2016-05-13T09:23:16-05:00 2015-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2014-07-01 273850988 UC Healthcare System UCHE 5135856000 3200 Burnet Avenue Cincinnati OH 45229 Charity N Fannin Vice-President, Corporate Fina 5135856000 2016-05-13 1 James W Sowar P00529407 5137847100 2014 2016-08-17 19:52:53Z Hugh R Hinds Jr 3200 Burnet Avenue Cincinnati OH 45229 1483316953 0 X www.uchealth.com X 2010 OH UC Healthcare System provides long term planning and public relations support for UC Health and its affiliates on a centralized and consistent basis. 12 9 10427 692 1627745 -33610 125000 25321178 6306783 1382762358 0 29411790 31200 44811286 6462983 1482306612 0 34537884 0 0 1899611 792926578 0 0 0 4690542 573931698 6590153 1401396160 -127170 80910452 1341779933 1438912358 655346695 728036572 686433238 710875786 X UC Healthcare System is the sole member of UC Health and is responsible for facilitating interaction, cooperation and communication between the various entities that make up the UC Health system to ensure a superior academic medical complex for the residents of Greater Cincinnati and the surrounding region. UC Healthcare System is also responsible for engaging in outreach and development activities to increase the awareness and benefits of the UC Health hospitals. 0 1 696468491 34537884 972801850 Patient Services and Physician Services 177431280 142746782 Subsidized Health Services 271304475 264272049 Cost of Medicaid 106375492 35741716 Health Professions Education: Program Service Expenses - $72,852,334; Program Service Revenue - $16,027,851Traditional Charity Care: Program Service Expenses - $23,135,988; Program Service Revenue - $19,700,000Community Health Improvement Services: Program Service Expenses - $6,810,327; Program Service Revenue - $12,025Financial and In-Kind Contributions: Program Service Expenses - $3,576,843; Program Service Revenue - $1,840 106375492 35741716 1251579738 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 1 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 906 0 1 10427 1 1 1 1 CJ 0 0 0 0 0 0 X 12 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X Charity N Fannin 5135859835 3200 Burnet Avenue Cincinnati OH 45229 X Margaret E Buchanan Chairman-UCHS & UCH 1.00 5.00 X 0 0 0 C Francis Barrett Esq Vice Chairman (end 3/15) 1.00 5.00 X 0 0 0 Judge Sylvia S Hendon Trustee 1.00 1.00 X 0 0 0 Arthur M Pancioli MDSch O Trustee (start 3/15) 1.00 49.00 X 0 259429 24491 William C Portman III Trustee-UCHS & UCH (start 3/15) 5.00 0.00 X 0 0 0 Gregory Rouan MD Sch O Trustee 1.00 49.00 X 0 236235 21932 Gregory L Schaefer Jr Trustee 1.00 1.00 X 0 0 0 Evaline Allesandrini MD Trustee-UCH (start 3/15) 5.00 0.00 X 0 0 0 William S Ball MD Sch O Trustee-UCH(Ex-Officio)(start 11/14) 5.00 0.00 X 0 0 0 Thomas Boat MD Sch O Trustee-UCH (Ex-Officio)(end 11/14) 5.00 49.00 X 0 271460 52000 Joseph Broderick MD Trustee-UCH 5.00 0.00 X 0 108759 10041 Thomas D Cassady Trustee-UCH (start 3/15) 5.00 0.00 X 0 0 0 Sandra Heimann Trustee-UCH 5.00 1.00 X 0 0 0 Rev Damon Lynch Jr Trustee-UCH 5.00 1.00 X 0 0 0 Santa J Ono PhD Trustee-UCH (Ex-Officio) 5.00 0.00 X 0 0 0 Creighton B Wright MD Trustee-UCH (end 3/15) 5.00 0.00 X 0 0 0 Jeffrey L Wyler Trustee-UCH 5.00 0.00 X 0 0 0 Richard P Lofgren MD CEO/President (start 12/13) 2.00 58.00 X 0 1177729 22927 Hugh R Hinds CFO/Treasurer 2.00 58.00 X 0 744606 461839 Peter Gilbert Chief Operating Officer 0.00 60.00 X 0 0 0 William E Hurford MD Chief Medical Officer (start 2/15) 0.00 60.00 X 0 396024 24491 Anthony Condia VP External Affairs (end 11/14) 59.00 1.00 X 265639 0 33103 Kevin Joseph MD President - WCH 0.00 60.00 X 0 558454 54391 Lee Ann Liska President - UCMC 0.00 60.00 X 0 671892 87428 Myles Pensak MD President - UCPC 0.00 60.00 X 0 630959 54391 Stephen Agabegi MD Physician 0.00 50.00 X 0 885894 54391 Ferhan Asghar MD Physician 0.00 50.00 X 0 804886 54391 Diya Mutasim MD Physician 0.00 50.00 X 0 1398247 54391 Angelo Colosimo MD Physician 0.00 50.00 X 0 934300 54391 Hugh Gloster MD Physician 0.00 50.00 X 0 1006921 24491 James Kingsbury CEO/President (end 12/13) 0.00 0.00 X 0 265107 22584 W Brian Gibler MD President - UCMC (end 6/13) 0.00 0.00 X 0 381000 0 265639 10731902 1111673 1034 1 1 0 Aramark Management Services LP 2300 Warrenville Road Downers Grove IL 60515 Environmental & Food Services (Sch O) 16868881 Hoxworth Blood Center - Univ of Cincinn PO Box 670055 Cincinnati OH 45269 Blood Services (Sch O) 15327932 Metro Aviation Inc 1214 Hawn Avenue Shreveport LA 71107 Helicopter Flights 5305372 Laboratory Corporation of America Holdin PO Box 2240 Burlington NC 27216 Laboratory Services (Sch O) 2997185 Epic Systems Corporation 1979 Milky Way Verona WI 53593 IT Services 2935118 146 4211333 19700000 1409845 25321178 Net Patient Services 621990 1324821157 1324821157 Clinical Contract Reve 621110 28131622 27757590 374032 Residents 621990 12040767 12040767 Research Revenue 621110 10388552 10388552 Medical Directorship 621110 1743234 1695234 48000 5637026 5466973 170053 1382762358 22178270 22178270 5973312 0 5973312 5973312 121377 5851935 6921790 508554 0 196824 6921790 311730 7233520 7233520 1150613 813517 337096 337096 Meaningful Use 900099 9316700 9316700 Cafeteria 900099 4194471 4194471 Ancillary Revenue 900099 -1241489 -1241489 26231196 25316913 914283 38500878 1482306612 1415562397 1627745 39795292 34537884 34537884 5897185 4717748 1179437 607754 486203 121551 636254542 567097021 69157521 25727871 22897805 2830066 93585036 83290682 10294354 30854190 27460229 3393961 5022278 5022278 593970 593970 232781 232781 137039230 118347057 18692173 3901273 780255 3121018 24420574 19706677 4713897 35147902 28118322 7029580 503485 402788 100697 5586295 4469036 1117259 16418051 14776246 1641805 57254565 45803652 11450913 14444828 11555862 2888966 Medical Supplies 220506276 220506276 Hospital Franchise Tax 16409564 16409564 Maintenance and