2022-05-16T14:34:40-05:00 2021-06-30 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2020-07-01 611293786 UNIVERSITY MEDICAL CENTER INC UNIV 5025263621 530 S JACKSON STREET LOUISVILLE KY 40202 KEN MARSHALL COO 5025623621 2022-05-16 1 KEN MARSHALL XXX-XX-XXXX CARRIE A MERRILL CPA P00832283 5029923500 2022-05-16 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z UNIVERSITY OF LOUISVILLE HOSPITAL KEN MARSHALL 530 S JACKSON STREET LOUISVILLE KY 40202 721758699 0 X WWW.UOFLHOSPITAL.ORG X 1995 KY TO PROVIDE CARE TO OUR COMMUNITY AND TO SERVE AS A MAJOR TEACHING HOSPITAL FOR EDUCATION AND TRAINING IN MEDICINE, DENTISTRY, NURSING, AND ALLIED HEALTH PROFESSIONS. 11 2 10206 0 448636 385576 27659266 14477984 568380162 653812699 5014857 5016984 35512077 25244377 636566362 698552044 468963 214821 0 0 220627132 214158487 0 0 0 375813938 467013564 596910033 681386872 39656329 17165172 770505785 739889008 488616301 444106003 281889484 295783005 TO PROVIDE CARE TO OUR COMMUNITY AND TO SERVE AS A MAJOR TEACHING HOSPITAL FOR EDUCATION AND TRAINING IN MEDICINE, DENTISTRY, NURSING, AND ALLIED HEALTH PROFESSIONS. 0 0 592768805 214821 659496913 UNIVERSITY MEDICAL CENTER OPERATES THE UNIVERSITY OF LOUISVILLE HOSPITAL, WHICH IS A TEACHING HOSPITAL FACILITY DESIGNATED AS A REGIONAL TRAUMA CENTER AND PROVIDES CARE TO THE MEDICALLY NEEDY REGARDLESS OF THEIR ABILITY TO PAY. SEE SCHEDULE H FOR ADDITIONAL INFORMATION. 592768805 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 308 0 1 10206 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 2 0 0 0 0 1 0 0 1 1 0 0 0 1 1 1 1 1 0 1 0 KY X MICHAEL P DOUZUK JR CFO 5025263621 530 S JACKSON STREET LOUISVILLE KY 40202 JEFFREY BUMPOUS MD CHAIR 1.00 40.00 X 0 433051 27876 JERRY JOHNSON MD VICE CHAIR 1.00 0.00 X 0 0 0 JASON CHESNEY MD DIRECTOR 1.00 40.00 X 0 295449 0 SEAN FRANCIS MD DIRECTOR 1.00 40.00 X 0 525823 54387 TONI GANZEL MD DIRECTOR 1.00 40.00 X 0 636932 27113 KRIS KRUEGER MD DIRECTOR 1.00 40.00 X 0 546242 77978 MARY NAN MALLORY MD MBA FAAEM FAO DIRECTOR 1.00 40.00 X 0 113333 0 KELLY MCMASTERS MD PHD DIRECTOR 1.00 40.00 X 0 998662 101357 RONALD WRIGHT MD DIRECTOR 1.00 0.00 X 0 0 0 RODRIGO CAVALLAZZI MD DIRECTOR (TERM BEG 6.24.20) 1.00 40.00 X 0 185622 0 THOMAS D MILLER CEO UOFL HEALTH/SEC./TREAS. 