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← UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER INC

Form 990 for tax year 2022

Filed by UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER 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
$14,746,844 changed to $34,276,984
Total expenses
$13,944,945 changed to $28,370,954
Contributions and grants received
$205,729 changed to $0
Program service revenue
$14,539,193 changed to $34,303,978
Investment income
$280 changed to -$11,028
Other revenue
$1,642 changed to -$15,966
Total assets, end of year
$55,545,841 changed to $70,760,422
Total liabilities, end of year
$36,611,402 changed to $33,656,924
Net assets or fund balances, end of year
$18,934,439 changed to $37,103,498
Program services expenses
$13,238,530 changed to $26,221,552
Management and general expenses
$706,415 changed to $2,149,402
Program service expenses (Part III)
$13,238,530 changed to $26,221,552

Listed only on the earlier return

  • JOHN BIELTZ DO
  • WILLIAM L FARR JR

Listed only on the later return

  • DANITA T KISER
  • ELIZABETH LEDDY
  • JOHN BIELTZ
  • LILY HENSON
  • MARCIA V RODGERS
  • THOMAS ARNOLD

Listed under a different title

  • DAVID A BELKOSKI: UHCS & UHM CFO then CFO
  • EDWARD L BURR: LEGAL ADVISOR then CAO
  • ELIZABETH R GALLUP: COO ACUTE CARE SERVICES then COO
  • JAMES R DAVIS: UHCS CEO then CEO (UNTIL 12/2022)
  • ROBIN S DUDLEY: DIRECTOR then BOARD MEMBER/VICE CHAIR
  • WILLIAM P DOUPE: CHAIRMAN then BOARD MEMBER/CHAIR

Totals

Total revenue
$34,276,984
Total expenses
$28,370,954
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$34,303,978
Investment income
-$11,028
Other revenue
-$15,966
Total assets, end of year
$70,760,422
Total liabilities, end of year
$33,656,924
Net assets or fund balances, end of year
$37,103,498
Program services expenses (Part IX)
$26,221,552
Management and general expenses
$2,149,402
Fundraising expenses
$0
Program service expenses (Part III)
$26,221,552

Program services were 92.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

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
    Nontaxable benefits
    $0
    Filer's total
    $0 + $1,604,305 related

  • ELIZABETH LEDDY

    SECRETARY/CLO PHC

    Total calculated
    $1,528,196
    From this org
    $0
    From related orgs
    $1,389,485
    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 + $546,181 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $20,761 related
    Filer's total
    $0 + $1,410,246 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
    Nontaxable benefits
    $0 + $15,644 related
    Filer's total
    $0 + $1,189,088 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
    Nontaxable benefits
    $0
    Filer's total
    $0 + $831,457 related

  • ELIZABETH R GALLUP

    COO

    Total calculated
    $780,596
    From this org
    $0
    From related orgs
    $756,341
    Other
    $24,255
    Hours/week
    5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $541,643 related
    Bonus
    $0 + $174,178 related
    Other
    $0 + $40,520 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $756,341 related

  • LILY HENSON

    CEO (AS OS 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
    Nontaxable benefits
    $0 + $8,431 related
    Filer's total
    $0 + $650,942 related

  • BARRY J JENKINS

    CMO

    Total calculated
    $639,869
    From this org
    $0
    From related orgs
    $628,797
    Other
    $11,072
    Hours/week
    5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $417,855 related
    Bonus
    $0 + $160,751 related
    Other
    $0 + $50,191 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $628,797 related

  • JOHN BIELTZ

    DO

    Total calculated
    $476,465
    From this org
    $0
    From related orgs
    $452,219
    Other
    $24,246
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $414,892 related
    Bonus
    $0 + $14,651 related
    Other
    $0 + $22,676 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $452,219 related

  • EDWARD L BURR

    CAO

    Total calculated
    $413,179
    From this org
    $0
    From related orgs
    $409,253
    Other
    $3,926
    Hours/week
    5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $75,799 related
    Bonus
    $0 + $64,890 related
    Other
    $0 + $268,564 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $409,253 related

  • DANITA T KISER

    CNO

    Total calculated
    $164,945
    From this org
    $145,090
    From related orgs
    $0
    Other
    $19,855
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $139,110
    Bonus
    $300
    Other
    $5,680
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $145,090

  • MARCIA V RODGERS

    PHARMACY MANAGER

    Total calculated
    $134,739
    From this org
    $120,795
    From related orgs
    $0
    Other
    $13,944
    Hours/week
    50

  • WILLIAM P DOUPE

    BOARD MEMBER/CHAIR

    Total calculated
    $0
    Hours/week
    1

  • ROBIN S DUDLEY

    BOARD MEMBER/VICE CHAIR

    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

  • 1a · Discretionary spending account
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4b · Supplemental nonqualified retirement plan

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 1A: Other Compensation Items
Thomas Arnold, Elizabeth Leddy, and Lily Henson received a discretionary spending account totaling $12,000, a fixed amount determined by their job level. This spending account was included in their taxable wages.
Schedule J, Part I, Line 3: Compensation of the CEO/Executive Director
The compensation for the president/CEO of UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER, 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 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 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.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202441359349307409

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