The Quality and Charity Care Trust Inc: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
The Quality and Charity Care Trust Inc (EIN 61-1024497)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201401359349307710
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T15:01:53-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line19600 Brownsboro RoadAddressLine1
Address Line2Suite 400AddressLine2
CityLouisvilleCity
StateKYState
ZIP Code402411122ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN611024497EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE QUALITY AND CHARITY CARE TRUST INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlQUALNameControl
Phone5028527072Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Controllers OfficeAddressLine1
Address Line2University of LouisvilleAddressLine2
CityLouisvilleCity
StateKYState
ZIP Code40292ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID DUNNName
TitleVICE CHAIRTitle
Date Signed2013-10-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRachel SpurlockName
PTINP00520729PTIN
Phone5023263996Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1DR STEPHANIE MAYFIELD GIBSONBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1Controllers OfficeAddressLine1
CityLouisvilleCity
StateKYState
ZIP Code40292ZIPCode
FieldValueIRS element (for citing)
Gross Receipts29594199GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionTHE PURPOSE OF THE ORGANIZATION IS TO MANAGE GOVERNMENT FUNDS RECEIVED AND TO DISBURSE SUCH FUNDS TO UNIVERSITY MEDICAL CENTER, INC. FOR PROVIDING HOSPITAL CARE SERVICES TO ECONOMICALLY DISADVANTAGED PATIENTS THROUGH THE UNIVERSITY OF LOUISVILLE HOSPITAL.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year33862004ContributionsGrantsPriorYear
Contributions Grants Current Year29588427ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year29320InvestmentIncomePriorYear
Investment Income Current Year5772InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year33891324TotalRevenuePriorYear
Total Revenue Current Year29594199TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year33878700GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY29588427GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19732OtherExpensePriorYear
Other Expenses Current Year20847OtherExpensesCurrentYear
Total Expenses Prior Year33898432TotalExpensesPriorYear
Total Expenses Current Year29609274TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-7108RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-15075RevenuesLessExpensesCY
Total Assets BOY34588TotalAssetsBOY
Total Assets EOY19513TotalAssetsEOY
Total Liabilities BOY34588TotalLiabilitiesBOY
Total Liabilities EOY19513TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY0NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY0NetAssetsOrFundBalancesEOY
Mission DescriptionTHE SOLE PURPOSE OF THE TRUST IS TO MANAGE GOVERNMENT FUNDS RECEIVED AND TO DISBURSE SUCH FUNDS TO UNIVERSITY MEDICAL CENTER, INC. FOR PROVIDING HOSPITAL CARE SERVICES TO ECONOMICALLY DISADVANTAGED PATIENTS THROUGH THE UNIVERSITY OF LOUISVILLE HOSPITAL.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense29588427Expense
Grants29588427Grants
Revenue0Revenue
DescriptionTHE ORGANIZATION WAS ORGANIZED IN CONNECTION WITH A TRUST AGREEMENT. THE SOLE PURPOSE OF THE TRUST IS TO MANAGE FUNDS RECEIVED FROM THE COMMONWEALTH OF KENTUCKY AND LOUISVILLE METRO GOVERNMENT AND TO DISBURSE SUCH FUNDS TO UNIVERSITY MEDICAL CENTER, INC., FOR THE PURPOSE OF PROVIDING HOSPITAL CARE SERVICES TO ECONOMICALLY DISADVANTAGED PATIENTS THROUGH THE UNIVERSITY OF LOUISVILLE HOSPITAL. DURING FISCAL YEAR ENDED JUNE 30, 2013, THE TRUST DISBURSED $29.6 MILLION TO UNIVERSITY MEDICAL CENTER, INC., FOR THE PURPOSE OF PROVIDING HOSPITAL SERVICES TO INDIGENT AND OTHER MEDICALLY NEEDY INDIVIDUALS.Description
Total Program Service Expense29588427TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Larry ZinkBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5028527072TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1University of LouisvilleAddressLine1
CityLouisvilleCity
StateKYState
ZIP Code40292ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DR DAVID DUNN
Chair (thru 4/30/13) / Vice Chair (eff 5/1/13)0.5049.00XX094448145010
DR STEPHANIE MAYFIELD GIBSON
Chair (eff 5/1/13)0.500XX000
JON MEYER
Vice Chair (thru 4/30/13)0.500XX000
MARIE ABRAMS
Secretary0.500.50XX000
MICHAEL J CURTIN
Treasurer0.5039.00XX022514630158
AUDREY HAYNES
Director (eff 5/1/13)0.500X000
DR LAQUANDRA SHERESE NESBITT
Director0.5049.50X018138928607
DR WILLIAM SELVIDGE
Director (thru 4/30/13)0.500.50X000
ELLEN HESEN
Director (eff 5/1/13)0.500X000
JANIE MILLER
Director (thru 4/30/13)0.500X000
LARRY L OWSLEY
Director (thru 4/30/13)0.5049.50X024935341297
SHANNON TIVITT
Director (eff 5/1/13)0.500X000
STEVE ROWLAND
Director0.500X000
KATHLEEN M SMITH
Assistant Secretary0.5028.50X013104517756
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1731414TotalReportableCompFrmRltdOrgs