19.00 27.00 X X 1236005 0 29701 MICHAEL DOUZUK JR CFO, U OF L HEALTH 19.00 27.00 X 776722 0 37552 KEN MARSHALL COO, U OF L HEALTH 19.00 27.00 X 783798 0 28411 PANKAJ SAPRA CIO (TERM END 6/2021) 40.00 0.00 X 472769 0 20341 DEBORAH F MULLINS CIO (TERM BEG 6/2021) 40.00 0.00 X 247895 0 17971 SHARI KRETZSCHMER VP PATEINT SERVICES 40.00 0.00 X 423643 0 28411 STEPHEN AMSLER VP PLANT OPERATIONS 40.00 0.00 X 320098 0 28451 SAUNDRA DENHAM SR. VP COMPLIANCE 24.00 16.00 X 226838 226838 43618 THERESA SCHOLL VP REVENUE CYCLE 40.00 0.00 X 287779 0 27413 ELIZABETH JACKSON MKT DIRECTOR SURGICAL SVC 40.00 0.00 X 223977 0 9842 KIRK STRACK ASSISTANT CFO 40.00 0.00 X 386314 0 20341 MICHAEL GOODE DIRECTOR - IMAGING SERVICES 40.00 0.00 X 196519 0 26655 PAUL NAGY VP CONTRACTING 40.00 0.00 X 361100 0 28501 JAMES RAYOME ASSOCIATE COUNSEL ULH 40.00 0.00 X 329663 0 13076 ROBERT A VANBUSKIRK VP SUPPLY CHAIN OPS 40.00 0.00 X 313989 0 21539 ROBERT FINK SYSTEM DIR, PHARMACY SERV 40.00 0.00 X 266057 0 30239 TIFFANY NUGENT VICE PRESIDENT HR 40.00 0.00 X 248068 246667 46980 SUZANN HENDRICKSON RN CHARGE RADIOLOGY 40.00 0.00 X 194768 0 20417 ERIC J CHADWICK PHARMACIST CLIN STAFF 40.00 0.00 X 169130 0 2179 CLARENCE K PRICE PHARMACIST CLIN STAFF 40.00 0.00 X 158474 0 308 MIKA R KNABLE PHARMACIST CLIN SPEC-RPD 40.00 0.00 X 163239 0 9956 JOHN C GAVIN DOSIMETRIST 40.00 0.00 X 162209 0 13659 7949054 4208619 794272 490 0 1 0 SODEXO PERFORMANCE INTERIORS PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICES 19650864 CERNER CORP 2800 ROCK CREEK PKWY KANSAS CITY MO 64117 SOFTWARE SERVICES 17565796 G4S SECURE SOLUTIONS USA INC 1395 UNIVERSITY BLVD JUPITER FL 33458 SECURITY SERVICES 9609160 CROTHALL SERVICES GROUP 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 ENVIRONMENTAL SERVICES 8711152 WEHR CONSTRUCTORS INC 2517 PLANTSIDE DRIVE LOUISVILLE KY 40299 CONSTRUCTION 7594527 53 14102830 375154 14477984 PATIENT SERVICES 900099 644368521 644368521 340B PHARMACY 900099 9444178 9444178 653812699 2299442 2299442 122254 0 122254 122254 122254 2717542 0 2717542 2717542 2717542 36168299 23206655 12961644 448636 12513008 AFFILIATION AGREEMENT 900099 2901557 2901557 CONTRACT SERVICES 900099 2782657 2782657 6476265 6476265 12160479 698552044 659496913 448636 24128511 X 107084 107084 107737 107737 8675504 7374178 1301326 163428355 161419392 2008963 28482920 27438869 1044051 1236587 1191260 45327 12335121 11882973 452148 319892 271908 47984 387238 387238 122897814 104463142 18434672 28577 24290 4287 9923666 8435116 1488550 147449 125332 22117 42755831 36342456 6413375 95923 81535 14388 265745 225883 39862 15681653 13329405 2352248 4660411 3961349 699062 MEDICAL SUPPLIES 181208104 181208104 340B DRUGS 9859399 9859399 AFFILIATION AGREEMENT E 7500000 7500000 PROVIDER TAX 6643614 6643614 64638248 10775779 53862469 681386872 592768805 88618067 0 310718316 156536352 78039307 105377418 1333000 1333000 100000 100000 14481330 17348613 8226259 2231670 235076370 141801219 139622550 93275151 115108452 176356173 22597895 22902098 80278676 164428533 770505785 739889008 