Repair 11954745 9563796 2390949 Memberships & Dues 4954858 3997749 957109 19541023 16654886 2886137 1401396160 1251579738 149816422 0 61022655 88624991 195184508 227056917 3926157 3803472 14770623 16357004 9677894 13106276 1219899306 742126722 459655975 477772584 489816983 487930947 43430484 28336444 7441073 9088391 56853581 86835332 1341779933 1438912358 105234029 103536837 5201999 3058798 309203775 304820458 39142338 37767794 196564554 278852685 655346695 728036572 X 686433238 710875786 686433238 710875786 1341779933 1438912358 X 80910452 -24925371 -31542534 X 0 1 X 1 0 X 25321178 25321178 1390245484 1390245484 5345084 5345084 1420911746 1420911746 0 0 0 1420911746 28154582 28154582 -33611 -33611 28120971 28120971 25316913 25316913 1474349630 1474349630 0.96380 0.01910 X Schedule A, Part III, Line 12, Explanation of Other Income: Other Income Schedule A, Part III: UC Healthcare System is not within its first five years of operation; however, it was a IRC Section 509(a)(3), Type III - Functionally Integrated Supporting Organization prior to the fiscal year ended June 30, 2015. UC Healthcare System received a redetermination from the Internal Revenue Service as a IRC Section 509(a)(2) organization for the fiscal year ended June 30, 2015. Therefore, we have completed only the 2014 columns. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 190453 0 1 42328 232781 0 Part II-B, Line 1: While UC Healthcare System does not spend a substantial amount of resources or time participating in lobbying activities, UC Healthcare System does maintain a government relations office that is focused on improving and expanding interactions with local, state and federal government appointed and elected officials relating to health, reimbursement and grant/funding issues. During fiscal year 2015, UC Healthcare System's government relations office incurred $190,453 in expenses relating to various lobbying activities. Certain members of management and faculty meet with and educate local, state and federal officials relating to health, reimbursement and grant/funding issues. The value of their time spent performing lobbying actitivies is not quantifiable. Additionally, lobbying expenses of $42,328 represent a portion of the dues paid to national and state hospital and academic medical center associations that is specifically allocable to lobbying. UC Healthcare System does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 4434425 171502 -8479 4597448 4027229 230030 177166 4434425 3647390 319529 60310 4027229 2784684 864218 -1512 3647390 2591176 182279 11229 2784684 1.00000 1 1 1 29481074 29481074 620006322 352001044 268005278 9488684 5885388 3603296 524407076 374996239 149410837 36516150 9244051 27272099 477772584 Investment in Joint Ventures 45446373 Asset Retirement Obligation Assets 4655977 Bond Issue Fees 3703241 Due From Third Party Payors 33029741 86835332 Interest Payable 3477150 Employee Benefit Related Liabilities 142578922 Due to Third Party Payors 33170759 Due to Affiliates 266504 Asset Retirement Obligations 9957232 Other Liabilities 5778907 Accrued Professional Fees 75180369 Florence Freedom Stadium Naming Contracts 8442842 278852685 Part V, Line 4: The intended use for the Organization's endowment funds held by UC Health Foundation is to enhance the high-quality services and compassionate care provided by UC Healthcare System. Central America and the Caribbean 0 0 Program Services Offshore Captive Management 337148 Central America and the Caribbean 0 0 Investments 38192282 0 0 0 0 0 0 38529430 0 38529430 0 0 1 0 0 0 Part I, line 3: The amounts shown in column (f) for investment activities in Central America & the Caribbean represent investments in those regions. The amount shown as program service activities in Central America & the Caribbean represents total expenditures in the region. 1 1 X 1 X 1 X 1 1 1 0 1 1 23135988 19700000 3435988 0.00250 271304475 264272049 7032426 0.00500 294440463 283972049 10468414 0.00750 6810327 12025 6798302 0.00490 72852334 16027851 56824483 0.04050 177431280 142746782 34684498 0.02470 3576843 1840 3575003 0.00260 260670784 158788498 101882286 0.07270 555111247 442760547 112350700 0.08020 0 18331941 0 175646319 153735623 21910696 X 1 1 3 1 University of Cincinnati Medical Center LLC 234 Goodman Street Cincinnati OH 45219 uchealth.com/university-of-cincinnati- 1189AHR X X X X X A 2 West Chester Hospital LLC 7700 University Drive Cincinnati OH 45069 uchealth.com/westchesterhospital/ 1486AHR X X X A 3 Daniel Drake Center for Post-Acute Care LLC 151 West Galbraith Road Cincinnati OH 45216 uchealth.com/danieldrakecenter/ 1409AHR X LTAC/SNF A Facility Reporting Group A 0 0 1 X X X X X X X X X 12 1 0 0 1 X http://uchealth.com/about/community-benefit/ X 1 12 1 http://uchealth.com/about/community-benefit/ 0 0 1 X 150.000000000000 200.000000000000 X X X X X 1 1 X X X 1 X http://uchealth.com/financial/financial-assistance/ X 1 X 0 X X X X 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: University of Cincinnati Medical Center, LLC, - Facility 2: West Chester Hospital, LLC, - Facility 3: Daniel Drake Center for Post-Acute Care, LLC Group A-Facility 1 -- University of Cincinnati Medical Center, Part V, Section B, line 5: UC Healthcare System reviewed and assessed the Greater Cincinnati Health Council's "AIM for Better Health Assessment", a community-wide health needs assessment, an initiative in which UC Healthcare System supported and participated. UC Healthcare System conducted stakeholder interviews and focus groups including public health officials from Hamilton and Butler Counties as well as the City of Cincinnati, local elected officials and local government administrators, and leaders of community-based organizations including: the NAACP, Hispanic Chamber of Commerce, African American Chamber of Commerce, The Healthcare Connection (a federally qualified