2014-05-15T21:24:48-05:00 2013-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2013-01-01 611293786 UNIVERSITY MEDICAL CENTER INC UNIV 5025623621 530 S Fourth Street Louisville KY 40202 COLLEEN HOLTON 2014-05-15 true Pamela Krohn P01210500 3032989100 2012 2015-11-30 17:44:51Z X UNIVERSITY OF LOUISVILLE HOSPITAL JAMES TAYLOR 530 S Fourth Street Louisville KY 40202 269700261 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 0 500 36355 34277 0 127952 447093224 254009898 705264 252710 23318585 15299618 471117073 269690178 262505 214094 0 0 179729145 106930107 0 0 0 283228851 172253150 463220501 279397351 7896572 -9707173 325142314 394584247 158837626 397975908 166304688 -3391661 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 221723776 214094 253979615 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. 221723776 true true false false false false false false true true false false false true true false true false false false false false false false false true true true false false true false false false false false false false false false false false false false false false false false false false false true 0 0 0 true true false false false false false false false false false X 13 13 false false true false false false false true true false false false true true true true true true true true true KY NC X Tammy Howell 5025403687 539 S Fourth Street Louisville KY 40202 JOAN COLEMAN 1.00 0 X X 0 0 0 ROBERT W ROUNSAVALL III 1.00 0 X X 0 0 0 CHARLIE JOHNSON 1.00 0 X 0 0 0 DAVID L DUNN 1.00 0 X 0 0 0 DEBRA M MURPHY 1.00 0 X 0 0 0 DPT LAURENCE BENZ MBA OCS 0 0 X 0 0 0 EDD MARCIA HERN CNSRN 0 0 X 0 0 0 GERARD ANDERSON 1.00 0 X 0 0 0 KELLY M MCMASTERS MD PHD 1.00 0 X 0 0 0 LINDY B STREET 1.00 0 X 0 0 0 MARTHA NEAL COOKE 1.00 0 X 0 0 0 PHILLIP BOND 1.00 0 X 0 0 0 ROBERT C HUGHES MD 1.00 0 X 0 0 0 SANDY METTS SNOWDEN 1.00 0 X 0 0 0 SHARMILA MAKHIJA MD 0 0 X 0 0 0 TONI GANZEL MD 1.00 0 X 0 0 0 JAMES H TAYLOR 40.00 0 X 0 0 0 KENNETH P MARSHALL 40.00 0 X 0 0 0 NORMA RACINE 40.00 0 X 0 0 0 ROBERT P BARBIER 40.00 0 X 0 0 0 0 0 0 false false false 0 6184 121768 127952 PATIENT SERVICES 900099 268659715 268659715 JOINT OPERATING 900099 -15142484 -15172767 30283 INTERCOMPANY TRANSACTIONS 900099 492667 492667 0 0 0 0 0 0 254009898 167371 167371 82630 82630 0 222037 222037 0 222037 222037 4211 8581 10083 4211 -1502 2709 2709 0 0 0 PHARMACY SERVICES 446110 11588939 11588939 CAFETERIA 722100 1266908 1266908 LABORATORY SERVICES 621500 525641 6072 519569 1696093 0 0 1696093 15077581 269690178 253979615 36355 15546256 214094 214094 0 0 0 0 0 0 85277274 74294029 10983245 3103345 2703651 399694 12131309 10568863 1562446 6418179 5591553 826626 0 516503 516503 88410 88410 0 0 0 51333792 26146238 25187554 0 1475417 6240 1469177 3873118 3518247 354871 108209 74884 33325 0 6873106 6638429 234677 181670 114176 67494 0 8473 7205 1268 3543783 3543783 0 12313592 12187203 126389 4776111 4776111 MEDICAL SUPPLIES 53937523 53937523 BAD DEBTS 7140661 7140661 REPAIRS AND MAINTENANCE 6697772 6455204 242568 PROVIDER TAXES 2415859 2415859 0 16969151 6165934 10803217 0 279397351 221723776 57673575 0 0 60652844 54122 