2015-05-08T12:50:08-05:00 2014-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2013-07-01 311435820 UC Health UCHE 5135856000 3200 Burnet Avenue Cincinnati OH 45229 Charity N Fannin Vice-President/Controller 5135856000 2015-05-08 1 James W Sowar P00529407 5137847100 2013 2016-03-07 17:11:31Z X Hugh R Hinds Jr 3200 Burnet Avenue Cincinnati OH 45229 1345809810 0 X www.uchealth.com X 1996 OH UC Health, the only university-based academic medical center in the region, serves its patients through its mission to provide life changing, patient-centered medical care, drive innovation through groundbreaking research, and educate and inspire the next generation of healthcare professionals. We strive to be the region's quality health care partner and a national leader in solving complex medical problems. 9 7 9684 664 1590121 -80942 23581947 21087502 1127109811 1240278005 24903131 30670169 42972531 52920522 1218567420 1344956198 24027918 28652290 0 0 686082247 721482803 0 0 0 489284188 530434945 1199394353 1280570038 19173067 64386160 1211709459 0 625899638 0 585809821 0 X UC Health, the only academic medical center in the region, serves its patients through its mission to provide life changing, patient-centered medical care, drive innovation through groundbreaking research, and educate and inspire the next generation of healthcare professionals. We strive to be the region's quality health care partner and a national leader in solving complex medical problems. 0 1 617652196 28652290 898764221 Patient Services and Physician Services 154103516 129255810 Subsidized Health Services 206178562 196228914 Cost of Medicaid 165189512 57203599 Health Professions Education: Program Service Revenue - $18,817,786, Program Service Expenses - $80,419,530;Traditional Charity Care: Program Service Revenue - $38,375,688, Program Service Expenses - $76,295,675;Community Health Improvement Services: Program Service Revenue - $10,125, Program Service Expenses - $7,253,629;Financial and In-Kind Contributions: Program Service Expenses - $1,220,678. 165189512 57203599 1143123786 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 1 947 0 1 9684 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 9 7 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Charity N Fannin 5135859835 3200 Burnet Avenue Cincinnati OH 45229 X Margaret E Buchanan Chairman 5.00 1.00 X X 0 0 0 C Francis Barrett Esq Vice Chairman 5.00 1.00 X X 0 0 0 Joseph Broderick MD Sch O Secretary 5.00 0.00 X X 128423 0 12200 Thomas Boat MD Trustee (Ex-Officio) 5.00 0.00 X 0 0 0 Sandra Heimann Trustee 5.00 1.00 X 0 0 0 William E Hurford MDSch O Trustee 5.00 0.00 X 392802 0 25619 Rev Damon Lynch Jr Trustee 5.00 1.00 X 0 0 0 Santa J Ono PhD Trustee (Ex-Officio) 5.00 0.00 X 0 0 0 William C Portman III Trustee 5.00 0.00 X 0 0 0 Creighton B Wright MD Trustee 5.00 0.00 X 0 0 0 Jeffrey L Wyler Trustee 5.00 0.00 X 0 0 0 Richard P LofgrenMDst 1213 CEO/President, Trustee (Ex-Officio) 57.00 3.00 X X 50481 0 0 James Kingsbury end 1213 CEO/President 57.00 3.00 X 1094059 0 275203 Hugh R Hinds CFO/Treasurer 56.00 4.00 X 558749 0 304664 Faheemah Muhammad Assistant Secretary 49.00 1.00 X 74344 0 15376 Kevin Joseph MD President - West Chester Hospital 60.00 0.00 X 338004 0 41405 Myles Pensak MD President - UC Physicians Company 60.00 0.00 X 597436 0 57474 Lee Ann Liska start 713 President - UC Medical Center 60.00 0.00 X 293304 0 29830 Diya Mutasim MD Physician 50.00 0.00 X 1290435 0 66749 Angelo Colosimo MD Physician 50.00 0.00 X 898161 0 61225 Hugh Gloster MD Physician 50.00 0.00 X 937402 0 31739 Ferhan Asghar MD Physician 50.00 0.00 X 771591 0 59449 Stephen Agabegi MD Physician 50.00 0.00 X 906365 0 59471 W Brian Gibler MDend 613 Former President - UC Medical Center 0.00 0.00 X 445500 0 39525 8777056 0 1079929 835 1 1 0 Aramark Management Services LP 2300 Warrenville Road Downers Grove IL 60515 Environmental and Food Services 15363614 Hoxworth Blood Center - Univ of Cincinn PO Box 670055 Cincinnati OH 45269 Blood Services 11905833 Metro Aviation Inc 1214 Hawn Avenue Shreveport LA 71107 Helicopter Flights 5315492 Medassets Inc PO Box 405652 Atlanta GA 303845652 Purchasing Services 2818166 Epic Systems Corporation 1979 Milky Way Verona WI 53593 IT Services 2575972 175 18900000 2187502 21087502 Net Patient Services 621990 1188166826 1188166826 