77507509 88776571 188764418 142142097 7634953 2333740 214709421 210853595 488616301 444106003 X 281889484 295783005 281889484 295783005 770505785 739889008 17165172 -3143115 -128536 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 36380 36380 0 PART II-B, LINE 1: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: KENTUCKY HOSPITAL ASSOCIATION - $22,724 AND AMERICAN HOSPITAL ASSOCIATION $13,656. 41000576 7414160 33586416 74735691 49954399 24781292 117476346 84432660 33043686 1863757 1863757 93275151 OTHER ASSETS 1110334 RELATED PARTY RECEIVABLE 7100000 OTHER A/R 4577074 INTERCOMPANY RECEIVABLES 120393712 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 31247413 164428533 INTERCOMPANY PAYABLE 183515578 OTHER LIABILITIES 851805 NOTE PAYABLE - RELATED PARTY 5500000 COVID19 EMPLOYER FICA PORTION DELAYED 18795058 COVID 19 LIABILITIES 2191154 210853595 X 710721303 -3143115 -3143115 713864418 128536 -15440910 -15312374 698552044 696827782 15440910 15440910 681386872 0 681386872 PART X, LINE 2: AS A NOT FOR PROFIT ORGANIZATION, THE CORPORATION IS EXEMPT FROM TAXATION UNDER THE INTERNAL REVENUE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF AN UNCERTAIN TAX POSITION HAS BEEN TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION, AND HAS CONCLUDED THAT AS OF JUNE 30, 2021 AND 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION HAS FILED ITS FEDERAL INCOME TAX RETURNS FOR THE PERIODS THROUGH JUNE 30, 2020 AND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, AS OF THE DATE THE FINANCIAL STATEMENTS WERE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVENTORY COST OF GOODS SOLD -23,206,655. UOFL MISSION SUPPORT 7,500,000. INTEREST EXPENSE NETTED WITH INVESTMENT INCOME 265,745. PART XII, LINE 2D - OTHER ADJUSTMENTS: INVENTORY COST OF GOODS SOLD 23,206,655. UOFL MISSION SUPPORT -7,500,000. INTEREST EXPENSE NETTED WITH INVESTMENT INCOME -265,745. 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 11439528 11439528 0.01680 203399892 253585612 0 0.00000 214839420 253585612 11439528 0.01680 68246 68246 0.00010 26879937 6731433 20148504 0.02960 26948183 6731433 20216750 0.02970 241787603 260317045 31656278 0.04650 1 26421079 0 113223509 100059300 13164209 X 1 1 1 1 UNIVERSITY OF LOUISVILLE HOSPITAL 530 S JACKSON STREET LOUISVILLE KY 40202 WWW.UOFLHOSPITAL.ORG 100220 X X X X X UNIVERSITY OF LOUISVILLE HOSPITAL 1 0 0 1 X X X X X X X X X X 18 1 1 1 1 X HTTPS://UOFLHEALTH.ORG/COMMUNITY-NEEDS-ASSESSMENT/2020-2022-REPORTS/ X 1 18 1 HTTPS://UOFLHEALTH.ORG/COMMUNITY-NEEDS-ASSESSMENT/2020-2022-REPORTS/ 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X X 1 X WWW.UOFLHOSPITAL.ORG/FINANCIAL-ASSISTANCE X