health care clinic), Su Casa, Carmel Presbyterian Church, United Way, Lakota School District, The Center for Closing the Health Gap, fire and EMS offices, and Legal Aid. Internal stakeholders included senior clinical and administrative leaders from each of the hospitals. Group A-Facility 1 -- University of Cincinnati Medical Center, Part V, Section B, line 11: Although all needs identified in the CHNA cannot be addressed due to limited resources and expertise, UC Healthcare System leaders continue to address as many significant needs as possible. UC Healthcare System leaders prioritized these needs with the goal of quickly impacting the health of the community and to be in alignment with existing hospitals' strengths. A detailed description of how the University of Cincinnati Medical Center is addressing the significant needs of the community is found in the Implementation Plan. The prioritized needs aligning with the Hospital facility include that of infant mortality, diabetes, adult obesity, hypertension and mental health. Additionally, many other needs identified in the CHNA that are not specifically discussed in the Implementation Plan are still continually addressed by the Hospital when possible, including the adreas of stroke, cancer, mammography screening, chronic lower respiratory diseases, infectious diseases and pre-term births. Group A-Facility 1 -- University of Cincinnati Medical Center, Part V, Section B, line 13b: UC Healthcare System applies the following income guidelines to qualify for financial assistance:Family Size Income Per Year 1 $23,540 2 $31,860 3 $40,180 4 $48,500 5 $56,820 6 $65,140 7 $73,460 8 $81,780For families greater than 8, add an additional $4,160 for each member. Group A-Facility 1 -- University of Cincinnati Medical Center, Part V, Section B, line 16i: In addtion to posting the Charity Care and Financial Assistance Policies to the website and making the policy available upon request, the Policy is also referenced in the following ways:- Signs are posted throughout the emergency room and other areas within the hospital facility providing details of financial assistance available.- Pamphlets are available in facility admitting and registration areas outlining those financial programs available to the insured. - All patient financial services correspondence, including patient statements and reminder letters, reference financial assistance programs available. Group A-Facility 1 -- University of Cincinnati Medical Center, Part V, Section B, line 22d: In compliance with state law, UC Healthcare System posts a price list containing the charges for room and board, emergency room, operating room, delivery, physical therapy, observation and other procedures. The Hospital's charges are the same for all patients; but a patient's responsibility may vary, depending on payment plans negotiated with individual health insurers. Uninsured or underinsured patients are able to consult with a hospital financial counselor to determine if they qualify for discounts. Such discounts are determined in accordance with UC Healthcare System's Charity Care and Financial Assistance Policies. Group A-Facility 2 -- West Chester Hospital, LLC Part V, Section B, line 5: UC Healthcare System reviewed and assessed the Greater Cincinnati Health Council's "AIM for Better Health Assessment", a community-wide health needs assessment, an initiative in which UC Healthcare System supported and participated. UC Healthcare System conducted stakeholder interviews and focus groups including public health officials from Hamilton and Butler Counties as well as the City of Cincinnati, local elected officials and local government administrators, and leaders of community-based organizations including: the NAACP, Hispanic Chamber of Commerce, African American Chamber of Commerce, The Healthcare Connection (a federally qualified health care clinic), Su Casa, Carmel Presbyterian Church, United Way, Lakota School District, The Center for Closing the Health Gap, fire and EMS offices, and Legal Aid. Internal stakeholders included senior clinical and administrative leaders from each of the hospitals. Group A-Facility 2 -- West Chester Hospital, LLC Part V, Section B, line 11: Although all needs identified in the CHNA cannot be addressed due to limited resources and expertise, UC Healthcare System leaders continue to address as many significant needs as possible. UC Healthcare System leaders prioritized these needs with the goal of quickly impacting the health of the community and to be in alignment with existing hospitals' strengths. A detailed description of how the West Chester Hospital is addressing the significant needs of the community is found in the Implementation Plan. The prioritized needs aligning with the Hospital facility include that of access to healthcare, sexually transmitted infections, and healthy lifestyle and prevention. Many of the additional needs identified in the CHNA are being addressed by other UC Healthcare System facilities (or other area hospitals) with more closely aligned expertise and resources available. Group A-Facility 2 -- West Chester Hospital, LLC Part V, Section B, line 13b: UC Healthcare System applies the following income guidelines to qualify for financial assistance:Family Size Income Per Year 1 $23,540 2 $31,860 3 $40,180 4 $48,500 5 $56,820 6 $65,140 7 $73,460 8 $81,780For families greater than 8, add an additional $4,160 for each member. Group A-Facility 2 -- West Chester Hospital, LLC Part V, Section B, line 16i: In addtion to posting the Charity Care and Financial Assistance Policies to the website and making the policy available upon request, the Policy is also referenced in the following ways:- Signs are posted throughout the emergency room and other areas within the hospital facility providing details of financial assistance available.