Clinical Contract Rev. 621110 24809531 24385304 424227 Residents 621990 11749812 11749812 Research Revenue 621110 9067699 9067699 Medical Directorship 621110 1612281 1578281 34000 4871856 4705013 166843 1240278005 18991982 18991982 6036451 0 6036451 6036451 106670 5929781 10625320 1219171 0 166304 10625320 1052867 11678187 11678187 986380 687308 299072 299072 Meaningful Use 900099 8936591 8936591 Ancillary Services 900099 6038510 6038510 Cafeteria 722210 3927009 3927009 27682889 26824508 858381 46584999 1344956198 1281452544 1590121 40826031 X 28652290 28652290 3367492 2693994 673498 381000 304800 76200 589836649 526189585 63647064 16226207 14475298 1750909 83457164 74451614 9005550 28214291 25169793 3044498 4087790 4087790 708372 708372 169251 169251 144253521 123441558 20811963 770058 154012 616046 19622839 15895402 3727437 33406924 26725539 6681385 417097 333678 83419 5010880 4008704 1002176 14524029 11619223 2904806 57669085 46135268 11533817 8390296 6712237 1678059 Medical Supplies 203117178 203117178 Hospital Franchise Tax 15507386 15507386 Maintenance & Repair 8093991 6475193 1618798 Membership Dues/License 4367433 3527567 839866 10318815 7533467 2785348 1280570038 1143123786 137446252 0 43170958 0 0 0 178710953 0 0 0 35448 0 14294874 0 9142734 0 0 461562814 0 433679616 0 18994842 0 0 451120 0 51666100 0 1211709459 0 99197750 454405 286675340 41321467 198250676 0 625899638 0 X 576784199 0 5118269 0 3907353 0 585809821 0 1211709459 0 X 64386160 27127452 -677323433 X 0 1 X 1 0 X 23581947 21087502 44669449 1145553731 1254628036 2400181767 4681293 4913389 9594682 1173816971 1280628927 2454445898 0 0 0 2454445898 23098378 25004450 48102828 23098378 25004450 48102828 14273253 26924234 41197487 1211188602 1332557611 2543746213 0.96490 0.96570 0.01890 0.01910 X Schedule A, Part III, Line 12, Explanation of Other Income: All Other Revenue Schedule A, Part III: UC Health 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, 2013. UC Health received a redetermination from the Internal Revenue Service as a IRC Section 509(a)(2) organization for the fiscal year ended June 30, 2013. Therefore, we have completed only the 2012 & 2013 columns. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 127225 0 1 42026 169251 0 Part II-B, Line 1: While UC Health does not spend a substantial amount of resources or time participating in lobbying activities, UC Health 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 2014, UC Health's government relations office incurred $127,225 in expenses related 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 activities is not quantifiable. Additionally, lobbying expenses of $42,026 represent a portion of the dues paid to national and state hospital and academic medical center associations that is specifically allocable to lobbying. UC Health does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 4027229 230030 177166 4434425 3647390 319529 60310 4027229 2784684 864218 -1512 3647390 2591176 182279 11229 2784684 2497817 90310 3049 2591176 1.00000 1 1 1 0 Part V, Line 4: The intended use for the organization's endowment funds is to enhance the high-quality services and compassionate care provided by UC Health. 1 1 X 1 X 1 X 1 1 1 0 1 1 76295675 38375688 37919987 0.02960 206178562 196228914 9949648 0.00780 282474237 234604602 47869635 0.03740 7253629 10125 7243504 0.00570 80419530 18817786 61601744 0.04810 154103516 129255810 24847706 0.01940 1220678 1220678 0.00100 242997353 148083721 94913632 0.07420 525471590 382688323 142783267 0.11160 0 27446642 0 180598262 147740895 32857367 X 1 1 3 1 University of Cincinnati Med Ctr 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 Cntr Post-Acute Care LLC 151 West Galbraith Road Cincinnati OH 45216 uchealth.com/danieldrakecenter/ 1409AHR X LTAC/SNF A Facility Reporting Group A 1 X X X X X X X X X 12 1 0 1 X See Part V, Section C X X X X X 1 0 1 1 150.000000000000 1 200.000000000000 1 X X X X X X X 1 1 X 1 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 Med. Ctr, LLC, - Facility 2: West Chester Hospital, LLC, - Facility 3: Daniel Drake Cntr Post-Acute Care, LLC Facility 1 -- University of Cincinnati Med. Cntr, LLC Part V, Section B, line 3: UC Health 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 Health supported and participated. UC Health 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. Facility 