WWW.UOFLHOSPITAL.ORG/FINANCIAL-ASSISTANCE X WWW.UOFLHOSPITAL.ORG/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X 1 X 0 0 UNIVERSITY OF LOUISVILLE HOSPITAL PART V, SECTION B, LINE 3J: IN ORDER TO PRIORITIZE THE HEALTH NEEDS OF OUR COMMUNITY, WE DEVELOPED A RANKING SYSTEM. EACH OF THE 13 HEALTH MEASURES LISTED IN THE COUNTY HEALTH RANKINGS MODEL WAS ASSESSED FOR THE LOUISVILLE COMMUNITY. THERE WERE SIX PRIORITIZATION FACTORS FOR WHICH EACH HEALTH MEASURE WAS ASSESSED: MAGNITUDE IMPACT ON MORTALITY IMPACT ON MORBIDITY TRENDS COMMUNITY INPUT STRATEGIC ALIGNMENTEACH HEALTH MEASURE (TOBACCO USE, ACCESS TO CARE, ETC.) RECEIVED A SCORE OF ZERO TO 13 (GIVEN THAT THERE ARE 13 HEALTH MEASURES IN THE MODEL). A SCORE OF 13 INDICATES THE HEALTH MEASURE OUTRANKED ALL OTHERS IN IMPORTANCE FOR THAT PRIORITIZATION FACTOR. AFTER BEING ASSESSED BY EACH PRIORITIZATION FACTOR AND RECEIVING A SCORE IN EACH AREA, THE TOTAL SCORES FOR EACH HEALTH MEASURE WERE TOTALED.IN OUR EFFORTS TO ADDRESS THE HEALTH NEEDS THAT HEAVILY INFLUENCE HEALTH OUTCOMES, WE CREATED A SYSTEM FOR RANKING COMMUNITY HEALTH NEEDS USING A WEIGHTED SCALE TO ACCOUNT FOR THE MEASURE OF INFLUENCE. THE MEASURE OF INFLUENCE IS THE PERCENTAGE OF EFFECT THAT THIS CATEGORY OF HEALTH FACTORS HAS ON HEALTH OUTCOMES. THE WEIGHTED SCORE WAS CREATED BY MULTIPLYING THE TOTAL SCORE FOR EACH HEALTH MEASURE BY THE PERCENTAGE OF THEIR INFLUENCE ON OVERALL HEALTH. FOR EXAMPLE, COMMUNITY SAFETY IS A SOCIAL AND ECONOMIC FACTOR. IF ALL SIX PRIORITIZATION FACTORS ADDED UP TO A TOTAL SCORE OF 78, WE THEN MULTIPLIED THIS TOTAL SCORE BY 40%THE MEASURE OF INFLUENCE FOR A HEALTH BEHAVIOR ACCORDING THE COUNTY HEALTH RANKINGS MODEL. THIS WEIGHTED SCORE WAS COMPARED AGAINST THE OTHER HEALTH MEASURES. THE FACTORS WITH THE HIGHEST WEIGHTED SCORES WERE IDENTIFIED AS SIGNIFICANT COMMUNITY HEALTH NEEDS TO BE ADDRESSED BY UOFL HOSPITAL. USING SUCH A RANKING SYSTEM ALSO ACKNOWLEDGES THE DISPROPORTIONATELY NEGATIVE IMPACT OF THESE SOCIAL DETERMINANTS ON THE HEALTH OF THE POOR, VULNERABLE, AND UNDERSERVED IN OUR COMMUNITIES. THIS WILL ALLOW UOFL HOSPITAL TO BEST ADDRESS DISAPARTIES IN HEALTH. UNIVERSITY OF LOUISVILLE HOSPITAL PART V, SECTION B, LINE 5: THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS (LMPHW) CONVENED THE COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE IN MAY 2017 TO BEGIN THE PROCESS REQUIRED OF TAX-EXEMPT HOSPITAL AND ACCREDITED HEALTH DEPARTMENTS. THE STEERING COMMITTEE BRANCHED INTO MULTIPLE SUB-COMMITTEES, AND A REPRESENTATIVE OF UOFL HOSPITAL JOINED THE SURVEY DESIGN, DATA ANALYSIS, ASSET MAPPING, AND ISSUES AREAS SUB-COMMITTEES. AT THIS TIME, OTHER AGENCIES JOINED THE VARIOUS