2015-05-15T10:20:45-05:00 2014-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2013-07-01 611293786 UNIVERSITY MEDICAL CENTER INC UNIV 5025623621 250 E LIBERTY ST Louisville KY 40202 ROBERT STELTENPOHL VP-FINANCE 2014-10-10 true Pamela Krohn P01210500 3032989100 2013 2016-03-07 17:11:31Z X UNIVERSITY OF LOUISVILLE HOSPITAL JAMES TAYLOR 250 E LIBERTY ST Louisville KY 40202 525572508 false X WWW.KENTUCKYONEHEALTH.ORG/UNIVERSITYOFLOUISVILLEHOSPITAL X 1995 KY TO PROVIDE PATIENT CARE TO OUR COMMUNITY AND TO SERVE AS A MAJOR TEACHING HOSPITAL FOR EDUCATION AND TRAINING IN MEDICINE, DENTISTRY, NURSING, AND ALLIED HEALTH PROFESSIONS. 13 13 291 500 8274 2192 127952 53823 254009898 498237250 252710 548623 15299618 26722812 269690178 525562508 214094 182194 0 0 106930107 160012826 0 0 0 172253150 335889486 279397351 496084506 -9707173 29478002 394584247 424670418 397975908 172454416 -3391661 252216002 TO PROVIDE PATIENT CARE TO OUR COMMUNITY AND TO SERVE AS A MAJOR TEACHING HOSPITAL FOR EDUCATION AND TRAINING IN MEDICINE, DENTISTRY, NURSING, AND ALLIED HEALTH PROFESSIONS. false false 420677780 182194 498228976 UNIVERSITY MEDICAL CENTER OPERATES THE UNIVERSITY OF LOUISVILLE HOSPITAL, WHICH IS A TEACHING FACILITY HOSPITAL DESIGNATED AS A REGIONAL TRAUMA CENTER AND PROVIDES CARE TO THE MEDICALLY NEEDY REGARDLESS OF THEIR ABILITY TO PAY. SEE SCHEDULE H FOR ADDITIONAL INFORMATION. 420677780 true true false false false false false false false true false false false true true false true false false false false false false false false true true true false true true false false false false false true false false false false false false false false false false false false false false true 19 0 true 291 true true true false false false false false false false false false X 13 13 false false false false false false false true true false false false true true true true true true true true KY X ROBERT STELTENPOHL 5025874961 200 Abraham Flexner Way Louisville KY 40202 JOAN COLEMAN CHAIR 1.00 0 X X 0 0 0 CHARLIE JOHNSON DIRECTOR 1.00 0 X 0 0 0 DEBRA M MURPHY DIRECTOR 1.00 0 X 0 0 0 GERARD J ANDERSON DIRECTOR 1.00 0 X 0 0 0 KELLY M MCMASTERS MD PHD DIRECTOR 1.00 0 X 0 0 0 LAURENCE BENZ DPT MBA OCS DIRECTOR 1.00 0 X 0 0 0 LINDY STREET DIRECTOR 1.00 0 X 0 0 0 MARCIA HERN EDD CNS RN DIRECTOR 1.00 0 X 0 0 0 MARTHA NEAL COOKE DIRECTOR 1.00 0 X 0 0 0 PHILLIP BOND DIRECTOR 1.00 0 X 0 0 0 SANDY METTS SNOWDEN DIRECOTR 1.00 0 X 0 0 0 SHARMILA MAKHIJA MD Director 1.00 0 X 0 0 0 TONI GANZEL MD DIRECTOR 1.00 0 X 0 0 0 JAMES H TAYLOR MD PHD PRESIDENT & CEO 50.00 0 X 581405 0 310148 KENNETH P MARSHALL PRESIDENT 50.00 0 X 506450 0 63767 MARY ADAMS SVP-CNO 40.00 0 X 318445 0 57880 NORMA RACINE SECRETARY 40.00 0 X 111231 0 15664 ROBERT BARBIER SVP-CFO 40.00 0 X 434316 0 37698 DONALD KUPPER VP-SUPPLY CHAIN OPS 0.00 0 X 263361 0 37690 GARY BENSING VP-HR 40.00 0 X 353610 0 49710 LINDA LLOYD VP Clinical Ops Improvement 40.00 0 X 238292 0 33921 STEPHEN AMSLER VP-PLANT OPS FACILITY SVCS 40.00 0 X 205666 0 28388 STEPHEN MCGUIRE VP-COMPLIANCE 40.00 0 X 244564 0 33945 TROY MAY CHIEF INFORMATION OFFICIER 40.00 0 X 320532 0 48270 3577872 0 717081 152 false true false CONIFER HEALTH SOLUTIONS 1500 S DOUGLAS ROAD ANAHEIM CA 92806 ADMIN SERVICES 9708904 CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 ENVIRONMENTAL SERVICES 5504007 MORRISON MANAGEMENT SPECIAL 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 FOOD SERVICES 5015154 CHAMBERLIN EDMONDS INC 3535 PIEDMONT ROAD SUITE 800 ATLANTA GA 30305 COLLECTIONS 2103819 MILLS DETECTIVE AGENCY 3832 TAYLORSVILLE ROAD LOUISVILLE KY 40220 SECURITY SERVICES 2059726 19 6952 46871 53823 PATIENT SERVICES 900099 491822030 491813756 8274 MEANINGFUL USE REVENUE 900099 4937216 4937216 INTERCOMPANY TRANSACTIONS 900099 1478004 1478004 0 0 0 0 0 0 498237250 106521 106521 0 0 153960 153960 0 153960 153960 436327 15775 10000 436327 5775 442102 442102 0 0 0 PHARMACY SERVICES 446110 19746476 19746476 CAFETERIA 722100 1041974 1041974 REIMBURSEMENT OF EXPENSES 900099 2436548 2436548 3343854 0 0 3343854 26568852 525562508 498228976 8274 27271435 X 182194 182194 0 0 0 0 3578272 3578272 123590746 110790346 12800400 4048108 3526734 521374 19250039 16770740 2479299 9545661 8316233 1229428 0 1008933 1008933 5645 5645 0 0 0 93842541 47797548 46044993 0 763265 3228 760037 10376216 9425504 950712 4608129 3188969 1419160 0 9044527 8735708 308819 182761 114862 67899 0 15296 13007 2289 7775953 7775953 0 23100251 22863146 237105 3992361 3992361 MEDICAL SUPPLIES 107195416 107195416 BAD DEBTS 24602440 24602440 INTERCOMPANY ALLOCATIONS 13247900 13247900 PROVIDER TAXES 7262239 7262239 28865613 28865613 0 0 496084506 420677780 75406726 0 0 54122 104022 50704497 78846162 74621614 67036982 0 0 0 1333000 1115614 9057134 9664932 6907789 3350453 196966509 30699122 173337700 166267387 0 32257145 0 0 18379189 0 53178126 53178005 8344076 11516716 394584247 424670418 66868933 32633229 8203830 5769115 4668313 2116084 0 0 67507756 66290809 250727076 65645179 397975908 172454416 X -3391661 252216002 -3391661 252216002 394584247 424670418 X 29478002 226129661 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 66147000 4409800 61737200 62159269 9082590 53076679 55669490 17012191 38657299 12990750 194541 12796209 166267387 0 INTERCOMPANY PAYABLES 58321928 SELF-INSURANCE RESERVES AND CLAIMS 5907547 UNCLAIMED PROPERTY 60413 ENVIRONMENTAL REMEDIATION LIABILITY 280754 MISCELLANEOUS 1074537 65645179 X Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote UNIVERSITY MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF KENTUCKYONE HEALTH INC., A RELATED ORGANIZATION. KENTUCKYONE HEALTH INC.'