Total Other Compensation162828TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants29588427GovernmentGrants
Total Contributions29588427TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

Total Revenue ColumnTotalRevenueColumn
0
0
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5772TotalRevenueColumn
Exclusion$5,772ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

Total Revenue ColumnTotalRevenueColumn
0
0
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column29594199TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,772ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total29588427Total
Program Services29588427ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20847Total
Management And General20847ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29609274Total
Program Services29588427ProgramServices
Management And General20847ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY34588BOY
EOY19513EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis0LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec0LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY34588BOY
EOY19513EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY34588BOY
EOY19513EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY34588BOY
EOY19513EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34588BOY
EOY19513EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-15075ReconcilationRevenueExpenses
Reconcilation Other Changes15075ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34276929CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34864515CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34561204CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33862004CurrentTaxYearMinus1Year
Current Tax Year29588427CurrentTaxYear
Total167153079Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34276929CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34864515CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34561204CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33862004CurrentTaxYearMinus1Year
Current Tax Year29588427CurrentTaxYear
Total167153079Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total170167153079PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years76113CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10746CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26890CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29320CurrentTaxYearMinus1Year
Current Tax Year5772CurrentTaxYear
Total148841Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total
FieldValueIRS element (for citing)
Total Support167301920TotalSupport
Gross Receipts From Admissions Etc0GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99910PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99830PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Book Value0BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO UNIVERSITY MEDICAL CENTER, INC.Description
Amount$19,513Amount
FieldValueIRS element (for citing)
Total Of Amounts19513TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt29594199TotRevenueEtcAuditedFinclStmt
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal29594199RevenueSubtotal
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99029594199TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt29609274TotExpensesEtcAuditedFinclStmt
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal29609274ExpensesSubtotal
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99029609274TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY MEDICAL CENTER INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1530 S JACKSONAddressLine1
CityLOUISVILLECity
StateKYState
ZIP Code40202ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient611293786EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant29588427AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationNAMethodOfValuation
Description Of Non Cash AssistanceNADescriptionOfNonCashAssistance
Purpose Of GrantINDIGENT CAREPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationONLY A SMALL PORTION OF FUNDS ARE RETAINED WITHIN THE FILING ORGANIZATION TO PAY FOR ADMINISTRATIVE EXPENSES. THE REMAINING FUNDS ARE TRANSFERRED TO THE UNIVERSITY MEDICAL CENTER, INC. ONCE TRANSFERRED, THE USE OF THE FUNDS IS AT THE DISCRETION OF UNIVERSITY MEDICAL CENTER, INC. AND GOVERNED BY ITS POLICIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DR DAVID DUNN
CHAIR (THRU 4/30/13) / VICE CHAIR (EFF 5/1/13)0705743023750001238028719016291098949100
DR LAQUANDRA SHERESE NESBITT
DIRECTOR01800270001362018100010507020999600
LARRY L OWSLEY
DIRECTOR (THRU 4/30/13)02413170008036024825016472029065000
MICHAEL J CURTIN
TREASURER02138940001125202145008708025530400

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BOX 3, FORM 1096FORM 990, PART V, LINE 1ATHE UNIVERSITY OF LOUISVILLE, THE ORGANIZATION'S DIRECT CONTROLLING ENTITY, FILES ALL 1099'S ON THE ORGANIZATION'S BEHALF.