- Pamphlets are available in facility admitting and registration areas outlining those financial programs available to the insured. - All patient financial services correspondence, including patient statements and reminder letters, reference financial assistance programs available. Group A-Facility 2 -- West Chester Hospital, LLC Part V, Section B, line 22d: In compliance with state law, UC Healthcare System posts a price list containing the charges for room and board, emergency room, operating room, delivery, physical therapy, observation and other procedures. The Hospital's charges are the same for all patients; but a patient's responsibility may vary, depending on payment plans negotiated with individual health insurers. Uninsured or underinsured patients are able to consult with a hospital financial counselor to determine if they qualify for discounts. Such discounts are determined in accordance with UC Healthcare System's Charity Care and Financial Assistance Policies. Group A-Facility 3 -- Daniel Drake Center for Post-Acute Care, Part V, Section B, line 5: UC Healthcare System reviewed and assessed the Greater Cincinnati Health Council's "AIM for Better Health Assessment", a community-wide health needs assessment, an initiative in which UC Healthcare System supported and participated. UC Healthcare System conducted stakeholder interviews and focus groups including public health officials from Hamilton and Butler Counties as well as the City of Cincinnati, local elected officials and local government administrators, and leaders of community-based organizations including: the NAACP, Hispanic Chamber of Commerce, African American Chamber of Commerce, The Healthcare Connection (a federally qualified health care clinic), Su Casa, Carmel Presbyterian Church, United Way, Lakota School District, The Center for Closing the Health Gap, fire and EMS offices, and Legal Aid. Internal stakeholders included senior clinical and administrative leaders from each of the hospitals. Group A-Facility 3 -- Daniel Drake Center for Post-Acute Care, Part V, Section B, line 11: Although all needs identified in the CHNA cannot be addressed due to limited resources and expertise, UC Healthcare System leaders continue to address as many significant needs as possible. UC Healthcare System leaders prioritized these needs with the goal of quickly impacting the health of the community and to be in alignment with existing hospitals' strengths. A detailed description of how the Daniel Drake Center is addressing the significant needs of the community is found in the Implementation Plan. The prioritized needs aligning with the Hospital facility include that of stroke prevalence and death rate and that of healthy lifestyle and prevention. Due to the Drake Center's focus on long-term acute care and highly specialized services, many of the additional needs identified in the CHNA are being addressed by other UC Healthcare System facilities (and other area hospitals) with more closely aligned expertise and resources available. Group A-Facility 3 -- Daniel Drake Center for Post-Acute Care, Part V, Section B, line 13b: UC Healthcare System applies the following income guidelines to qualify for financial assistance:Family Size Income Per Year 1 $23,540 2 $31,860 3 $40,180 4 $48,500 5 $56,820 6 $65,140 7 $73,460 8 $81,780For families greater than 8, add an additional $4,160 for each member. Group A-Facility 3 -- Daniel Drake Center for Post-Acute Care, Part V, Section B, line 16i: In addtion to posting the Charity Care and Financial Assistance Policies to the website and making the policy available upon request, the Policy is also referenced in the following ways:- Signs are posted throughout the emergency room and other areas within the hospital facility providing details of financial assistance available.- Pamphlets are available in facility admitting and registration areas outlining those financial programs available to the insured. - All patient financial services correspondence, including patient statements and reminder letters, reference financial assistance programs available. Group A-Facility 3 -- Daniel Drake Center for Post-Acute Care, Part V, Section B, line 22d: In compliance with state law, UC Healthcare System posts a price list containing the charges for room and board, emergency room, operating room, delivery, physical therapy, observation and other procedures. The Hospital's charges are the same for all patients; but a patient's responsibility may vary, depending on payment plans negotiated with individual health insurers. Uninsured or underinsured patients are able to consult with a hospital financial counselor to determine if they qualify for discounts. Such discounts are determined in accordance with UC Healthcare System's Charity Care and Financial Assistance Policies. Facility Reporting Group A Part V, Section B, line 16b website: http://uchealth.com/financial/financial-assistance/ 50 Drake Rehab at West Chester 7675 Wellness Way Suite 101 West Chester OH 45069 Rehabilitation Services Drake Center at the Christ Hospital 2139 Auburn Avenue Cincinnati OH 45219 Physician Practices Drake Rehab at Clifton 3130 Highland Avenue Cincinnati OH 45219 Physician Practices Drake Development LLC 165 West Galbraith Road Cincinnati OH 45219 Assisted Living Facility UC Health Physicians Office 222 Piedmont Avenue Cincinnati OH 45219 Physician Practices UC Health Physician Offices South 7675 Wellness Way West Chester OH 45069 Physician Practices UC Health Physician Offices North 7690 Discovery Drive West Chester OH 45069 Physician Practices UC Health Pain Medicine Center 7759 University Drive Suite C West Chester OH 45069 Physician Practices UC Health Psychiatry 260 Stetson Street Suite 3200 Cincinnati OH 45219 Physician Practices UC Health Physicians at Holmes Albert Sabin Way at Eden Avenue Cincinnati OH 45219 Physician Practices UC Health