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2014 READS AS FOLLOWS: "MOST OF THE INCOME RECEIVED BY THE SYSTEM AND CERTAIN AFFILIATES IS EXEMPT FROM TAXATION UNDER SECTION 501(A) OF THE IRC. SOME OF ITS SUBSIDIARIES ARE TAXABLE ENTITIES, AND SOME OF THE INCOME RECEIVED BY OTHERWISE EXEMPT ENTITIES, ARE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE SYSTEM FILES FEDERAL INCOME TAX RETURNS AS WELL AS INCOME TAX RETURNS IN KENTUCKY AND INDIANA. ASC 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740 ALSO PROVIDES GUIDANCE ON DESCRIPTION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. MANAGEMENT HAS DONE AN ANALYSIS AND DETERMINED THAT NO AMOUNT NEEDED TO BE RECORDED RELATED TO ASC 740 AT JUNE 30, 2014 AND 2013." UNIVERSITY MEDICAL CENTER INC.'S FINANCIAL INFORMATION IS ALSO INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2014, READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS." true true X false false true true true false true true 44096891 38143988 5952903 0.01260 102370919 76494638 25876281 0.05490 0 0.00000 0 0 146467810 114638626 31829184 0.06750 3 547 7962 7962 0.00000 3 1720 88843394 38746738 50096656 0.10630 2 12 2031134 2031134 0.00430 0 0.00000 1 51616 51616 0.00010 9 2279 90934106 38746738 52187368 0.11070 9 2279 237401916 153385364 84016552 0.17820 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 1 349 349 0.00000 1 1 109 109 0.00000 0 0.00000 0 0.00000 2 1 458 0 458 0.00000 true 24602440 0 47583542 58872603 -11289061 X true true 1 1 UNIVERSITY OF LOUISVILLE HOSPITAL 530 S Jackson Street LOUISVILLE KY 40202 WWW.KENTUCKYONEHEALTH.ORG/UNIVERSITYOFLOUISVILLEHOSPITAL 100220 X X X X UNIVERSITY OF LOUISVILLE HOSPITAL 1 true X X X X X X X X 12 true true true X http://www.kentuckyonehealth.org/community-health-needs-assessment X X X X X X X X X false false true false false true X X X X X X true true X X X X X true false true X false false Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment (1) - UNIVERSITY OF LOUISVILLE HOSPITAL: ULH | JGBCC IS PART OF KENTUCKYONE HEALTH WHICH COLLABORATED WITH THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS (LMDPHW), THE KENTUCKY HOSPITAL ASSOCIATION AND OTHER LOUISVILLE AREA HOSPITALS TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. OTHER HOSPITAL SYSTEMS THAT PARTICIPATED INCLUDED: BAPTIST HOSPITAL EAST, NORTON HEALTHCARE AND JEWISH HOSPITAL. FOUR COMMUNITY FORUMS WERE HELD IN MARCH 2012 AT SITES IN EACH QUADRANT OF JEFFERSON COUNTY. MEMBERS OF THE GENERAL PUBLIC WERE ASKED TO COMPLETE A SURVEY ON THEIR PERCEPTIONS OF THE CITY'S HEALTH CARE NEEDS. THE DATA GAINED FROM THESE FORUMS WAS UTILIZED TO INFORM THE ENTIRE PROCESS. A FIFTH FORUM WAS CONDUCTED BY LMDPHW DIRECTOR DR. LAQUANDRA NESBITT ON MARCH 29, 2012 AT THE GREATER LOUISVILLE MEDICAL SOCIETY TAILORED TO GATHER INPUT FROM COMMUNITY LEADERS, PHYSICIANS AND OTHER HEALTH PROFESSIONALS. IT WAS ATTENDED BY 40 INDIVIDUALS REPRESENTING A WIDE ARRAY OF EXPERTISE INCLUDING BILL WAGNER, EXECUTIVE DIRECTOR OF THE FAMILY HEALTH CENTERS, INC., JAY DAVIDSON, EXECUTIVE DIRECTOR OF THE HEALING PLACE, AND LEADERS FROM AN ARRAY OF HEALTH AND HUMAN SERVICE AGENCIES THAT SERVE LOW-INCOME AND MINORITY POPULATIONS.; Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment (1) - UNIVERSITY OF LOUISVILLE HOSPITAL: UNIVERSITY MEDICAL CENTER CONDUCTED ITS CHNA WITH BAPTIST HOSPITAL EAST, NORTON HEALTHCARE AND JEWISH HOSPITAL.; Schedule H, Part V Sec B, Line 5a, Hospital Facility's Website (list URL) (1) - UNIVERSITY OF LOUISVILLE HOSPITAL: HTTP://WWW.KENTUCKYONEHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT; Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment (1) - UNIVERSITY OF LOUISVILLE HOSPITAL: LOW BIRTH WEIGHT/PREMATURE BIRTH- UNIVERSITY OF LOUISVILLE HOSPITAL IS ADDRESSING RISKY LIFESTLYES WHICH CAN LEAD TO LOW BIRTHWEIGHT/PREMATURE BIRTHS. ULH WILL DEFER ADDITIONAL SERVICES FOR THIS NEED TO BE ADDRESSED THROUGH KOSAIR CHILDREN'S HOSPITAL, BAPTIST HEALTH AND NORTON HEALTHCARE. MENTAL OR EMOTIONAL HEALTH ADDICTION/SUBSTANCE ABUSE EXCESSIVE DRINKING - UNIVERSITY OF LOUISVILLE HOSPITAL CURRENTLY ADDRESSES MENTAL HEALTH AS WE CARE FOR THOSE PATIENTS WITH CHRONIC CONDITIONS. ULH WILL DEFER THE SERVICES FOR THIS NEED TO BE ADDRESSED WITHIN KENTUCKYONE HEALTH THROUGH OUR LADY OF PEACE. IN ADDITION, SEVEN COUNTIES SERVICES, THE AREA'S COMMUNITY MENTAL HEALTH SERVICE, ALSO HAS THE EXPERTISE AND RESOURCES TO FOCUS IN THESE AREAS.; Schedule H, Part V Sec B, Line 10, Used federal poverty guidelines (FPG) to determine eligibility (1) - : HUD LOW INCOME GUIDELINES USED.; Schedule H, Part V Sec B, Line 11, Eligibility for Discounted Care (1) - : HUD LOW INCOME GUIDELINES USED; Schedule H, Part I, Line 3c, Eligibility criteria for free or discounted care WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION UNIVERSITY MEDICAL CENTER, INC.) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 17 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. UNIVERSITY MEDICAL CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. Schedule H, Part I, Line 6a, Community benefit report prepared by related organization KENTUCKYONE HEALTH, INC. Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance AMOUNTS REPORTED ON SCHEDULE H, PART I, LINE 7 ARE DETERMINED BY MULTIPLYING REVENUE BY THE COST TO CHARGE RATIO CALULATED FROM WORKSHEET 2. Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation 24,602,440 Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST TO CHARGE RATIO. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. Schedule H, Part III, Line 3, Bad Debt Expense Methodology UNIVERSITY MEDICAL CENTER, INC. DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. Schedule H, Part III, Line 4, Bad debt expense - financial statement footnote UNIVERSITY MEDICAL CENTER, INC. DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF KENTUCKYONE HEALTH. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "PATIENT RECEIVABLES AND NET PATIENT SERVICE REVENUE ARE DERIVED PRIMARILY FROM PATIENTS WHO RESIDE IN KENTUCKY AND SOUTHERN INDIANA. PATIENT RECEIVABLES CONSIST OF AMOUNTS DUE FROM INDIVIDUAL PATIENTS AND THIRD-PARTY PAYORS, INCLUDING FEDERAL AND STATE PROGRAMS AND COMMERCIAL INSURANCE COMPANIES FOR HEALTH CARE SERVICES RENDERED. MANAGEMENT MAINTAINS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS TO RESERVE FOR ESTIMATED LOSSES BASED ON THE LENGTH OF TIME THE ACCOUNT HAS BEEN PAST DUE AND HISTORICAL COLLECTION EXPERIENCE." THE ORGANIZATION IS ALSO INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS SUBSTANTIALLY ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY." Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $47,583,542 TOTAL MEDICARE COSTS: $58,872,603 SURPLUS OR (SHORTFALL) ($11,289,061) UNIVERSITY MEDICAL CETNER, INC. BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS. Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance UNIVERSITY MEDICAL CENTER, INC.'S DEBT COLLECTION POLICY PROVIDES THAT UNIVERSITY MEDICAL CENTER, INC. WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH UNIVERSITY MEDICAL CENTER, INC.'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE UNIVERSITY MEDICAL CENTER, INC.'S COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO UNIVERSITY MEDICAL CENTER, INC. FOR APPROPRIATE FOLLOW-UP. UNIVERSITY MEDICAL CENTER, INC. REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT. SCHEDULE H, PART VI, LINES 2, 4 AND 5 ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE KENTUCKYONE HEALTH, THE LARGEST AND MOST COMPREHENSIVE HEALTH SYSTEM IN THE COMMONWEALTH, HAS MORE THAN 200 LOCATIONS INCLUDING HOSPITALS, PHYSICIAN GROUPS, CLINICS, PRIMARY CARE CENTERS, SPECIALTY INSTITUTES AND HOME HEALTH AGENCIES IN KENTUCKY AND SOUTHERN INDIANA. KENTUCKYONE HEALTH IS DEDICATED TO BRINGING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED. THE SYSTEM IS MADE UP OF THE FORMER JEWISH HOSPITAL & ST. MARY'S HEALTHCARE AND SAINT JOSEPH HEALTH SYSTEM, ALONG WITH THE UNIVERSITY OF LOUISVILLE HOSPITAL AND JAMES GRAHAM BROWN CANCER CENTER. KENTUCKYONE HEALTH IS PROUD OF AND STRENGTHENED BY ITS CATHOLIC, JEWISH AND ACADEMIC HERITAGES. KENTUCKYONE HEALTH WAS FORMED WHEN TWO MAJOR KENTUCKY HEALTH CARE ORGANIZATIONS CAME TOGETHER IN EARLY 2012. KENTUCKYONE HEALTH COMBINES THE JEWISH AND CATHOLIC HERITAGES OF THE TWO FORMER SYSTEMS- JEWISH HOSPITAL & ST. MARY'S HEALTHCARE AND SAINT JOSEPH HEALTH SYSTEM. IN LATE 2012, THE ORGANIZATION FORMED A PARTNERSHIP WITH THE UNIVERSITY OF LOUISVILLE HOSPITAL | JAMES GRAHAM BROWN CANCER CENTER. THE NONPROFIT SYSTEM IS COMMITTED TO IMPROVING THE HEALTH OF KENTUCKIANS BY INTEGRATING MEDICAL RESEARCH, EDUCATION, TECHNOLOGY AND HEALTH CARE SERVICES WHEREVER PATIENTS RECEIVE CARE. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, WITH THIS MISSION: TO BRING WELLNESS, HEALING, AND HOPE TO ALL. OUR VISION IS TO: * SERVE WITH A SPIRIT OF INNOVATION AND COLLABORATION * TRANSFORM HEALTH CARE DELIVERY * PARTNER TO CREATE HEALTHY COMMUNITIES * ADVOCATE FOR A JUST HEALTH SYSTEM JEWISH HOSPITAL, JEWISH HOSPITAL SHELBYVILLE, UNIVERSITY OF LOUISVILLE HOSPITAL, AND STS. MARY AND ELIZABETH HOSPITAL ALL OPERATE 24-HOUR EMERGENCY ROOMS 365 DAYS PER YEAR. ALL THREE EMERGENCY ROOMS ARE OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. ALL FACILITIES HAVE AN OPEN MEDICAL STAFF, PARTICIPATE IN MEDICARE AND MEDICAID, AND HAVE AN ACTIVE CHARITY CARE PROGRAM. UNIVERSITY OF LOUISVILLE HOSPITAL IS ALSO THE STATE'S FIRST LEVEL 1 TRAUMA CENTER. THE OTHER TWO FACILITIES CONSIDERED PART OF THE LOUISVILLE MARKET INCLUDE OUR LADY OF PEACE AND FRAZIER REHABILITATION INSTITUTE. COMMUNITY BENEFIT APPROACH GEOGRAPHIC AREA LOUISVILLE IS A MAJOR CITY-THE LARGEST IN THE STATE OF KENTUCKY AND THE COUNTY SEAT OF JEFFERSON COUNTY. AS OF 2010, THE LOUISVILLE METROPOLITAN AREA (MSA) HAD