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Joshua Rafoth MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Brian Rhodes

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Taite Sasnett

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Becky Smith

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Anne D Trotter

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Mark Wills

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Tom Wyatt

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4B: Supplemental compensation information
The following individuals received payments from their supplemental executive retirement plans: Thomas Arnold: $96,797 Elizabeth Leddy: $490,447 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 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 Laurie Ott Smith: $28,201 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: Lauri Ott Smith: $2,541 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • GA SURG CTR PCHTREE

    NONE · SURGERY · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • ORTHOATL SURG FAYET

    NONE · SURGERY · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • ATHENS ASC HOLDINGS

    NONE · SURGERY · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • COLUMBUS DIAG IMAG

    NONE · IMAGING · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • THE SURGERY CTR LLC

    NONE · SURGERY · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • PIED ENCOMPASS REHAB

    NONE · HEALTHCARE · DE · share of income $0 · share of assets $0

    Directly controlled by NA

  • COLISEUM SAME DAY

    NONE · SURGERY · GA · share of income $0 · share of assets $0

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • PIEDMONT MEDICAL CARE CORPORATION

    C-CORP · HEALTHCARE · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • THE PIEDMONT CLINIC INC

    C-CORP · HEALTHCARE · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • PIEDMONT HEART INSTITUTE PHYSICIANS INC

    C-CORP · HEALTHCARE · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • AMSTER MCRAE INSURANCE COMPANY SPC

    C-CORP · RELATED INSURANCE · CJ · share of income $0 · share of assets $0

    Directly controlled by NA

  • COLUMBUS HEALTHCARE RESOURCES

    C-CORP · HEALTHCARE · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • COLUMBUS HEALTH SERVICES INC

    C-CORP · HEALTHCARE · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • UNIVERSITY HEALTH RESOURCES INC

    C-CORP · HEALTHCARE · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • UNIVERSITY HOSPITAL AIKEN INC

    C-CORP · HOSPITAL · SC · share of income $0 · share of assets $0

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202401359349304735

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