1 -- University of Cincinnati Med. Cntr, LLC Part V, Section B, line 7: UC Health leaders prioritized the identified needs with the goal of quickly impacting the health of the community and to be in alignment with existing hospitals' strengths. The facility has implementation plan in place and the below URL to access this document:http://uchealth.com/wp-content/uploads/2013/06/CHNA-Implementation-Plan- UCMC_FINAL.pdf Facility 1 -- University of Cincinnati Med. Cntr, LLC Part V, Section B, line 14g: In addition 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. Facility 1 -- University of Cincinnati Med. Cntr, LLC Part V, Section B, line 20d: In compliance with state law, UC Health 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 Health's Charity Care and Financial Assistance Policies. Facility 2 -- West Chester Hospital, LLC Part V, Section B, line 3: UC Health 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 Health supported and participated. UC Health 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. Facility 2 -- West Chester Hospital, LLC Part V, Section B, line 4: West Chester Hospital conducted its CHNA in conjunction with UCPHA, Inc., a surgical hospital of which UC Health was the sole member. UCPHA, Inc. merged out of existence and in to West Chester Hospital effective June 30, 2013. UCPHA, Inc. served the same community as the surgical hospital due to its location. Facility 2 -- West Chester Hospital, LLC Part V, Section B, line 7: UC Health leaders prioritized the identified needs with the goal of quickly impacting the health of the community and to be in alignment with existing hospitals' strengths. The facility has implementation plan in place and the below URL to access this document:http://uchealth.com/wp-content/uploads/2013/06/CHNA-Implementation-Plan- WCH_FINAL.pdf Facility 2 -- West Chester Hospital, LLC Part V, Section B, line 14g: In addition 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. Facility 2 -- West Chester Hospital, LLC Part V, Section B, line 20d: In compliance with state law, UC Health 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 Health's Charity Care and Financial Assistance Policies. Facility 3 -- Daniel Drake Cntr Post-Acute Care, LLC Part V, Section B, line 3: UC Health 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 Health supported and participated. UC Health 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. Facility 3 -- Daniel Drake Cntr Post-Acute Care, LLC Part V, Section B, line 7: UC Health leaders prioritized the identified needs with the goal of quickly impacting the health of the community and to be in alignment with existing hospitals' strengths. The facility has implementation plan in place and the below URL to access this document:http://uchealth.com/wp-content/uploads/2013/06/CHNA-Implementation- Plan-Drake-Ctr_FINAL.pdf Facility 3 -- Daniel Drake Cntr Post-Acute Care, LLC Part V, Section B, line 14g: In addition 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. Facility 3 -- Daniel Drake Cntr Post-Acute Care, LLC Part V, Section B, line 20d: In compliance with state law, UC Health 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 Health's Charity Care and Financial Assistance Policies. Part V, Section B, Line 5a: The Community Health Needs Assessment ("CHNA") of the University of Cincinnati Medical Center, LLC can be located at the following web address:http://uchealth.com/wp-content/uploads/2013/06/UCMC- Assessment-FINAL.pdfThe Community Health Needs Assessment ("CHNA") of the West Chester Hospital, LLC can be located at the following web address:http://uchealth.com/wp-content/uploads/2013/06/WC_Surgical_CHNA-Report_130523_v3.pdfThe Community Health Needs Assessment ("CHNA") of the Daniel Drake Center for Post-Acute Care can be located at the following web address:http://uchealth.com/wp-content/uploads/2013/06/Drake-Center_CHNA-Report_130523_v3.pdf 46 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 Physicians Offices South 7675 Wellness Way West Chester OH 45069 Physician Practices UC Health Physicians 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 Med Cntr 7798 Discover Drive Suite E West Chester OH 45069 Physician Practices Precision Radiotherapy LLC 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 41042 