A POPULATION OF 1,307,647 RANKING IT 42ND IN SIZE NATIONALLY. THE METRO AREA INCLUDES LOUISVILLE-JEFFERSON COUNTY AND 12 SURROUNDING COUNTIES, EIGHT IN KENTUCKY AND FOUR IN SOUTHERN INDIANA. LOUISVILLE IS SOUTHEASTERLY SITUATED ALONG THE BORDER BETWEEN KENTUCKY AND INDIANA, THE OHIO RIVER, IN NORTH-CENTRAL KENTUCKY AT THE FALLS OF THE OHIO. THE LOUISVILLE METROPOLITAN AREA IS OFTEN REFERRED TO AS KENTUCKIANA BECAUSE IT INCLUDES COUNTIES IN SOUTHERN INDIANA. SCHEDULE H, PART VI, LINES 2, 4 & 5 A COMMUNITY IS DEFINED AS THE GEOGRAPHIC AREA FROM WHICH A SIGNIFICANT NUMBER OF THE PATIENTS UTILIZING HOSPITAL SERVICES RESIDE. WHILE THE COMMUNITY HEALTH NEEDS ASSESSMENT CONSIDERS OTHER TYPES OF HEALTHCARE PROVIDERS, HOSPITALS ARE THE SINGLE LARGEST PROVIDER OF ACUTE CARE SERVICES. FOR THIS REASON, THE UTILIZATION OF HOSPITAL SERVICES PROVIDES THE CLEAREST DEFINITION OF THE COMMUNITY. JEWISH HOSPITAL DEFINES ITS SERVICE AREA FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT BASED ON WHERE THE MAJORITY OF ITS INPATIENTS RESIDE. BASED ON THE PATIENT ORIGIN OF INPATIENT DISCHARGES FROM JULY 1, 2011 TO JUNE 30, 2012, MANAGEMENT HAS IDENTIFIED THE COMMUNITY AS JEFFERSON, BULLITT, NELSON AND SHELBY COUNTIES. BECAUSE ALMOST 60 PERCENT OF JEWISH HOSPITAL'S INPATIENT DISCHARGES ORIGINATE IN JEFFERSON COUNTY, IT COLLABORATED WITH THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH & WELLNESS IN CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT. BULLITT, NELSON, AND SHELBY COUNTIES ARE SERVED BY JEWISH HOSPITAL MEDICAL CENTER SOUTH, JEWISH HOSPITAL SHELBYVILLE AND FLAGET MEMORIAL HOSPITAL, RESPECTIVELY. JEWISH HOSPITAL SHELBYVILLE CONDUCTED THEIR OWN COMMUNITY HEALTH NEEDS ASSESSMENTS IN CONJUNCTION WITH THE NORTH CENTRAL DISTRICT HEALTH DEPARTMENT AND WITH INPUT FROM AREA RESIDENTS. SHELBY COUNTY IS LOCATED ON INTERSTATE 64 BETWEEN LOUISVILLE AND LEXINGTON. SHELBYVILLE IS THE LARGEST CITY AND COUNTY SEAT OF SHELBY COUNTY WITH POPULATION OF JUST OVER 42,000. BECAUSE THE COMMUNITY IS 30 MINUTES FROM DOWNTOWN LOUISVILLE, THE COUNTY IS CONSIDERED PART OF METRO LOUISVILLE MSA. BESIDES JEFFERSON COUNTY, SHELBY COUNTY IS SURROUNDED BY HENRY, FRANKLIN, ANDERSON, SPENCER AND OLDHAM COUNTIES. JEWISH HOSPITAL SHELBYVILLE DEFINES ITS SERVICE AREA FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT BASED ON WHERE THE MAJORITY OF ITS INPATIENTS RESIDE. BASED ON THE PATIENT ORIGIN OF INPATIENT DISCHARGES FROM JANUARY TO DECEMBER 30, 2011, MANAGEMENT HAS IDENTIFIED ALMOST 80 PERCENT OF JEWISH HOSPITAL SHELBYVILLE'S DISCHARGES ORIGINATE IN SHELBY COUNTY. THE NORTH CENTRAL DISTRICT HEALTH DEPARTMENT, COLLABORATING PARTNER FOR JEWISH HOSPITAL SHELBYVILLE'S COMMUNITY HEALTH NEEDS ASSESSMENT, ALSO SERVES POPULATIONS IN HENRY AND SPENCER COUNTIES AND PLANS ARE IN PLACE TO EXPAND THE SURVEY AND NEEDS ASSESSMENT TO THOSE COUNTIES AS SOON AS THE SHELBY COUNTY PLAN IS COMPLETE. JEWISH HOSPITAL SHELBYVILLE RECEIVES APPROXIMATELY 10% OF ADMISSIONS FROM BOTH SPENCER AND HENRY COUNTIES. THEY ARE CONSIDERED TO BE A PART OF THE HOSPITAL'S PRIMARY SERVICE AREA. DEMOGRAPHICS OF CONSTITUENTS IN COMMUNITY SERVED ACCORDING TO THE 2010 CENSUS, 26% OF THE COMMUNITY IS BETWEEN THE AGES OF 35 AND 54 AND 20% OF THE POPULATION IS BETWEEN 0-14 YEARS OLD. THE ETHNICITY BREAKDOWN IS 68% WHITE, 23% BLACK, AND 5% HISPANIC. IN TOTAL, THE POPULATION BREAKDOWN FOR THE COMMUNITY SHOWS A HIGHER PERCENTAGE OF BLACK RESIDENTS COMPARED TO THE STATE OF KENTUCKY AND THE UNITED STATES. A REVIEW OF SPECIFIC ZIP CODE AREAS SHOWS A RELATIVELY LARGE PERCENTAGE OF BLACK RESIDENTS IN SEVERAL ZIP CODES REPRESENTING THE HIGHEST DISCHARGES FROM JEWISH HOSPITAL. MEDIAN HOUSEHOLD INCOMES RANGE FROM $25,000-$50,000. THE AVERAGE ANNUAL RESIDENT UNEMPLOYMENT RATES FOR COUNTIES IN JEWISH HOSPITAL'S DEFINED COMMUNITY HAVE RISEN IN RECENT YEARS. THESE COUNTIES HAVE RATES ARE SIMILAR TO KENTUCKY'S STATE AVERAGE, WHICH IS SLIGHTLY LESS FAVORABLE THAN NATIONAL AVERAGES. IN JEFFERSON COUNTY, RESIDENTS OBTAIN A BACHELOR'S DEGREE OR HIGHER AT RATES GREATER THAN STATE AND NATIONAL AVERAGES; IN BULLITT COUNTY THE RATE IS JUST 11.1PERCENT, ABOUT HALF THE STATE AVERAGE. SCHEDULE H, PART VI, LINES 2, 4 AND 5 THE OVERALL POPULATION IS PROJECTED TO INCREASE SLIGHTLY OVER A FIVE-YEAR PERIOD FROM577, 204 IN 2013 TO 595,540, A 3.2 PERCENT INCREASE. HOWEVER, THE PEOPLE WHO UTILIZE HEALTH CARE SERVICES THE MOST, THOSE AGES 65 YEARS AND OVER, ARE PROJECTED TO INCREASE 16.7 PERCENT, FROM 77,983 TO 91,003. THE PROJECTED CHANGE TO THE COMPOSITION OF THE TOTAL COMMUNITY OF MALES AND FEMALES IS PROJECTED TO REMAIN APPROXIMATELY THE SAME OVER THE FIVE-YEAR PERIOD. FOR THE COMMUNITY SERVED BY JEWISH HOSPITAL SHELBYVILLE, HOUSEHOLD INCOMES RANGE FROM $42,506 TO $61,921. HENRY COUNTY HAS THE HIGHEST LEVEL OF POPULATION IN POVERTY AT 18.5%, WHICH IS JUST BELOW THE STATE PERCENTAGE OF 18.98. THE AVERAGE ANNUAL RESIDENT UNEMPLOYMENT COMMUNITY BENEFIT PROCESS DURING 2012, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED TO SUPPORT THE MISSION OF ENHANCING THE HEALTH OF PEOPLE IN THE COMMUNITIES SERVED, TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND FEDERAL TAX-EXEMPTION REQUIREMENTS, AND TO IDENTIFY HEALTH NEEDS OF THE COMMUNITY TO HELP PRIORITIZE THE ALLOCATION OF HOSPITAL RESOURCES TO MEET THOSE NEEDS. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND IRS, THE FOLLOWING STEPS WERE COMPLETED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: 1. THE "COMMUNITY" SERVED WAS DEFINED UTILIZING INPATIENT DATA ON PATIENT ORIGIN. 2. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED USING VARIOUS SOURCES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. 3. AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED. 4. THROUGH A COLLABORATIVE PROCESS CONDUCTED BY THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH & WELLNESS(LMDPHW), THE KENTUCKY HOSPITAL ASSOCIATION AND LOUISVILLE AREA HOSPITALS, COMMUNITY INPUT WAS OBTAINED THROUGH A SERIES OF FOUR PUBLIC FORUMS HELD ACROSS THE COUNTY, AND AN ADDITIONAL FORUM FOR COMMUNITY LEADERS AND MEDICAL PROFESSIONALS, AND THROUGH AN ONLINE SURVEY. INFORMATION GATHERED IN THE STEPS ABOVE WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, MINORITY GROUPS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE SIZE OF THE PROBLEM; 2) THE SERIOUSNESS OF THE PROBLEM; 3) THE IMPACT OF THE PROBLEM ON VULNERABLE POPULATIONS; 4) HOW IMPORTANT THE PROBLEM IS TO THE COMMUNITY; 5) PREVALENCE OF COMMON THEMES; 6) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 7) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. INFORMATION GAPS WERE IDENTIFIED DURING THE PRIORITIZATION PROCESS AND REPORTED. SCHEDULE H, PART VI, LINES 2, 4 AND 5 JEWISH HOSPITAL SHELBYVILLE HAS IDENTIFIED COMMUNITY HEALTH NEEDS BY UNDERGOING AN ASSESSMENT PROCESS IN COLLABORATION WITH OTHER COMMUNITY HEALTH PARTNERS. MORE THAN 1,800 RESIDENTS PROVIDED INPUT THROUGH A SURVEY (PAPER AND ONLINE, ENGLISH AND SPANISH). ANOTHER 25 COMMUNITY LEADERS AND HEALTH PROFESSIONALS SHARED THEIR EXPERTISE AT A SPECIAL COMMUNITY FORUM. IN ADDITION, SECONDARY DATA WAS COMPILED FROM DEMOGRAPHIC AND SOCIOECONOMIC SOURCES AS WELL AS NATIONAL, STATE AND LOCAL SOURCES OF INFORMATION ON DISEASE PREVALENCE, HEALTH INDICATORS, HEALTH EQUITY AND MORTALITY. FROM A COMPILATION OF INFORMATION, JEWISH HOSPITAL SHELBYVILLE LEADERS ENTERED INTO A DIALOGUE WITH OTHER KEY COMMUNITY PARTNERS TO DISCUSS THE RESULTS OF THE EVALUATION/HEALTH PRIORITIES AND CONSENSUS WAS REACHED. THE PROCESS IDENTIFIED THE ISSUES WITH SCORES OF 14 OR MORE (ON A SCALE OF 28). WITH AN UNDERSTANDING THAT COLLABORATIVE EFFORTS HAVE THE GREATEST OPPORTUNITY FOR MEASURABLE, COLLECTIVE IMPACT, JEWISH HOSPITAL SHELBYVILLE HAS WORKED IN PARTNERSHIP WITH THE LOCAL NORTH CENTRAL DISTRICT HEALTH DEPARTMENT THROUGH THE IMPLEMENTATION OF THE COMMUNITY'S MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) ASSESSMENT AND PLAN. IN ADDITION, THE HOSPITAL IS PARTNERING WITH THE KENTUCKIANA REGIONAL PLANNING & DEVELOPMENT AGENCY (KIPDA) AND THE UNIVERSITY OF LOUISVILLE KENT SCHOOL OF SOCIAL WORK THROUGH THEIR CDC FUNDED RURAL DIABETES COALITION GRANT. SUMMARY OF ASSESSMENT FINDINGS AFTER THE CHNA WAS COMPLETED, THE AFOREMENTIONED FACILITIES ENTERED INTO A DIALOGUE WITH OTHER KEY COMMUNITY PARTNERS, INCLUDING THE LMDPHW, TO DISCUSS THE RESULTS OF THE EVALUATION AND SELECT HEALTH PRIORITIES. PARTICIPANTS WERE GIVEN THE OPPORTUNITY TO REVISE RANKINGS AND DEBATE ISSUES UNTIL A CONSENSUS WAS REACHED ON A COMPOSITE RANKING OF HEALTH ISSUES. THE PROCESS IDENTIFIED THE FOLLOWING ISSUES WITH SCORES OF 14 OR MORE (ON A SCALE OF 28): * STROKE/CEREBROVASCULAR DISEASE * CHRONIC DISEASES IN VULNERABLE NEIGHBORHOODS/POPULATIONS * CHRONIC LOWER RESPIRATORY DISEASE (COPD) * CANCER * ADULT OBESITY * HEART DISEASE * PHYSICAL INACTIVITY * ACCESS TO CARE * BRAIN DISORDERS (MENTAL/EMOTIONAL HEALTH) * VIOLENT CRIME * LIMITED ACCESS TO HEALTHY FOODS * ADDICTION/SUBSTANCE ABUSE * ADULT SMOKING * LIMITED HEALTH KNOWLEDGE AND EDUCATION * NEED FOR IMPROVED COMMUNICATION OF AVAILABLE SERVICES * UNINSURED * CHILDREN IN POVERTY SCHEDULE H, PART VI, LINES 2, 4 AND 5 THESE NEEDS WERE THEN MAPPED TO THE HEALTH IMPROVEMENT EFFORTS OF THE MAYOR'S HEALTHY HOMETOWN MOVEMENT IN ORDER TO INCREASE COLLABORATIVE EFFORTS TO HAVE THE GREATEST OPPORTUNITY FOR MEASURABLE, COLLECTIVE IMPACT. COMMUNITY BENEFIT PROCESS FOR THE FUTURE IN ACCORDANCE WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND IN ORDER TO HONOR ITS COMMITMENT TO THE COMMUNITY, KENTUCKYONE HEALTH IS REPEATING THIS COORDINATED APPROACH WITH THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS AND OTHER AREA HOSPITAL SYSTEMS TO SURVEY THE COMMUNITY AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2015. A REPORT DUE IN 2016 WILL CAPTURE THESE CURRENT COMMUNITY SENTIMENTS AND GUIDE COMMUNITY BENEFIT WORK IN FY2017-2019 THROUGH AN IMPLEMENTATION STRATEGY. THIS IMPLEMENTATION STRATEGY WILL BUILD UPON THE PREVIOUS CHNA PUBLISHED IN 2013 THAT GUIDED COMMUNITY BENEFIT WORK IN FY2014-2016. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT THESE HOSPITALS PROMOTE THE COMMUNITY'S HEALTH BY RESPONDING TO THE FOUR MAJOR PILLARS OF COMMUNITY BENEFIT ACTIVITIES: IMPROVING ACCESS, ENHANCING COMMUNITY HEALTH, ADVANCING MEDICAL KNOWLEDGE, AND REDUCING GOVERNMENT BURDEN OF CARE. COMMUNITY OUTREACH FOR THE POOR THEY PROVIDE ADDITIONAL ACCESS TO HEALTH CARE SERVICES IN UNDERSERVED AREAS OF JEFFERSON COUNTY. ULH|JGBCC WORKS TO RELIEVE THE GOVERNMENT'S BURDEN BY CARING FOR THE INDIGENT IN JEFFERSON COUNTY. ULH|JGBCC HAS ALSO PROVIDED STAFF AND FINANCIAL SUPPORT TO THE HARAMBEE CLINIC, A NURSE-RUN CLINIC THAT PROVIDES ADDITIONAL ACCESS TO HEALTH CARE SERVICES IN UNDERSERVED AREAS OF JEFFERSON COUNTY. ULH|JGBCC ALSO WORKS TO ENHANCE THE HEALTH OF THE COMMUNITY THROUGH VIOLENCE PREVENTION INTERVENTIONS, HEALTH FAIRS IN UNDERSERVED AREAS, AND COMMUNITY COLLABORATION WITH OTHER NONPROFITS TO ADDRESS THE ISSUES AROUND HOSPITAL SUPER-UTILIZERS, AMONG OTHER INITIATIVES. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY MOST COMMUNITY OUTREACH IS OPEN TO THE PUBLIC, WHICH SERVES THE BROADER COMMUNITY. ONE INITIATIVE THAT SIMULTANEOUSLY IMPROVES ACCESS TO HEALTHCARE AND PROMOTES HEALTH LIVING IS WALK WITH A DOC, WHICH IS FREE, OPEN TO THE PUBLIC, AND HELD IN THREE SEPARATE GEOGRAPHIC LOCATIONS IN THE LOUISVILLE MARKET. KENTUCKYONE HEALTH COMPLETELY ABSORBS THE COST OF THIS PROGRAM, INCLUDING FEES AND ALLOCATING STAFF TIME IN ORDER TO PROVIDE THIS BENEFIT TO THE WHOLE COMMUNITY. HEALTH PROFESSIONS EDUCATION AS TEACHING HOSPITALS, THEY WORK TO ADVANCE MEDICAL KNOWLEDGE FOR MANY DIFFERENT SPECIALIZATIONS OF HEALTH PROFESSIONALS. IN FY2014, THIS INCLUDED, BUT WAS NOT LIMITED TO, PROVIDING EDUCATION TO: MEDICAL STUDENTS, PHYSICIAN RESIDENTS AND FELLOWS, NURSING STUDENTS, PHARMACY RESIDENTS, MENTAL HEALTH PROFESSIONALS, PHYSICAL AND OCCUPATIONAL THERAPISTS, AND LABORATORY TECHNICIANS. THIS WAS DONE IN COLLABORATION WITH THE UNIVERSITY OF LOUISVILLE, THE UNIVERSITY OF KENTUCKY, SPALDING UNIVERSITY, GALEN COLLEGE OF NURSING, BELLARMINE UNIVERSITY, AND JEFFERSON COMMUNITY AND TECHNICAL COLLEGE, AMONG OTHERS. SCHEDULE H, PART VI, LINES 2, 4 AND 5 COMMUNITY BUILDING ACTIVITIES THE HOSPITALS ALSO WORK TO ENHANCE THE HEALTH OF THE COMMUNITY THROUGH VIOLENCE PREVENTION INTERVENTIONS, HEALTH FAIRS IN UNDERSERVED AREAS, AND COMMUNITY COLLABORATION WITH OTHER NONPROFITS TO ADDRESS THE ISSUES AROUND HOSPITAL SUPER-UTILIZERS, AMONG OTHER INITIATIVES. ALL HOSPITALS ALSO DONATE SUPPLIES TO SUPPLIES OVERSEAS. COLLABORATING PARTNERS FOR COMMUNITY BUILDING ACTIVITIES INCLUDE, BUT ARE NOT LIMITED TO: JEFFERSON COUNTY PUBLIC SCHOOLS, LOUISVILLE METRO GOVERNMENT, FOOD LITERACY PROJECT, WALK WITH A DOC, UNIVERSITY OF LOUISVILLE, PACT IN ACTION, AND THE CENTER FOR WOMEN AND FAMILIES, AMONG OTHERS. LIST OF SERVICES PER LOUISVILLE MARKET FACILITY JEWISH HOSPITAL * CANCER CARE * 24/7 EMERGENCY CARE * HAND AND MICROSURGERY * HEART CARE * HOME CARE * MINIMALLY INVASIVE SURGERY * NEUROLOGY CARE * ORTHOPEDIC CARE * PALLIATIVE CARE * PHARMACY * PODIATRY CARE * REHABILITATION CARE-FRAZIER REHAB * SLEEP CARE * SPORTS MEDICINE * TRANSPLANT CARE * VASCULAR CARE * WOMEN'S CARE * WOUND CARE JEWISH HOSPITAL SHELBYVILLE * 24/7 EMERGENCY CARE * CRITICAL CARE * DIAGNOSTIC IMAGING * CARDIAC & PULMONARY REHABILITATION * GENERAL SURGERY, INCLUDING LASER AND LAPAROSCOPY * ENDOSCOPY * GASTROENTEROLOGY * COMPREHENSIVE GYNECOLOGY * ORTHOPEDIC CARE SCHEDULE H, PART VI, LINES 2, 4 AND 5 * PAIN MANAGEMENT * SLEEP MEDICINE * WOUND HEALING CENTER * FRAZIER REHAB INSTITUTE (PHYSICAL, OCCUPATIONAL & SPEECH THERAPIES) * OCCUPATIONAL MEDICINE * CLINICAL LABORATORY AND PHARMACY OUR LADY OF PEACE * MENTAL HEALTH SERVICES FOR PATIENTS WITH EMOTIONAL/BEHAVIORAL, PSYCHIATRIC DISORDERS AND/OR CHEMICAL DEPENDENCIES * SHORT-TERM ACUTE/SEMI-ACUTE INPATIENT CARE PROGRAMS * TREATMENT ALTERNATIVES SUCH AS PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAMS FOR CHILDREN, ADOLESCENTS AND ADULTS FRAZIER REHABILITATION INSTITUTE * ACUTE CARE REHAB * ADAPTIVE SPORTS PROGRAM * ALS CLINIC * AMPUTEE REHAB PROGRAM * ANIMAL ASSISTED THERAPY * AQUATIC THERAPY * ASSISTIVE TECHNOLOGY * BRAIN INJURY PROGRAM * COMMUNITY AND WORK RE-ENTRY * COMMUNITY BASED REHAB * COMMUNITY FITNESS AND WELLNESS FACILITY * DRIVER'S EDUCATION AND TRAINING PROGRAM * FRAZIER WATER PROTOCOL * HUMAN LOCOMOTION RESEARCH CENTER * MOVEMENT DISORDERS/PARKINSON DISEASE PROGRAM * NEUROPSYCHOLOGY/PSYCHOLOGY SERVICES * NEURORECOVERY NETWORK * NEUROREHAB PROGRAM * NEUROSCIENCE COLLABORATIVE CENTER * PEDIATRIC REHAB PROGRAM * PULMONARY REHAB PROGRAM * SPINAL CORD MEDICINE PROGRAM * SPORTS MEDICINE PROGRAM * STROKE REHAB PROGRAM * WOMEN'S HEALTH - PELVIC FLOOR THERAPY SCHEDULE H, PART VI, LINES 2, 4 AND 5 UNIVERSITY OF LOUISVILLE HOSPITAL * CANCER CARE-JAMES GRAHAM BROWN CANCER CENTER * EPILEPSY CENTER * HEART CARE * LUNG CARE * PAIN MANAGEMENT CARE * PALLIATIVE CARE * PHARMACY * PSYCHIATRIC SERVICES * RADIOLOGY AND DIAGNOSTIC IMAGING * REGIONAL CLINICAL CARE * ROBOTIC SURGERY * STROKE CENTER * SLEEP CARE * TRAUMA CENTER * WOMEN'S CARE Schedule H, Part VI, Line 2, Needs assessment. THE ORGANIZATION UTILIZES NATIONAL AND STATE DATA SOURCES TO ASSESS THE NEEDS OF THE COMMUNITY AND STATE. THIS DATA ASSISTS THE ORGANIZATION IN UNDERSTANDING WHERE HEALTH CARE DISPARITIES EXIST FOR DEVELOPMENT OF PROGRAMS AND PARTNERSHIPS. THIS ANALYSIS IS PERFORMED ON A QUARTERLY BASIS FOR SPECIFIC PROGRAMS. Schedule H, Part VI, Line 3, Patient education of eligibility for assistance. UNIVERSITY MEDICAL CENTER, INC. INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, UNIVERSITY MEDICAL CENTER, INC. PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN UNIVERSITY MEDICAL CENTER, INC. OUTPATIENT FACILITIES. IN ADDITION, UNIVERSITY MEDICAL CENTER, INC. REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER UNIVERSITY MEDICAL CENTER, INC.'