Varsity Village Imaging Ctr 2650 Varsity Village Cincinnati OH 45267 Physician Practices West Chester Hospital Surgical Center 7750 Discovery Drive West Chester OH 45069 Physician Practices West Chester Hospital Sleep Medical Ctr 7798 Discover Drive Suite E West Chester OH 45069 Physician Practices Precision Radiotherapy Inc 7710 Discovery Drive West Chester OH 45069 Radiation Oncology Practice Hoxworth Center 3130 Highland Avenue Cincinnati OH 45219 Physician Practices UC Health Primary Care 425 Walnut Street Suite 200 Cincinnati OH 45202 Primary Care Practice UC Health Primary Care 1251 Nilles Road Suite 4 Cincinnati OH 45014 Primary Care Practice UC Health Physicians Office 3590 Lucille Drive Cincinnati OH 45213 Physician Practices UC Health Physicians Office 68 Cavalier Boulevard Suite 2600 Florence KY 40142 Physician Practices UC Health Primary Care 11340 Montgomery Road Cincinnati OH 45249 Primary Care Practice UC Health Primary Care 9313 Mason Montgomery Road Suite 200 Mason OH 45040 Primary Care Practice UC Health Physicians Offices 9275 Montgomery Road Cincinnati OH 45242 Physician Practices UC Health Physician Offices 4460 Red Bank Expressway Cincinnati OH 45227 Physician Practices UC Health Primary Care 715 West State Street Trenton OH 45067 Primary Care Practice UC Health Primary Care 11590 Century Boulevard Suite 102 Cincinnati OH 45246 Primary Care Practice UC Health Primary Care 5900 West Chester Road West Chester OH 45069 Primary Care Practice UC Health Primary Care 305 Crescent Avenue Cincinnati OH 45215 Primary Care Practice UC Health Physician Offices 2123 Auburn Avenue Cincinnati OH 45219 Physician Practices UC Health Dermatology Office 3012 Glenmore Avenue Suite 104 Cincinnati OH 45238 Physician Practices UC Health Gynecologic Oncology 3535 Southern Boulevard Kettering OH 45429 Physician Practices UC Health Maternal Fetal Medicine 3000 Mack Road Fairfield OH 45014 Physician Practices UC Health Maternal Fetal Medicine 7500 State Road Cincinnati OH 45255 Physician Practices UC Health Nephrology 107 Bridgeway Suite 101 Aurora IN 47001 Dialysis Clinic UC Health Nephrology 232 State Road 129S Batesville IN 47006 Dialysis Clinic UC Health Nephrology 1531 North Commerce East Drive Greensburg IN 47240 Dialysis Clinic UC Health Nephrology 4760 East Galbraith Road Suite 203 Kenwood OH 45236 Dialysis Clinic UC Health Nephrology 1401 Harrodsburg Road Suite C335 Lexington KY 40504 Dialysis Clinic UC Health Nephrology 220 Clifty Drive Suite K Madison IN 47250 Dialysis Clinic UC Health Nephrology 1210 Pope Drive Maysville KY 41056 Dialysis Clinic UC Health Nephrology 2340 North State Highway 7 North Vernon IN 47265 Dialysis Clinic UC Health Nephrology 110 East 13th Street Rushville IN 46173 Dialysis Clinic UC Health Orthopedics & Sports Med 7570 Highway 42 Florence KY 41042 Physician Practices UC Health Orthopedics & Sports Med 2449 Ross-Millville Road Suite 265 Hamilton OH 45013 Physician Practices UC Health Orthopedics & Sports Med 5575 Cheviot Road Cincinnati OH 45239 Physician Practices UC Health Orthopedics & Sports Med 630 West Main Street Suite 109 Wilmington OH 45177 Physician Practices UC Health Physicians Office 3590 Lucille Drive Cincinnati OH 45213 Physician Practices UC Health Primary Care 6645 Princeton-Glendale Road Liberty Township OH 45011 Primary Care Practice West Chester Hospital Outpatient Imaging 7690 Discovery Drive West Chester OH 45069 Physician Practices UC Health Primary Care 3120 Burnet Avenue Suite 406 Cincinnati OH 45229 Primary Care Practice UC Health Physicians Office 300 Chambers Drive Milford OH 45150 Physician Practices Part I, Line 6a: The community benefit information for Daniel Drake Center, West Chester Hospital, and University of Cincinnati Medical Center are included in the report issued by UC Healthcare System. The link below is the URL to access the community benefit report:http://uchealth.com/about/community-benefit/ Part I, Line 7: The net community benefit expenses are estimated using a cost-to-charge ratio. The cost-to-charge ratio is based on allowable cost per the Medicare Cost Report as a percent of total patient charges. Part III, Line 2: UC Healthcare System offers uninsured patients who are not eligible for any discount under the terms of the Charity Care Policy an uninsured discount of a percentage of billed charges to help ease the burden of medical expenses. The uninsured discount is not included in bad debt expenses. Bad debt expense, at cost, is calculated using a cost-to-charge ratio. The cost-to-charge ratio is based on allowable cost per the Medicare Cost Report as a percent of total patient charges. Part III, Line 3: UC Healthcare System has a very robust financial assistance program; therefore, no estimate is made for bad debt attributed to financial assistance eligible patients. Part III, Line 4: Patient accounts receivables are reduced by an allowance for doubtful accounts for amounts that could become uncollectible in the future. Collection risks relate primarily to uninsured patient accounts and patient accounts under third-party payor agreements for which deductibles and coinsurance are due from the patient. Significant provision is made for self-pay accounts in the period of service. UC Health estimates the allowance based on our historical collection experience by facility and for each payor source, business and economic conditions, trends in healthcare coverage, and other collection indicators. A significant amount of net patient service revenue is recognized at the time the services are rendered without an assessment of the patient's ability to pay. As a result, the provision for doubtful accounts is presented as a deduction from net patient service revenue.The Organization's share of bad debt expense was $64,448,661 at charges ($18,331,941 at cost). Part III, Line 8: UC Healthcare System follows the Catholic