31927008 50704497 77369641 74621614 1333000 0 0 9125462 9057134 5920666 6907789 181097779 7760079 100540863 173337700 0 0 31150010 18379189 53178126 7122820 8344076 325142314 394584247 53828302 66868933 27155882 8203830 53105836 4668313 0 3449093 67507756 21298513 250727076 158837626 397975908 X 166304688 -3391661 0 166304688 -3391661 325142314 394584247 X -9707173 -44949 -159944227 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14767777 14767777 0 14746097 21680 14767777 14726997 19100 14746097 14697044 29953 14726997 14615749 81295 14697044 1.00000 false false 0 0 60410625 2485815 57924810 118793941 5225723 113568218 1893213 48541 1844672 173337700 0 AFFILIATION AGREEMENT PAYABLE 184165501 INTERCOMPANY NOTES PAYABLE 39000000 INTERCOMPANY PAYABLES 17642485 SELF-INSURANCE RESERVES AND CLAIMS 7397163 ARBITRAGE FUNDS 1165497 PASSPORT GRANT REFUND 1064000 ENVIRONMENTAL REMEDIATION LIABILITY 287353 UNCLAIMED PROPERTY 5077 250727076 X Intended uses of endowment funds Schedule D, Part V, Line 4 THE INTENDED USE OF THE ENDOWMENT FUNDS IS FOR FUTURE CAPITAL. NO SPECIFIC PROJECT HAS BEEN DETERMINED AT THIS TIME. DURING THE FISCAL YEAR, UNIVERSITY MEDICAL CENTER (UMC) ENTERED INTO A PARTNERSHIP, STRUCTURED AS A JOINT VENTURE BETWEEN UMC, UNIVERSITY OF LOUISVILLE, AND KENTUCKYONE HEALTH, INC. AS PART OF THE AGREEMENT, UMC DISTRIBUTED THE REMAINING BALANCE IN THEIR ENDOWMENTS TO THE UNIVERSITY OF LOUISVILLE. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 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, 2013 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, 2013 AND 2012." true true X true X true X true true true false true true 42201222 22637124 19564098 0.07190 0 0 0 0.00000 0 0.00000 0 0 42201222 22637124 19564098 0.07190 4650000 4650000 0.01710 95567308 45062200 50505108 0.18550 0 0.00000 54000 54000 0.00020 837000 837000 0.00310 0 0 101108308 45062200 56046108 0.20590 0 0 143309530 67699324 75610206 0.27780 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 0 0 0 0.00000 true 7140661 0 12190610 17154704 -4964094 X true true 1 1 UNIVERSITY OF LOUISVILLE HOSPITAL

530 S JACKSON STREET LOUISVILLE KY 40202

WWW.KENTUCKYONEHEALTH.ORG/UNIVERSITYOFLOUISVILLEHOSPITAL X X X X UNIVERSITY OF LOUISVILLE HOSPITAL 1 true X X X X X X X X 12 true true true X X X X X X X X X X false false true true 100 true 400 true X X X X X X true true X X X X X true false true X false false Community benefit report prepared by related organization Schedule H, Part I, Line 6a UNIVERSITY MEDICAL CENTER DOES NOT PREPARE ITS OWN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT. HOWEVER, ITS COMMUNITY BENEFIT REPORT IS CONTAINED IN THE REPORT OF A RELATED ORGANIZATION; KENTUCKYONE HEALTH, INC., EIN: 61-1029769. Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 AMOUNTS REPORTED ON SCHEDULE H, PART I, LINE 7 ARE DETERMINED BY MULTIPLYING REVENUE BY THE COST TO CHARGE RATIO CALULATED FROM WORKSHEET 2. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 7,140,661 Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 18.57%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. Bad debt expense - methodology used to estimate amount as community benefit Schedule H, Part III, Line 3 UNIVERSITY MEDICAL CENTER 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. Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 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 INC. 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 PAYERS, 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. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH ENTITIES, THE PROVISION FOR DOUBTFUL ACCOUNTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE THE SYSTEM ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY." Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 THE MEDICARE GOVERNMENT PROGRAM CONSISTS OF INDIVIDUALS ON FIXED INCOMES. SHORTFALLS ON SERVICES PROVIDED ARE COVERED BY GENERAL FUNDS OF THE ORGANIZATION. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b PATIENTS WHO HAVE QUALIFIED FOR THE QCCT (QUALITY CHARITY CARE TRUST) UNDER THE TERM MEDICALLY NEEDY BASED ON THEIR INCOME, WILL BE ALLOWED RECONSIDERATION FOR FULL CHARITY. FULL CHARITY WILL BE GIVEN UPON VERIFICATION THAT THEY HAVE SINCE BECOME UNEMPLOYED OR THAT THEIR INCOME HAS BEEN PERMANENTLY REDUCED AND THEY NOW FALL BELOW THE FEDERALLY PUBLISHED POVERTY GUIDELINES. ALL OTHER ACCOUNTS WILL REMAIN AS ORIGINALLY PROCESSED. ACCOUNTS WRITTEN OFF TO THE QCCT WILL NOT BE REPORTED TO THE CREDIT BUREAU. ACCOUNTS RECEIVING WRITE-OFF AS PARTIAL INDIGENT/MEDICALLY NEEDY WILL BE REPORTED AT THE TIME OF THE BAD DEBT WRITE-OFF. Community Served by Needs Assessment Schedule H, Part V Section B, Line 3 (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.; Other Hospital Facilities included in Needs Assessment Schedule H, Part V Section B, Line 4 (1) UNIVERSITY OF LOUISVILLE HOSPITAL - UNIVERSITY MEDICAL CENTER CONDUCTED ITS CHNA WITH BAPTIST HOSPITAL EAST, NORTON HEALTHCARE AND JEWISH HOSPITAL.; Needs not addressed in Needs Assessment Schedule H, Part V Section B, Line 7 (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.; Needs assessment. Schedule H, Part VI, Line 2 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. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 THE ORGANIZATION CONTRACTS WITH AN OUTSIDE FIRM TO REVIEW THE HOSPITAL'S PATIENT POPULATION TO DETERMINE THEIR POSSIBLE QUALIFICATIONS FOR INDIGENT CARE PROGRAM COVERAGE, INTERVIEW AND COMPLETE THE APPLICATION PROCESS FOR THE PATIENTS ELIGIBLE. FOR PATIENTS WHO QUALIFY FOR ASSISTANCE, APPLICATIONS ARE PREPARED AND SUBMITTED ON THEIR BEHALF. THE FIRM ALSO REQUESTS HEARING FOR DENIED APPLICATIONS OR CLAIMS. Community information. Schedule H, Part VI, Line 4 THE UNIVERSITY OF LOUISVILLE HOSPITAL SERVES THE ENTIRE ADULT POPULATION OF THE COMMONWEALTH OF KENTUCKY, CONCENTRATING ON THE METRO LOUISVILLE, JEFFERSON COUNTY AREA, AS IT IS THE ONLY ADULT LEVEL I TRAUMA HOSPITAL IN THIS REGION OF THE STATE. Promotion of community health Schedule H, Part VI, Line 5 UNIVERSITY MEDICAL CENTER, INC.'S BOARD OF DIRECTORS ARE COMPRISED OF THE COMMUNITY'S CITIZENS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. UNIVERSITY OF LOUISVILLE HOSPITAL'S TRAUMA CENTER IS THE