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 Physician 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 Blvd 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 Ave 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 Rd 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 Orthopaedics & Sports Med 7570 Highway 42 Florence KY 41042 Physician Practices UC Health Orthopaedics & Sports Med 2449 Ross-Millville Rd Suite 265 Hamilton OH 45013 Physician Practices UC Health Orthopaedics & Sports Med 5575 Cheviot Road Cincinnati OH 45239 Physician Practices UC Health Orthopaedics & 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 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 Health. The below is URL to access community benefit report: http://uchealth.com/wp-content/uploads/2013/06/23936-UC-Health-Report- Spread-LORES.pdf 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 Health offers uninsured patients who are not eligible for any discount under the terms of the charity care policy an uninsured discount of a percentage off billed charges to help ease the burden of medical expenses. The uninsured discount is not included in bad debt expense. 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 Health 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: UC Health offers uninsured patients who are not eligible for any discount under the terms of the charity care policy an uninsured discount of a percentage off billed charges to help ease the burden of medical expenses. The uninsured discount is not included in bad debt expense. 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. The organization's share of bad debt expense was $94,779,790 at charges ($27,446,642 at cost). Part III, Line 8: UC Health 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 Health representatives will assist patients in filling out the Financial Assistance Application. UC Health limits collection practices for those known 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 Health 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 Health 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 Health was able to identify and prioritize community health needs for each hospital. Part VI, Line 3: UC Health 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 Health provides financial assistance policy and other detailed information online, to educate patients of programs that are available. Part VI, Line 4: UC Health 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 Health 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 than 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 Health 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 Health 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 brain 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 physician 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 Health 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 and sponsored by UC Healthcare System, UC Health 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;- 170-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 health has a policy as a system to treat patients regardless of their ability to pay. For the fiscal year ended June 30, 2014 UC Health provided more than $75,000,000 in charity care to the community it serves. Part VI, Line 7, Reports Filed With States OH 1 UC Healthcare System 3200 Burnet Avenue Cincinnati OH 45229 273850988 501(c)(3) 125000 General Support UC Physicians Inc 2222 Piedmont Avenue Cincinnati OH 45219 311246809 501(c)(3) 20945100 General Support Medical Center Fund of Cincinnati 2830 Victory Parkway Cincinnati OH 45206 310904251 501(c)(3) 4975548 General Support Uptown Consortium Inc 629 Oak Street No 306 Cincinnati OH 45206 200688727 501(c)(3) 290000 General Support University of Cincinnati 2600 Clifton Avenue Cincinnati OH 45221 316000989 Gov't Entity 600000 General Support Cincinnati Zoo & Botanical Garden 3400 Vine Street Cincinnati OH 45220 310537171 501(c)(3) 10000 General Support Community Foundation of West Chester Liberty 5641 Union Centre Drive West Chester OH 45069 311661966 501(c)(3) 17950 General Support LifeCenter Organ Donor Network 615 Elisnore Place Suite 400 Cincinnati OH 45202 311040508 501(c)(3) 15700 General Support March of Dimes Foundation 10806 Kenwood Road Cincinnati