Health Association of the United States policy document, Community Benefit Program, A Revised Resource for Social Accountability ("CHA Guidelines") for determining community benefit. Part III, Line 9b: UC Healthcare System representatives will assist patients in filling out the Financial Assistance Application. UC Healthcare System limits collection practices for those know to qualify for financial assistance. Part VI, Line 2: Daniel Drake Center, LLC, West Chester Hospital, LLC and University of Cincinnati Medical Center, LLC utilize various methods to assess the health care needs of the communities it serves. The primary method includes membership in various industry organizations including: Greater Cincinnati Health Council, Ohio Hospital Association, and American Hospital Association; and affiliations with various regulatory agencies, including Joint Commission on Accreditation of Healthcare Organizations. Commission on Accreditation of Rehabilitation Facilities, and Ohio Department of Health. Additionally, UC Healthcare System utilizes an independent research group to monitor patient satisfaction, solicit feedback from physicians, and be actively involved in community health fairs and education events. Additionally, UC Healthcare System conducted a Community Health Needs Assessment during fiscal year 2013 to identify and begin to address the health needs of the communities which each hospital serves. Using both qualitative and quantitative feedback as well as publically available and proprietary health indicators, UC Healthcare System was able to identify and prioritize community health needs for each hospital. Part VI, Line 3: UC Healthcare System utilizes a multifaceted approach regarding the communication of assistance programs available to patients. There are signs throughout the hospitals alerting patients of the charity care programs available. While registering patients, Registrars can offer patients financial assistance applications, which provide information regarding the programs available. Financial counselors will also meet with patients and outline the programs available, determine eligibility, and offer assistance in completing the application process. When a patient receives their balance due statement, the back of the statement provides information regarding programs and eligibility. During the collections process, representatives will also offer financial assistance information if a patient notifies them that they do not have the ability to pay. Finally, UC Healthcare System provides the Financial Assistance Policy and other detailed information online, to educate patients of programs that are available. Part VI, Line 4: UC Healthcare System is a physician-led , integrated health system serving primarily Cincinnati and the Ohio, Kentucky and Indiana Tristate region. Some key demographics in the Hamilton and Butler counties, the main counties served by University of Cincinnati Medical Center, LLC, Daniel Drake Center for Post-Acute Care, LLC, West Chester Hospital, LLC and University of Cincinnati Physicians Company, LLC include:- Over the past 10 years, Hamilton County's population decreased by 5 percent - it is the only UC Healthcare System county to lose population.- Hamilton County has the largest number of disabled residents at more than 95,000- The largest African American population in both size (205,952 people) and percentage (26%) is in Hamilton County- The Hispanic/Latino population in the region more that doubled between 2000 and 2010 - the largest percentage growth was in Butler County, which saw an increase from 1.4% to 4%.- Nearly 1 in 5 residents of Hamilton County live in poverty.UC Healthcare System has committed itself to providing health care services no one else can to the underserved in our region. These achievements are made possible by the dedicated physicians, nurses, clinicians and administrators who believe in the commitment to our region as a growing, thriving community for today and for the future. Part VI, Line 5: A substantial part of what UC Healthcare System provides to the community is in fulfilling the role of caring for the region's most vulnerable patients - providing life-changing, patient-centered care regardless of the ability to pay.As the primary adult teaching affiliate of the University of Cincinnati College of Medicine, University of Cincinnati Medical Center, LLC partners with physicians and faculty for various research programs, bringing medical advances and ground breaking clinical initiatives directly to the patients and community. University of Cincinnati Medical Center, LLC is involved in a program with the United States Air Force to offer training for military medical personnel in the areas of trauma and critical care.West Chester Hospital, LLC provides access to over 750 credentialed physicians to the community and holds community health seminars. West Chester Hospital, LLC, also hosted the UC Health Safety and Wellness Festival featuring on-site health screenings as well as representation from emergency medical service agencies, community organizations and businesses.Daniel Drake Center for Post-Acute Care, LLC (Daniel Drake Center) provides long-term acute care, skilled nursing care, assisted living, various outpatient services, wellness programs, and an aquatic center to the Greater Cincinnati area. In addition, Daniel Drake Center hosts support groups for individuals and families who are faced with the challenges of a chronic illness or injury, such as brian injury or stroke survivors. Daniel Drake Center offers a patient and family library to provide information on the treatment and recovery process and ways to improve overall wellness and quality of life. University of Cincinnati Physicians Company, LLC is one of Greater Cincinnati's largest primary care and specialties physicians groups, practicing in