Delegate broad authority to a committeeForm 990, Part VI, Section A, Line 1aARTICLE II, SECTION 2.2 EXECUTIVE COMMITTEE: THERE SHALL BE AN EXECUTIVE COMMITTEE WHICH SHALL CONSIST OF THE CHAIRMAN, VICE CHAIRMAN, SECRETARY AND TREASURER OF THE BOARD OF DIRECTORS. THE CHAIRMAN OF THE BOARD OF DIRECTORS SHALL SERVE AS THE CHAIRMAN OF THE EXECUTIVE COMMITTEE. THE COMMITTEE SHALL ACT FOR THE BOARD OF DIRECTORS IN THE INTERIM BETWEEN MEETINGS OF THE BOARD, AND IT SHALL NOT BE REQUIRED THAT ACTIONS OF THE EXECUTIVE COMMITTEE BE RATIFIED BY THE BOARD. THE DELEGATION OF POWER AND AUTHORITY FROM THE BOARD OF DIRECTORS TO THE EXECUTIVE COMMITTEE SHALL BE COMPLETE, SUBJECT ONLY TO THE LIMITATIONS IMPOSED BY THE KENTUCKY REVISED STATUTES.
Significant changes to organizational documentsForm 990, Part VI, Section A, Line 4THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS WERE CHANGED WITH RESPECT TO HOW THE ORGANIZATION'S BOARD OF DIRECTORS IS APPOINTED. THE PROCESS WAS REVISED AS FOLLOWS: THREE BOARD MEMBERS ARE APPOINTED BY THE UNIVERSITY OF LOUISVILLE BOARD OF TRUSTEES, THREE PERSONS ARE APPOINTED BY THE GOVERNOR OF KENTUCKY, TWO PERSONS ARE APPOINTED BY THE MAYOR OF LOUISVILLE METRO, AND ONE PERSON IS APPOINTED BY THE LOUISVILLE METRO BOARD OF HEALTH. THE ORGANIZATION'S BYLAWS WERE CHANGED AS FOLLOWS: - SEC. 3.2 - THE CHAIRMAN OF THE BOARD OF DIRECTORS SHALL BE SELECTED FROM AMONG THE BOARD MEMBERS WHO WERE NOT APPOINTED TO THE BOARD OF DIRECTORS BY THE BOARD OF TRUSTEES OF THE UNIVERSITY OF LOUISVILLE. - SEC. 3.7 - THE BOARD OF DIRECTORS SHALL HAVE THE POWER TO APPOINT AN EXTERNAL FIRM TO CONDUCT AN ANNUAL AUDIT OF THE ORGANIZATION, WHICH SHALL INCLUDE A REQUIREMENT THAT THE AUDITOR REPORT DIRECTLY TO THE BOARD OF DIRECTORS. - SEC. 4.1 - DURING THE ANNUAL NOVEMBER MEETING, THE BOARD SHALL REVIEW AND APPROVE THE CALCULATION OF THE FUNDING AS REQUIRED UNDER THE TERMS OF THE QUALITY AND CHARITY CARE TRUST AGREEMENT. - SEC. 4.2 - AT EACH QUARTERLY MEETING OF THE BOARD OF DIRECTORS, THE BOARD SHALL OBTAIN DISBURSEMENT DETAILS TO MONITOR PAYMENTS OF FUNDS DISBURSED UNDER THE TRUST AGREEMENT, OBTAIN SPECIFIC REPORTS ON THE USE OF FUNDS IN THE TREATMENT OF INDIGENT OF MEDICALLY NEEDY INDIVIDUALS (AS DEFINED IN THE TRUST AGREEMENT), REVIEW INVESTMENT POLICIES AND STRATEGIES OF THE ORGANIZATION, AND OBTAIN REPORTS ON INVESTMENT EARNINGS. - SEC. 5.1 - THE BOARD SHALL HAVE THE RESPONSIBILITY TO ADOPT A MISSION STATEMENT FOR THE ORGANIZATION. IN ADDITION, THE BOARD SHALL ADOPT POLICIES AND PROCEDURES COVERING AT LEAST THE FOLLOWING MATTERS: (1) ROLES AND RESPONSIBILITIES OF BOARD MEMBERS, (2) ETHICS, (3) CONFLICTS OF INTEREST, (4) FINANCIAL DISCLOSURES, (5) PROCUREMENT POLICIES, (6) ALLEGATIONS CONCERNING BOARD MEMBERS, OR THE USE OF ANY FUNDS RECEIVED UNDER THE TRUST AGREEMENT, (7) PROTECTION FROM LOSS OR THEFT OF FINANCIAL INFORMATION, AND CONTROLS OVER ACCESS TO INFORMATION TECHNOLOGY, AND (8) EFFECTIVE BOARD OVERSIGHT AND ADMINISTRATION OF FUNDS UNDER THE TRUST AGREEMENT.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bUNIVERSITY OF LOUISVILLE FINANCE PERSONNEL AND AN OUTSIDE FIRM PREPARED THE RETURN. A COPY OF THE RETURN WAS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING.