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. UNIVERSITY MEDICAL CENTER'S REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON ENGLISH-SPEAKING INDIVIDUALS. UNIVERSITY MEDICAL CENTER'S STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. Schedule H, Part VI, Line 6, Affiliated health care system UNIVERSITY MEDICAL CENTER, INC., ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES, ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 92 HOSPITALS, INCLUDING FOUR ACADEMIC MEDICAL CENTERS, AND 24 CRITICAL ACCESS FACILITIES; COMMUNITY HEALTH SERVICE ORGANIZATIONS; ACCREDITED NURSING COLLEGES; HOME HEALTH AGENCIES; AND OTHER FACILITIES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. TOGETHER, THESE FACILITIES PROVIDED $910 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2014 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN -- PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. UNIVERSITY MEDICAL CENTER, INC. OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS TO SERVE THE HEALTH CARE NEEDS OF THE LOUISVILLE, KENTUCKY COMMUNITIES. Schedule H, Part VI, Line 7, State filing of community benefit report KY true BRAIN INJURY ALLIANCE OF KENTUCKY 7410 NEW LAGRANGE ROAD LOUISVILLE KY 40222 611128496 501C(3) 54000 GENERAL SUPPORT U OF L PHYSICIANS-WINGS CLINIC 550 S JACKSON STREET UNIV OF LOUISVILLE-INFECTIOUS DIS LOUISVILLE KY 40202 610129626 501C(3) 24570 PHARMACY AND ACADEMIC SUPPORT UNIVERSITY OF LOUISVILLE UNIVERSITY OF LOUISVILLE LOUISVILLE KY 40202 611029626 GOV UNIT 5000 GENERAL SUPPORT ST CATHERINE COLLEGE 310 XAVIER CAMPUS BARDSTOWN KY 40004 610956809 501C(3) 60000 PROGRAM SUPPORT KENTUCKY PHYSICIAN HEALTH FOUNDATION 9000 WESSEX PLACE SUITE 305 LOUISVILLE KY 40222 611242062 501C(3) 5000 GENERAL SUPPORT BRIDGEHAVEN INC 950 S FIRST STREET LOUISVILLE KY 40203 610548949 501C(3) 5000 GENERAL SUPPORT MARCH OF DIMES 4802 SHERBURN LANE LOUISVILLE KY 40207 131846336 501C(3) 12500 GENERAL SUPPORT 7 Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS ACTIVITIES THAT SUPPORT UNIVERSITY MEDICAL CENTER'S (UMC) MISSION, FUNDRAISING EVENTS WITH CLOSE RELATIONSHIP TO UMC CLINICAL PROGRAMS, REQUESTS THAT PROVIDE POSITIVE PUBLIC AWARENESS OF UMC, ACTIVITIES THAT ADDRESS AND PROMOTE HEALTH IMPROVEMENT INITIATIVE. UMC WILL NOT CONTRIBUTE TO: FOR-PROFIT ORGANIZATIONS, INDIVIDUALS, POLITICAL CAMPAIGNS/PARTIES, GROUPS THAT DISCRIMINATE ON THE BASIS OF AGE, RACE, SEX OR NATIONAL ORIGIN, ACTIVITIES THAT DO NOT ADVANCE UMC'S MISSION. UMC'S ANNUAL BUDGET WILL BE DETERMINED BY THE SENIOR VICE PRESIDENT AND COO AND MAINTAINED IN THE EXECUTIVE OFFICE'S BUDGET. ACCOUNTING WILL NOT PROCESS ANY PAYMENTS FOR CONTRIBUTIONS TO SPONSORSHIPS UNLESS THEY HAVE BEEN APPROVED BY THE SENIOR VICE PRESIDENT AND COO OR PRESIDENT AND CEO. REQUESTS WILL BE ENTERED, TRACKED AND RETAINED FOR PREPARING THE COMMUNITY BENEFIT REPORT. A DESIGNATED EMPLOYEE WILL INFORM REQUESTOR OF APPROVAL/DENIAL. CHECK REQUESTS WITH THE PRESIDENT AND CEO'S OR SENIOR VICE PRESIDENT AND COO'S APPROVAL WILL BE FORWARDED TO ACCOUNTING FOR PAYMENT. X X false true false false false false false false false JAMES H TAYLOR MD PHD PRESIDENT & CEO 581405 0 0 0 0 0 0 0 310148 0 891553 0 0 0 ROBERT BARBIER SVP-CFO 434316 0 0 0 0 0 0 0 37698 0 472014 0 0 0 MARY ADAMS SVP-CNO 318445 0 0 0 0 0 0 0 57880 0 376325 0 0 0 KENNETH P MARSHALL PRESIDENT 506450 0 0 0 0 0 0 0 63767 0 570217 0 0 0 GARY BENSING VP-HR 353610 0 0 0 0 0 0 0 49710 0 403320 0 0 0 LINDA LLOYD VP CLINICAL OPS IMPROVEMENT 238292 0 0 0 0 0 0 0 33921 0 272213 0 0 0 STEPHEN MCGUIRE VP-COMPLIANCE 244564 0 0 0 0 0 0 0 33945 0 278509 0 0 0 STEPHEN AMSLER VP-PLANT OPS FACILITY SVCS 205666 0 0 0 0 0 0 0 28388 0 234054 0 0 0 DONALD KUPPER VP-SUPPLY CHAIN OPS 263361 0 0 0 0 0 0 0 37690 0 301051 0 0 0 TROY MAY CHIEF INFORMATION OFFICIER 320532 0 0 0 0 0 0 0 48270 0 368802 0 0 0 Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan UNIVERSITY MEDICAL CENTER, INC. MAINTAINS A SPLIT DOLLAR SERP PLAN AND NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES. A LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT 320049006 2008-09-05 16000000 SEE SCHEDULE K, PART VI false false false A 13883936 0 16118030 0 0 0 0 0 0 16118030 0 0 2009 false false true true A false false false false 0.00000 0.00000 0.00000 false false true A false true false false 0.0 false 0.0 false true A true , LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT 2008 PART I, LINE F: MASTER LEASE AND SUBLEASE AGREEMENT (UNIVERSITY MEDICAL CENTER, INC. D/B/A UNIVERSITY OF LOUISVILLE HOUSING PROJECT) ESSENTIAL USE OF MEDICAL EQUIPMENT WITH DEPRECIABLE LIFE OF 5 OR 7 YEARS, AS CONFIRMED BY THE AMERICAN HOSPITAL ASSOCIATION'S GUIDE FOR DEPRECIABLE LIFE, AND/OR OTHER ESSENTIAL USE MEDICAL EQUIPMENT APPROVED BY THE LESSOR. PART II, LINE 3: TOTAL PROCEEDS OF ISSUE: $16,118,030 INCLUDES INVESTMENT EARNINGS PART III, LINE 7: DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? UMC MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE UMC HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. JIM TAYLOR FORMER CEO LIFE INSURANCE X 1333000 1333000 false true true 1333000 Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body NO REVIEW WAS OR WILL BE CONDUCTED. Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy IT IS THE POLICY OF THE HOSPITAL THAT AN INTERESTED PERSON WHO KNOWS THAT HE OR SHE HAS AN ACTUAL OR APPARENT CONFLICT OF INTEREST SHALL DISCLOSE IT PROMPTLY AND FULLY TO ALL NECESSARY PARTIES WHENEVER IT OCCURS. INTERESTED PERSONS ARE: A. VOTING MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS AND VOTING MEMBERS OF COMMITTEES THAT EXERCISE BOARD-DELEGATED AUTHORITY. B. OFFICERS OF THE HOSPITAL ELECTED OR APPROVED BY THE BOARD OF DIRECTORS. C. A "CONTROLLED ENTITY" IN WHICH AT LEAST 35% OF THE CONTROL OR BENEFICIAL INTEREST IS HELD BY ANY ONE OR COMBINATION OF INDIVIDUALS DESCRIBED IN A AND B. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER KNOWN INTEREST IN A PROPOSED TRANSACTION TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE TRANSACTION OR ARRANGEMENT. WHEN A CONFLICT OF INTEREST IS DECLARED, THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE PROPOSED TRANSACTION. THE INTERESTED PERSON SHALL LEAVE THE MEETING AND THE VOTE ON ANY TRANSACTIONS INVOLVING THE CONFLICT OF INTEREST. THE MINUTES OF THE BOARD WILL CONTAIN THE NAMES OF THE PERSONS WHO DISCLOSE OR OTHERWISE WERE FOUND TO HAVE INTEREST IN CONNECTION WITH A CONFLICT OF INTEREST, THE NATURE OF THE INTEREST AND ANY ACTION TAKEN TO DETERMINE THE CONFLICT. Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD THROUGH A YEARLY PROCESS. FOR ALL OTHER EXECUTIVE DIRECTORS, TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES, THE FOLLOWING PROCESS IS USED: 1) HUMAN RESOURCES (HR) HAS AN INDEPENDENT COMPANY DO A COMPARISON OF LIKE POSITIONS WITHIN THE COMMUNITY AND COME UP WITH A RANGE. THEY PREPARE A PROPOSAL THAT IS SUBMITTED TO HR FOR REVIEW. 2) A SALARY IS DETERMINED WITHIN THAT RANGE BASED ON YEARS OF SERVICE, EDUCATION AND OTHER FACTORS, SUCH AS ADDITIONAL RESPONSIBILITIES. HR PREPARES A PROPOSAL TO SUBMIT TO THE CEO. 3) THE PROPOSAL, CONTAINING THE POSITION, RANGE AND FINAL COMPENSATION IS TURNED OVER TO THE CEO FOR REVIEW. 4) AFTER REVIEW, THE CEO TAKES THE PROPOSAL INFORMATION AND PRESENTS IT TO THE FINANCE COMMITTEE. 5) THE FINANCE COMMITTEE DECIDES AND VOTES ON THE COMPENSATION. Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD THROUGH A YEARLY PROCESS. FOR ALL OTHER EXECUTIVE DIRECTORS, TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES, THE FOLLOWING PROCESS IS USED: 1) HUMAN RESOURCES (HR) HAS AN INDEPENDENT COMPANY DO A COMPARISON OF LIKE POSITIONS WITHIN THE COMMUNITY AND COME UP WITH A RANGE. THEY PREPARE A PROPOSAL THAT IS SUBMITTED TO HR FOR REVIEW. 2) A SALARY IS DETERMINED WITHIN THAT RANGE BASED ON YEARS OF SERVICE, EDUCATION AND OTHER FACTORS, SUCH AS ADDITIONAL RESPONSIBILITIES. HR PREPARES A PROPOSAL TO SUBMIT TO THE CEO. 3) THE PROPOSAL, CONTAINING THE POSITION, RANGE AND FINAL COMPENSATION IS TURNED OVER TO THE CEO FOR REVIEW. 4) AFTER REVIEW, THE CEO TAKES THE PROPOSAL INFORMATION AND PRESENTS IT TO THE FINANCE COMMITTEE. 5) THE FINANCE COMMITTEE DECIDES AND VOTES ON THE COMPENSATION. Form 990, Part VI, Sec C, Line 19, Required documents available to the public THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part IX, Line 11g, Other Expenses - TOTAL EXPENSE: 47797548, PROGRAM SERVICE EXPENSE: 47797548, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACT SERVICES - TOTAL EXPENSE: 46044993, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 46044993, FUNDRAISING EXPENSES: ; Form 990 , Part XI, Line 9, Other changes in net assets or fund balances JOA EQUITY TRANSFER - XXX-XX-XXXX; , COMP OF OFFFICERS, DIRECTORS, KEY EMP & HIGHEST PAID EMP AND CONTRACTORS FORM 990, PART VII, PART IV LINE 23, & PART V LINES 1 & 2 UNIVERSITY MEDICAL CENTER, INC. IS FILING A SHORT PERIOD RETURN FOR THE PERIOD JANUARY 1, 2013 TO JUNE 30, 2013 DUE TO A JOINT OPERATING AGREEMENT, EFFECTIVE MARCH 1, 2013, BETWEEN UNIVERSITY MEDICAL CENTER AND KENTUCKYONE HEALTH, INC. KENTUCKYONE HEALTH, INC. CONTROLS SUBSTANTIALLY ALL OF UNIVERSITY MEDICAL CENTER'S OPERATIONS. FORM 990 INSTRUCTIONS INDICATE THAT COMPENSATION REPORTED ON PART VII SHOULD BE REPORTED FOR THE CALENDAR YEAR ENDING WITH OR WITHIN THE ORGANIZATION'S TAX YEAR. THERE IS NO CALANDAR YEAR COMPENSATION TO BE REPORED FOR THE SHORT PERIOD BEING REPORTED IN THIS RETURN. THEREFORE, ONLY OFFICERS AND DIRECTORS ARE REPORTED ON FORM 990, PART VII AND NO COMPENSATION IS REPORTED. PART V, QUESTIONS 1 AND 2 ARE MARKED 0 AS THERE ARE NO CALENDAR YEAR NUMBERS TO REPORT. COMPENSATION FOR SOME OFFICERS IS PAID BY AN AFFILIATED ORGANIZATION RESULTING IN $0 COMPENSATION BEING REPORTED ON PART IX, LINE 5.