several locations throughout the region. University of Cincinnati Physicians Company, LLC offers a wide range of services to meet the needs of the community, including the aged and indigent. Part VI, Line 6: UC Healthcare System is a physician-led, integrated health system serving primarily Cincinnati and the Ohio, Kentucky and Indiana Tristate region with national and international referrals for tertiary services. Affiliated with the University of Cincinnati, UC Healthcare System includes:- 726-licensed bed University of Cincinnati Medical Center, LLC, the largest hospital in Cincinnati and the region's only university-based academic medical center;- 210-licensed bed West Chester Hospital, LLC, one of the region's newest hospitals serving the northern suburbs of Cincinnati; - University of Cincinnati Physicians, the University of Cincinnati College of Medicine's multi-specialty physician group; - Daniel Drake Center for Post-Acute Care, LLC, a specialized medical and rehabilitative hospital;- Other related facilities and services.UC Healthcare System has a policy as a system to treat patients regardless of their ability to pay. For the fiscal year ended June 30, 2015 UC Healthcare System provided more than $24,000,000 in charity care to the community it serves. Part VI, Line 7, Reports Filed With States OH 1 Strategies to End Homelessness 2368 Victory Pkwy 600 Cincinnati OH 45206 208286347 Section 501(c)(3) 1000000 General University of Cincinnati 2600 Clifton Avenue Cincinnati OH 45221 316000989 Gov't Entity 28556648 General Center of Respite Care Inc 830 Ezzard Charles Drive Cincinnati OH 45214 202544994 Section 501(c)(3) 450000 General Fountain Square Mgmt Group LLC 1203 Walnut Street 4th Floor Cincinnati OH 45202 205399588 350000 General Uptown Consortium Inc 629 Oak Street 306 Cincinnati OH 45206 200688727 Section 501(c)(3) 289537 General Village Outreach Project Inc 3120 Burnet Avenue Cincinnati OH 45229 201582097 Section 501(c)(3) 250000 General The Center For Closing The Health Gap In Greater Cincinnati 3120 Burnet Avenue Cincinnati OH 45229 200902286 Section 501(c)(3) 200000 General Greater Cincinnati Foundation 200 West Fourth Street Cincinnati OH 45202 310669700 Section 501(c)(3) 185100 General Greater Cincinnati Health Council Inc 2649 Erie Avenue Cincinnati OH 45208 311188610 Section 501(c)(3) 165000 General Redi Cincinnati LLC 3 East 4th Street 301 Cincinnati OH 45202 472090230 150000 General American Heart Association Inc PO Box 1590 Hagerstown MD 21741 135613797 Section 501(c)(3) 87000 General United Way Of Greater Cincinnati 2400 Reading Road 2nd Floor Cincinnati OH 45202 310537502 Section 501(c)(3) 64452 General Urban League Of Greater Cincinnati Inc 3458 Reading Road Cincinnati OH 45229 310565428 Section 501(c)(3) 50000 General Cincinnati Opera Association Inc 1243 Elm Street Cincinnati OH 45202 310549044 Section 501(c)(3) 45000 General Avondale Comprehensive Development Corporation 3494 Reading Road Suite A1 Cincinnati OH 45229 452412695 Section 501(c)(3) 25000 General West Chester Chamber Alliance 8922 Beckett Road West Chester OH 45069 310901492 Section 501(c)(6) 25000 General Community Foundation of West Chester 5641 Union Centre Drive West Chester OH 45069 311661966 Section 501(c)(3) 10000 General Hispanic Chamber of Commerce Cincinnati USA 2636 Erie Avenue 206 Cincinnati OH 45208 311458839 Section 501(c)(6) 10000 General 14 4 X X 1 1 X X X X X 1 0 0 0 0 0 0 0 0 Arthur M Pancioli MDSch O Trustee (start 3/15) 0 259429 0 0 0 0 0 22100 0 2391 0 283920 0 0 Gregory Rouan MD Sch O Trustee 0 173235 0 40000 0 23000 0 20080 0 1852 0 258167 0 0 Thomas Boat MD Sch O Trustee-UCH (Ex-Officio)(end 11/14) 0 248460 0 0 0 23000 0 52000 0 0 0 323460 0 0 Richard P Lofgren MD CEO/President (start 12/13) 0 880903 0 256628 0 40198 0 0 0 22927 0 1200656 0 0 Hugh R Hinds CFO/Treasurer 0 580001 0 161983 0 2622 0 440884 0 20955 0 1206445 0 0 William E Hurford MD Chief Medical Officer (start 2/15) 0 355795 0 40229 0 0 0 22100 0 2391 0 420515 0 0 Anthony Condia VP External Affairs (end 11/14) 194335 0 54981 0 16323 0 24594 0 8509 0 298742 0 0 0 Kevin Joseph MD President - WCH 0 377149 0 163805 0 17500 0 52000 0 2391 0 612845 0 0 Lee Ann Liska President - UCMC 0 527889 0 142541 0 1462 0 61145 0 26283 0 759320 0 0 Myles Pensak MD President - UCPC 0 532292 0 75667 0 23000 0 52000 0 2391 0 685350 0 0 Stephen Agabegi MD Physician 0 868394 0 0 0 17500 0 52000 0 2391 0 940285 0 0 Ferhan Asghar MD Physician 0 804886 0 0 0 0 0 52000 0 2391 0 859277 0 0 Diya Mutasim MD Physician 0 196796 0 1178451 0 23000 0 52000 0 2391 0 1452638 0 0 Angelo Colosimo MD Physician 0 901300 0 10000 0 23000 0 52000 0 2391 0 988691 0 0 Hugh Gloster MD Physician 0 110756 0 873165 0 23000 0 22100 0 2391 0 1031412 0 0 James Kingsbury CEO/President (end 12/13) 0 0 0 206336 0 58771 0 22584 0 0 0 287691 0 0 W Brian Gibler MD President - UCMC (end 6/13) 0 0 0 0 0 381000 0 0 0 0 0 381000 0 0 Part I, Line 1a An executive receives a housing allowance and multiple executives have club membership dues. The personal use portion of these benefits are treated as taxable compensation to the executive. Part I, Line 4a Former President of University of Cincinnati Medical Center, W. Brian Gibler, M.D. received severance payments of $381,000 during calendar year 2014. A County of Butler OH 316000061 123550GB5 2010-11-04 204957604 Hospital facilities 0 0 0 B Port of Greater Cincinnati Development Authority 311752368 2012-06-29 24200000 Build and equip hospital facility 0 0 0 C Hamilton County OH 316000063 407272S53 2014-04-16 83919171 To refund bonds issued 1/23/2001, and to construct hospital facilities 0 0 0 A 5600000 204957604 18688850 3219925 183048829 2011 0 0 1 1 B 24200000 299957 223900043 2012 0 0 1 1 C 3535000 83919171 1112200 15570688 57803700 9432583 1 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 Form 990, Part III, line 