OH 45242 131846366 501(c)(3) 26000 General Support Nami of Hamilton County Inc 4790 Red Bank Expressway Ste 218 Cincinnati OH 45227 310998076 501(c)(3) 15000 General Support The Visiting Nurse Association 2400 Reading Road 2nd Floor Cincinnati OH 45202 310536716 501(c)(3) 10000 General Support United Way of Greater Cincinnati 2400 Reading Road Cincinnati OH 45202 310537502 501(c)(3) 64110 General Support West Chester Chamber Alliance 8922 Beckett Road West Chester OH 45069 310901492 501(c)(6) 12500 General Support American Cancer Society Inc Route 422 and SIPE Avenue Hershey PA 17033 251798733 501(c)(3) 50000 General Support American Heart Association Inc PO Box 1590 Hagerstown MD 217411590 135613797 501(c)(3) 139000 General Support Center for Respite Care Inc 830 Ezzard Charles Drive Cincinnati OH 45214 202544994 501(c)(3) 35000 General Support The Center for Closing the Health Gap in Greater Cincinnati 3120 Burnet Avenue Cincinnati OH 45229 200902286 501(c)(3) 200000 General Support Cincinnati Institute of Fine Arts 20 East Central Parkway 200 Cincinnati OH 45202 310537138 501(c)(3) 20000 General Support Village Outreach Project Inc 3120 Burnet Avenue Cincinnati OH 45229 201582097 501(c)(3) 10500 General Support 18 1 X X 1 1 X X X X X 1 0 0 0 0 0 0 0 0 William E Hurford MDSch O Trustee 355302 0 37500 0 0 0 21691 0 3928 0 418421 0 0 0 James Kingsbury end 1213 CEO/President 727214 0 0 0 366845 0 261889 0 13314 0 1369262 0 0 0 Hugh R Hinds CFO/Treasurer 534781 0 0 0 23968 0 284662 0 20002 0 863413 0 0 0 Kevin Joseph MD President - West Chester Hospital 338004 0 0 0 0 0 0 0 41405 0 379409 0 0 0 Myles Pensak MD President - UC Physicians Company 494436 0 80000 0 23000 0 51500 0 5974 0 654910 0 0 0 Lee Ann Liska start 713 President - UC Medical Center 293304 0 0 0 0 0 17679 0 12151 0 323134 0 0 0 Diya Mutasim MD Physician 65792 0 1201643 0 23000 0 51500 0 15249 0 1357184 0 0 0 Angelo Colosimo MD Physician 875161 0 0 0 23000 0 51500 0 9725 0 959386 0 0 0 Hugh Gloster MD Physician 110757 0 803645 0 23000 0 22525 0 9214 0 969141 0 0 0 Ferhan Asghar MD Physician 754091 0 0 0 17500 0 51500 0 7949 0 831040 0 0 0 Stephen Agabegi MD Physician 906365 0 0 0 0 0 51500 0 7971 0 965836 0 0 0 W Brian Gibler MDend 613 Former President - UC Medical Center 255000 0 0 0 190500 0 0 0 39525 0 485025 0 0 0 Part I, Line 1a An executive receives a housing allowance and 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 UC Medical Center, W. Brian Gibler, M.D., received severance payments of $190,500 during calendar year 2013. Net Assets 2014-06-30 687047105 Book Value 273850988 UC Healthcare System 3200 Burnet Avenue Cincinnati OH 45229 501(c)(3) 1 1 0 0 1 1 1 1 1 0 Part I, Line 2e: Explanation of Involvement: Effective June 30, 2014, UC Health converted from a corporation to a non-profit single member limited liability company under the Ohio Revised Code. UC Health will continue operations as a single member limited liability company of UC Healthcare System. However, UC Health will no longer be required to file a separate Form 990 but will instead be included in the activity of UC Healthcare System. Part I, Line 6c: Effective June 30, 2014, UC Health converted from a corporation to a non-profit single member limited liability company under the Ohio Revised Code. UC Health will continue operations as a single member limited liability company of UC Healthcare System and will continue to hold the tax-exempt bonds. 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 will continue operations as single member limited liability company of UC Healthcare System. However, UC Health will no longer be required to file a separate Form 990 but will instead be included in the activity of UC Healthcare System. Form 990, Part VI, Section A, line 4 Effective June 30, 2014, UC Health converted from a corporation to a limited liability company under the Ohio Revised Code. UC Health will continue operations as a single member limited liability company of UC Healthcare System. However, UC Health will no longer be required to file a separate Form 990 but will instead be included in the activity of UC Healthcare System. Form 990, Part VI, Section A, line 6 UC Health has a single corporate member, UC Healthcare System. Form 990, Part VI, Section A, line 7a UC Health has a single corporate member, UC