QUESTIONS 12A, 13 AND 14FORM 990, PART VI, LINE 12ATHE ORGANIZATION HAS NOT FORMALLY ADOPTED THE UNIVERSITY OF LOUISVILLE'S CONFLICT OF INTEREST, WHISTLEBLOWER, NOR DOCUMENT RETENTION & DESTRUCTION POLICIES, NOR HAS IT DRAFTED ITS OWN SUCH POLICIES AT THIS TIME. HOWEVER, THE ORGANIZATION FOLLOWS THE UNIVERSITY'S POLICIES AS A MATTER OF PRACTICE, AS ALL BOARD MEMBERS AND OFFICERS ARE UNIVERSITY OF LOUISVILLE EMPLOYEES AND ARE REQUIRED TO ADHERE TO THE STANDARDS SET FORTH IN THESE POLICIES.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, LINE 15THE ORGANIZATION HAS NO EMPLOYEES, THUS LINES 15(A) AND 15(B) OF PART VI, SECTION B, HAVE BEEN MARKED "NO" ACCORDINGLY.
TAX RETURN DISCLOSUREFORM 990, PART VI, LINE 18A COPY OF THE ORGANIZATION'S MOST RECENT FORM 990 IS AVAILABLE AT WWW.LOUISVILLE.EDU OR AVAILABLE UPON REQUEST.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE ORGANIZATION'S FINANCIAL STATEMENTS, ARTICLES OF INCORPORATION, AND BYLAWS ARE AVAILABLE AT WWW.LOUISVILLE.EDU AND MADE AVAILABLE UPON REQUEST.
REPORTABLE COMPENSATIONFORM 990, PART VII, SECTION AAMOUNTS REPORTED ON PART VII AND ON SCHEDULE J INCLUDE ONLY COMPENSATION PAID BY ITS CONTROLLING PARENT, THE UNIVERSITY OF LOUISVILLE. THE REPORTED AMOUNTS DO NOT INCLUDE COMPENSATION PAID BY THE UNIVERSITY OF LOUISVILLE FOUNDATION, WHICH IS UNRELATED TO THE FILING ORGANIZATION FOR FORM 990 REPORTING PURPOSES.
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9DECREASE IN AMOUNT DUE TO UNIVERSITY MEDICAL CENTER, INC. - 15075;
Change of oversight process or selection processForm 990, Part XII, Line 2cTHE ORGANIZATION'S BYLAWS WERE CHANGED DURING THE YEAR TO EMPOWER THE BOARD OF DIRECTORS WITH THE ABILITY TO APPOINT AN EXTERNAL FIRM TO CONDUCT AN ANNUAL AUDIT OF THE ORGANIZATION AND TO REQUIRE THE AUDITOR TO REPORT DIRECTLY TO THE BOARD OF DIRECTORS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStatePublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgExempt Code SectionExemptCodeSection
UNIVERSITY OF LOUISVILLE
UNIVERSITY OF LOUISVILLELOUISVILLEKY40292EDUCATIONKYN/ANAfalse
UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION INC
UNIVERSITY OF LOUISVILLELOUISVILLEKY40292EDUCATIONKY11 - Type IUNIVERSITY OF LOUISVILLEfalse501(C)(3)
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC
UNIVERSITY OF LOUISVILLELOUISVILLEKY40292RESEARCHKY5UNIVERSITY OF LOUISVILLEfalse501(C)(3)
UNIVERSITY OF LOUISVILLE MEDICAL SCHOOL FUND INC
UNIVERSITY OF LOUISVILLELOUISVILLEKY40292EDUCATIONKY11 - Type IUNIVERSITY OF LOUISVILLEfalse501(C)(3)
UNIVERSITY PHYSICIANS GROUP INC
323 EAST CHESTNUT STREETLOUISVILLEKY402021823MEDICAL CAREKY3UNIVERSITY OF LOUISVILLEfalse501(C)(3)
UNIVERSITY OF LOUISVILLE MEDICAL SCHOOL PRACTICE ASSOC
550 SOUTH JACKSON STREETLOUISVILLEKY40202MEDICAL CAREKY7UNIVERSITY OF LOUISVILLEfalse501(C)(3)
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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