3 Effective June 30, 2014, UC Health converted from a corporation to a limited liability company under the Ohio Revised Code. UC Health continuted operations as a single member limited liability company of UC Healthcare System. In the current tax year, UC Health and its associated programs are included in the UC Healthcare System Form 990. Form 990, Part VI, Section B, line 11 UC Healthcare System has designated the responsibility of reviewing the Form 990 to the UC Health Board. A copy of the Form 990 has been provided to each of UC Health's Audit and Compliance Committee Members. UC Health's Audit and Compliance Committee demonstrated review of the Form 990 by a vote to approve the Form 990 for review by the full Board of Directors. The Form 990 is then provided to the Board Members for review, prior to filing. Form 990, Part VI, Section B, line 12c On an annual basis and as new individuals are appointed or hired, the corporate internal audit department of UC Health conducts a survey which is distributed to all Board of Directors, physicians and management. The corporate internal audit department collects and reviews all responses, utilizing the assistance of legal counsel, as needed. The corporate internal audit department reports compliance with the policy and non-responses to Senior Management and the Audit and Compliance Committee of UC Health. Form 990, Part VI, Section B, line 15 UC Health, LLC , a disregarded entity of UC Healthcare System, utilizes information from independent compensation consultants and compensation surveys to determine the compensation of Senior Vice-Presidents, the Chief Financial Officer, and the Chief Executive Officer. The compensation is approved by the Compensation Committee of the UC Health Board. The compensation of the Chief Executive Officer is evidenced by a written employment contract. The compensation of all other individuals is determined at fair market value. Form 990, Part VI, Section C, line 19 The Organization will provide any documents open for public inspection upon request. Form 990, Part VII, Section A: Explanation of Compensation Paid to Arthur M. Panciolo, M.D.: The compensation paid to Arthur M. Panciolo, M.D. reflects payments for his services as a physician to UC Physicians Company, LLC, a disregarded entity of UC Healthcare System, not remuneration for his participationon the Board of Trustees of UC Healthcare System. Explanation of Compensation Paid to Gregory Rouan, M.D.: The compensation paid to Gregory Rouan, M.D. reflects payments for his services as a physician to UC Physicians Company, LLC, a disregarded entity of UC Healthcare System, not remuneration for his participation on the Board of Trustees of UC Healthcare System. Explanation of Compensation Paid to William S. Ball, M.D.: The compensation paid to William S. Ball, M.D. reflects payments for his services as a physician to UC Physicians Company, LLC, a disregarded entity of UC Healthcare System, not remuneration for his participation on the Board of Trustees of UC Healthcare System. Explanation of Compensation Paid to Thomas Boat, M.D.: The compensation paid to Thomas Boat, M.D. reflects payments for his services as a physician to UC Physicians Company, LLC, a disregarded entity of UC Healthcare System, not remuneration for his participation on the Board of Trustees of UC Healthcare System. Part VII, Section B: The amounts reported on Part VII, Section B for Aramark Management Services, Hoxworth Blood Center and Laboratory Corporation of America Holdings represent payments for both good and services. These amounts cannot be separated. Form 990, Part XI, line 9: Change in Fair Value of Derivatives 247,313. Change in Pension Liability -31,789,847. University Surgical-Dental Associates LLC 2830 Victory Parkway Cincinnati OH 45206 311315108 Health Care Services OH 3182596 62270 UC Health LLC UC Health Partners LLC 234 Goodman Street Cincinnati OH 45219 271031772 Health Care Services OH 2522414 0 UC Health LLC West Chester Hospital LLC 7700 University Drive Cincinnati OH 45069 311588499 Health Care Services OH 211935911 30271506 UC Health LLC University of Cincinnati Physicians Company LLC 3200 Burnet Avenue Cincinnati OH 45229 311405915 Health Care Services OH 373745899 249037693 UC Health LLC Drake Development LLC (dba Bridgeway Pointe) 165 West Galbraith Road Cincinnati OH 45216 311658885 Health Care Services OH 3334055 395985 Daniel Drake Center for Post-Acute Care LLC University of Cincinnati Medical Center LLC 234 Goodman Street Cincinnati OH 45219 311479038 Health Care Services OH 897768338 548309042 UC Health LLC UC Health LLC 3200 Burnet Avenue Cincinnati OH 45229 311435820 Health Care Services OH 220977716 624685334 UC Healthcare System Daniel Drake Center for Post-Acute Care LLC 151 West Galbraith Road Cincinnati OH 45216 311273012 Health Care Services OH 61421542 23158486 UC Health LLC UC Health Foundation 3200 Burnet Avenue Cincinnati OH 45229 261594868 Fundraising OH Section 501(c)(3) Schedule A, Line 7 UC Healthcare System 1 Piedmont-Eden Limited Partnership 2830 Victory Parkway Cincinnati OH 45206 311209336 Real Estate OH University of Cincinnati Physicians Company LLC Related 1530774 21296257 0 1 0.81790 UC Health Assurance Company PO Box 1051 GT Grand Cayman CJ Insurance CJ UC Health LLC C 13677156 79141622 1.00000 1 Midwest Laundry Inc 3200 Burnet Avenue Cincinnati OH 45229 311309029 Commercial Laundry OH UC Health LLC C 7058322 3744656 1.00000 1 Piedmont-Eden Corporation 2830 Victory Parkway Cincinnati OH 45206 311187960 Real Estate OH University of Cincinnati Physicians Company LLC C 29471 527813 0.79300 1 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 UC Health Foundation C 4211333 Book Value Piedmont-Eden Limited Partnership D 3890708 Book Value Piedmont-Eden Limited Partnership K 1436184 Book Value UC Health Foundation S 2021232 Book Value