ONLY LEVEL I TRAUMA CENTER IN THE REGION AND ONE OF THE LARGEST TRAUMA FACILITIES IN THE COUNTRY. WITH 56,000 SQUARE FEET, 43 PATIENT BAYS, 14 TRAUMA/SURGICAL BEDS, 5 BURN UNIT BEDS AND 49 CRITICAL CARE BEDS, IT CAN ACCOMMODATE UP TO 86 PATIENTS SIMULTANEOUSLY. THE CENTER FEATURES A DEDICATED 24-HOUR OPERATING ROOM AND IS STAFFED 24 HOURS A DAY BY SPECIALIZED MULTI-DISCIPLINARY TRAUMA TEAMS. EDUCATION IS A KEY PART OF THE UNIVERSITY OF LOUISVILLE HOSPITAL'S MISSION. THE TRAUMA INSTITUTE AT THE HOSPITAL LEADS THE EDUCATIONAL COMPONENT OF THE HOSPITAL'S TRAUMA SERVICE. IN ADDITION TO TRAINING TOMORROW'S LEADING TRAUMA PHYSICIANS THROUGH ITS RESIDENCY PROGRAMS, THE TRAUMA INSTITUTE AND BURN UNIT STAFF FACILITATE BOTH COMMUNITY AND PROFESSIONAL EDUCATION PROGRAMS. EXAMPLES OF INJURY PREVENTION CLASSES: RISKY BUSINESS, A TEEN DRUNK-DRIVING PREVENTION PROGRAM, STRAIGHT TALK, A ONE DAY EDUCATIONAL PROGRAM FOR JUVENILE FIRE-SETTERS, BOATING AND WATER SAFETY, PREVENTION OF BOATING AND WATER ACCIDENTS AND IMMEDIATE CARE. ASTHE REGION'S LEADING ACADEMIC MEDICAL CENTER, UNIVERSITY OF LOUISVILLE HOSPITAL IS DEDICATED TO ADVANCING TREATMENTS AND PROVIDING RURAL ACCESS TO INNOVATIVE CARE. AMONGST THE MANY BENEFITS FROM THE ROBOTIC NETWORK IS A NEARLY INSTANTANEOUS MEDICAL CONSULTATION. U OF L PHYSICIANS WORK WITH PHYSICIANS AND NURSES IN OTHER KENTUCKY AND SOUTHERN INDIANA HOSPITALS TO DELIVER PROMPT DIAGNOSES AND APPROPRIATE TREATMENT PLANS. THE ULTIMATE GOAL IS FOR THE PATIENT TO REMAIN IN THEIR HOMETOWN HOSPITAL WITHOUT A TRANSFER UNLESS IT IS DEEMED NECESSARY. Affiliated health care system Schedule H, Part VI, Line 6 UNIVERSITY MEDICAL CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE MANAGED BY 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 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $762 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2013 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 OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS TO SERVE THE HEALTH CARE NEEDS OF THE [INSERT CITY, STATE] COMMUNITIES. State filing of community benefit report Schedule H, Part VI, Line 7 KY true AMERICAN HEART ASSOC 3455 N HIGH ST LOUISVILLE KY 40202 135613797 501C3 17500 SPONSORSHIPS BRAIN INJURY ALLIANCE OF KY 7410 NEW LAGRANGE RD LOUISVILLE KY 40222 611128496 501C3 30000 COMMUNITY SUPPORT FUND FOR THE ARTS 623 W MAIN ST SUITE 200 LOUISVILLE KY 40202 610479626 501C3 6515 COMMUNITY SUPPORT KY DERBY FESTIVAL INC 1001 S THIRD ST LOUISVILLE KY 40203 610713833 501C3 12500 COMMUNITY SUPPORT KY FAIR & EXPO CENTER 937 PHILLIPS LN LOUISVILLE KY 40209 650524748 501C3 12200 COMMUNITY SUPPORT LOUISVILLE URBAN LEAGUE 1535 W BROADWAY LOUISVILLE KY 40203 610444771 501C3 6800 COMMUNITY SUPPORT ST CATHERINE COLLEGE 310 XAVIER CAMPUS BARDSTOWN KY 40004 610956809 501C3 30000 COMMUNITY SUPPORT WINGS CLINIC- U OF L 550 S JACKSON ST LOUISVILLE KY 40202 610129626 501C3 33496 COMMUNITY SUPPORT KSISA 3425 STONY SPRINGS CIRCLE 102 LOUISVILLE KY 40220 611335267 501C3 6500 COMMUNITY SUPPORT 9 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 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. A LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT 320049006 2008-09-05 16000000 SEE SCHEDULE K, PART VI false false false A 11972394 0 16118030 0 0 0 0 0 0 16118030 0 0 2009 false false true true A false false false true false false 0.00000 0.00000 0.00000 false false 0 false true A false false false false false false 0.0 false 0.0 false true A true LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT 2008 SCHEDULE K, PART I, COLUMN (F) 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. Significant changes to organizational documents Form 990, Part VI, Section A, Line 4 EFFECTIVE MARCH 1, 2013, KENTUCKYONE HEALTH, INC., UNIVERSITY MEDICAL CENTER AND THE UNIVERSITY OF LOUISVILLE ENTERED INTO A PARTNERSHIP, STRUCTURED AS A JOINT OPERATING AGREEMENT BETWEEN UNIVERSITY MEDICAL CENTER AND KENTUCKYONE HEALTH, INC, WHEREBY KENTUCKYONE HEALTH, INC. CONTROLS SUBSTANTIALLY ALL OF UMC'S OPERATIONS, WHICH CONSISTS OF THE UNIVERSITY OF LOUISVILLE HOSPITAL AND THE JAMES GRAHAM BROWN CANCER CENTER (ULH). Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b NO REVIEW WAS OR WILL BE CONDUCTED. Conflict of interest policy Form 990, Part VI, Section B, Line 12c 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. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a 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. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b 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. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. Other Expenses Form 990, Part IX, Line 11g COLLECTION FEES - TOTAL EXPENSE: 4364362, PROGRAM SERVICE EXPENSE: 2222934, MANAGEMENT AND GENERAL EXPENSES: 2141428, FUNDRAISING EXPENSES: ; INSURANCE CONSULTING - TOTAL EXPENSE: 650105, PROGRAM SERVICE EXPENSE: 331123, MANAGEMENT AND GENERAL EXPENSES: 318982, FUNDRAISING EXPENSES: ; ADMINISTRATIVE CONSULTING - TOTAL EXPENSE: 766583, PROGRAM SERVICE EXPENSE: 390450, MANAGEMENT AND GENERAL EXPENSES: 376133, FUNDRAISING EXPENSES: ; CONTRACT LABOR - TOTAL EXPENSE: 6224226, PROGRAM SERVICE EXPENSE: 3170233, MANAGEMENT AND GENERAL EXPENSES: 3053993, FUNDRAISING EXPENSES: ; OTHER CONTRACT SERVICES - TOTAL EXPENSE: 39328516, PROGRAM SERVICE EXPENSE: 20031498, MANAGEMENT AND GENERAL EXPENSES: 19297018, FUNDRAISING EXPENSES: ; Other changes in net assets or fund balances Form 990 , Part XI, Line 9 DISTRIBUTION OF ENDOWED ASSETS TO UNIVERSITY OF LOUISVILLE - -14767777; VALUATION FOR PURCHASE BY KENTUCKYONE HEALTH - -XXX-XX-XXXX; Change of oversight process or selection process Form 990, Part XII, Line 2c EFFECTIVE MARCH 1, 2013, UNIVERSITY MEDICAL CENTER (UMC), KENTUCKYONE HEALTH, INC. AND THE UNIVERSITY OF LOUISVILLE ENTERED INTO A PARTNERSHIP, STRUCTURED AS A JOINT OPERATING AGREEMENT BETWEEN UMC AND KENTUCKYONE HEALTH, INC.,WHEREBY KENTUCKYONE HEALTH, INC. CONTROLS SUBSTANTIALLY ALL OF UMC'S OPERATIONS. AS SUCH, UMC IS NOW INCLUDED IN THE CONSOLIDATED AUDIT OF KENTUCKYONE HEALTH, INC. COMP OF OFFFICERS, DIRECTORS, KEY EMP & HIGHEST PAID EMP AND CONTRACTORS FORM 990, PART VII, PART IV LINE 23 & PART V LINES 1 & 2 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.