Healthcare System, which has the ability to elect members to the governing body of UC Health. Form 990, Part VI, Section B, line 11 A copy of the Form 990 has been provided to each of UC Health's Audit Committee Members. UC Health's Audit 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 the Senior Management and Audit Committee of UC Health. Form 990, Part VI, Section B, line 15 UC Health 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's Board. The compensation of the Chief Executive Officer is evidenced by a written employment contract. The compensation of all other individuals is also 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 Joseph Broderick, M.D.: The compensation paid to Joseph Broderick, M.D. reflects payment for his services as a physician to UC Physicians Company, LLC, a disregarded entity of UC Health, not remuneration for his participation on the Board of Trustees of UC Health. Form 990, Part VII, Section A: Explanation of Compensation Paid to William E. Hurford, M.D.: The compensation paid to William E. Hurford, M.D. reflects payment for his services as a physician to UC Physicians Company, LLC, a disregarded entity of UC Health, not remuneration for his participation on the Board of Trustees of UC Health. Form 990, Part IX, line 11g Purchased Services: Program service expenses 93,991,298. Management and general expenses 13,449,398. Fundraising expenses 0. Total expenses 107,440,696. Service Contracts: Program service expenses 20,610,766. Management and general expenses 5,152,692. Fundraising expenses 0. Total expenses 25,763,458. Consulting, Bank, Billing Fees: Program service expenses 8,839,494. Management and general expenses 2,209,873. Fundraising expenses 0. Total expenses 11,049,367. Form 990, Part XI, line 9: Change in Pension Liability 18,677,605. Transfer of Net Assets to UC Health Foundation -9,104,164. Change in Fair Value of Derivative 150,231. Transfer of Net Assets to UC Healthcare System -687,047,105. University of Cincinnati Medical Center LLC 234 Goodman Street Cincinnati OH 45219 311479038 Health Care Services OH 807944832 296949088 UC Health Daniel Drake Center for Post-Acute Care LLC 151 West Galbraith Road Cincinnati OH 45216 311273012 Health Care Services OH 55471744 28751384 UC Health University of Cincinnati Physicians Company LLC 3200 Burnet Avenue Cincinnati OH 45229 311405915 Health Care Services OH 360884971 238551857 UC Health West Chester Hospital LLC 7700 University Drive Cincinnati OH 45069 311588499 Health Care Services OH 195080887 178036630 UC Health Drake Development LLC (dba Bridgeway Pointe) 165 West Galbraith Road Cincinnati OH 45216 311658885 Health Care Services OH 3283478 442166 UC Health UC Health Partners LLC 234 Goodman Street Cincinnati OH 45219 271031772 Health Care Services OH 5044785 1403195 UC Health University Surgical-Dental Associates LLC 2830 Victory Parkway Cincinnati OH 45206 311315108 Health Care Services OH 2628700 67720 UC Health UC Healthcare System 3200 Burnet Avenue Cincinnati OH 45229 273850988 Support Services OH Section 501(c)(3) Schedule A, Line 11c N/A 0 Alliance Liability Self Insurance Trust 3200 Burnet Avenue Cincinnati OH 45229 311534045 Support Services OH Section 501(c)(3) Schedule A, Line 11a UC Health 1 UC Health Foundation 3200 Burnet Avenue Cincinnati OH 45229 261594868 Fundraising OH Section 501(c)(3) Schedule A, Line 11a UC Healthcare System 1 Piedmont-Eden Limited Partnership 2830 Victory Parkway Cincinnati OH 45206 311209336 Real Estate OH Piedmont-Eden Corporation Related 2789677 22305304 0 1 0.81790 UC Health Assurance Company PO Box 1051 GT Grand Cayman CJ Captive Insurance CJ UC Health C 10398118 52167837 1.00000 1 Midwest Laundry Inc 3200 Burnet Avenue Cincinnati OH 45229 311309029 Commercial Laundry OH UC Health C 6779311 3619874 1.00000 1 Jewish Hospital Services Inc 3200 Burnet Avenue Cincinnati OH 45229 311049967 Miscellaneous Services OH UC Health C 1.00000 1 Piedmont-Eden Corporation 2830 Victory Parkway Cincinnati OH 45206 311187960 Real Estate OH UC Health C 26289 434429 0.79300 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 UC Healthcare System B 125000 Book Value UC Health Foundation C 935972 Book Value UC Healthcare System M 6337983 Book Value UC Health Foundation R 9104164 Book Value UC Healthcare System R 687047105 Book Value