COMMITTEES, REPRESENTING MEMBERS OF THE MEDICALLY-UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ALTHOUGH NOT A COMPREHENSIVE LIST, SUCH AGENCIES INCLUDED: NORTON HEALTH BAPTIST HEALTH KIPDA (KENTUCKIANA REGIONAL PLANNING & DEVELOPMENT AGENCY) UNIVERSITY OF LOUISVILLE OFFICE OF COMMUNITY ENGAGEMENT LOUISVILLE METRO GOVERNMENT OFFICE OF COMMUNITY SERVICES GREATER LOUISVILLE PROJECT METRO UNITED WAY COMMUNITY FOUNDATION OF LOUISVILLE KENTUCKY REFUGEE MINISTRIES UNIVERSITY OF LOUISVILLE SCHOOL OF PUBLIC HEALTH JEFFERSON COUNTY PUBLIC SCHOOLS PARK DUVALLE COMMUNITY HEALTH CENTER FAMILY HEALTH CENTERS HUMANAFEEDBACK FROM LMPHW AND THE AFOREMENTIONED ORGANIZATIONS FURTHER REPRESENTS FEEDBACK FROM THE UNDERSERVED IN JEFFERSON COUNTY DUE TO THE SPECIAL KNOWLEDGE OF LOCAL HEALTH DEPARTMENTS.UOFL HOSPITAL WORKED WITH THESE AGENCIES TO DESIGN A COMMUNITY SURVEY TO SOLICIT INPUT FROM THE GENERAL COMMUNITY ON HEALTH NEEDS IN LOUISVILLE METRO (JEFFERSON COUNTY, KY). IQS RESEARCH PROVIDED DATA AND TECHNICAL EXPERTISE, AND, AT THE REQUEST OF UOFL HOSPITAL, DEVELOPED TWO SEPARATE SURVEY LINKS TO USE IN COLLECTING RESPONSES. THE PATIENT SURVEY WAS HTTP://SURVEYS.IQSRESEARCH.COM/S3/CHNA-UOFL-HOSPITAL-PATIENTS AND THE HOSPITAL EMPLOYEE LINK WAS HTTP://SURVEYS.IQSRESEARCH.COM/S3/CHNA-UOFL-HOSPITAL-STAFF. ULH MADE A $5,000 CONTRIBUTION TO THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS TO PUT TOWARDS THE COST OF IQS' SUPPORT IN THE CHNA PROCESS. COMMUNITY INPUT: PATIENTS UOFL HOSPITAL MADE PAPER SURVEYS AVAILABLE FROM DECEMBER 29, 2017 THROUGH JANUARY 31, 2018 IN SEVEN COMMON SPACES AT THE HOSPITAL. TWO SURVEY SITES WERE SET UP IN THE ADJACENT AMBULATORY CARE BUILDING, AND THREE SURVEY SITES WERE SET UP AT THE JAMES GRAHAM BROWN CANCER CENTER. PATIENTS WERE INVITED TO PARTICIPATE IN THE ANONYMOUS SURVEYS WITH A FLYER. SURVEYS WERE AVAILABLE IN FIVE LANGUAGES (ENGLISH, SPANISH, ARABIC, SWAHILI, AND NEPALI) AT ALL TWELVE TOTAL SURVEY SITE LOCATIONS. PAPER SURVEYS WERE SUBMITTED TO IQS TO CONVERT INTO ELECTRONIC DATA. UOFL HOSPITAL'S MARKETING AND COMMUNICATIONS TEAM, HOUSED WITHIN UOFL PHYSICIANS, INCLUDED THE PATIENT LINK TO THE SURVEY IN ITS DECEMBER 28, 2017 PATIENT AND CONSUMER NEWSLETTER, ENTITLED TO YOUR HEALTH. THE NEWSLETTER CAN BE FOUND IN THE ARCHIVE HERE: HTTP://WWW.UOFLPHYSICIANS.COM/NEWSLETTER-ARCHIVE. AS OF DECEMBER 28, 2017, THE NEWSLETTER HAD A DISTRIBUTION LIST OF APPROXIMATELY 30,000 EMAIL ADDRESSES. COMMUNITY INPUT: EMPLOYEESO UOFL HOSPITAL'S MARKETING AND COMMUNICATION TEAM INCLUDED THE EMPLOYEE SURVEY LINK IN WEEKLY OFFICIAL HOSPITAL COMMUNICATIONS BEGINNING DECEMBER 18, 2017 THROUGH JANUARY 22, 2018. THE EMPLOYEE LINK WAS ALSO SENT THROUGH THE OFFICIAL COMMUNICATION CHANNELS TO UOFL PHYSICIANS STAFF AND PHYSICIANS DURING THIS SAME PERIOD. IN TOTAL, 3,500 JEFFERSON COUNTY RESIDENTS TOOK THE SURVEY. SINCE SOME DEMOGRAPHICS WERE UNDERREPRESENTED IN THE SURVEYS, LMPHW HELD EIGHT FOCUS GROUPS WITH A TOTAL OF 82 PARTICIPANTS. A WEIGHTED ANALYSIS WAS COMPLETED TO MATCH THE DEMOGRAPHICS OF JEFFERSON COUNTY AND ENSURE THE SURVEYS WERE REPRESENTATIVE OF THE COMMUNITY.FEEDBACK ON THE PREVIOUS CHNA AND IMPLEMENTATION STRATEGY WAS SOLICITED ONLINE. FROM JUNE 30, 2016-JUNE 30, 2017, THIS FEEDBACK WAS AVAILABLE VIA A LINK ON THE KENTUCKYONE HEALTH WEBSITE (HTTP://WWW.KENTUCKYONEHEALTH.ORG/HEALTHY-COMMUNITY-CONTACT-US). FROM JULY 1, 2017-JUNE 30, 2019, THIS FEEDBACK WAS SOLICITED VIA A LINK ON THE UOFL HOSPITAL WEBSITE (HTTPS://UOFLHOSPITAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT). NEITHER LINK RECEIVED ANY WRITTEN COMMENTS ON THE CHNAS OR IMPLEMENTATION STRATEGIES REPORTS. THEREFORE, UOFL HOSPITAL SOLICITED FEEDBACK WITH A READILY-ACCESSIBLE TOOL BUT DID NOT RECEIVE ANY WRITTEN COMMENTS AND THUS HAD NO OPPORTUNITY TO EVALUATE THOSE COMMENTS. UNIVERSITY OF LOUISVILLE HOSPITAL PART V, SECTION B, LINE 6A: NORTON HEALTH BAPTIST HEALTH KENTUCKYONE HEALTH (NOW UOFL HEALTH) UNIVERSITY OF LOUISVILLE HOSPITAL PART V, SECTION B, LINE 6B: LOUISVILLE METRO PUBLIC HEALTH AND WELLNESSKIPDA (KENTUCKIANA REGIONAL PLANNING & DEVELOPMENT AGENCY)UNIVERSITY OF LOUISVILLE LOUISVILLE METRO GOVERNMENT GREATER LOUISVILLE PROJECTMETRO UNITED WAYCOMMUNITY FOUNDATION OF LOUISVILLEKENTUCKY REFUGEE MINISTRIESJEFFERSON COUNTY PUBLIC SCHOOLSPARK DUVALLE COMMUNITY HEALTH CENTERFAMILY HEALTH CENTERSHUMANA UNIVERSITY OF LOUISVILLE HOSPITAL PART V, SECTION B, LINE 11: WE HAVE CHOSEN TO IDENTIFY OUR PRIORITIES AS NAMED IN THE ROBERT WOOD JOHNSON COUNTY HEALTH RANKINGS REPORT IN ORDER TO USE CONSISTENT NAMING CONVENTIONS FOR COMMUNITY HEALTH TERMS. ALCOHOL AND DRUG USE THE DATA IN THE HEALTH NEEDS PRIORITIZATION CHART SHOWED ALCOHOL AND DRUG USE TO HAVE THE HIGHEST TOTAL SCORE AND THE HIGHEST WEIGHTED SCORE WHEN CONTROLLING FOR MEASURE OF INFLUENCE. AS A HEALTH BEHAVIOR, ALCOHOL AND DRUG USE IMPACTS ABOUT 30% OF HEALTH OUTCOMES AND FOCUS HERE DEMONSTRATES THE HOSPITAL IS WORKING UPSTREAM TO ADDRESS HEALTH ISSUES. SUBSTANCE USE DISORDER CONTINUES TO PRESENT ITSELF AS A MAJOR CONCERN IN THE COMMUNITY AND THE HOSPITAL HAS ALREADY DEDICATED RESOURCES TO ADDRESSING THIS NEED. CONTINUING TO ADDRESS SUBSTANCE USE IN THIS CHNA TIME FRAME WILL ALLOW UOFL HOSPITAL TO EXPAND ON WORK THAT BEGAN IN THE PREVIOUS CHNA TIME PERIOD.COMMUNITY SAFETY THE DATA IN THE HEALTH NEEDS PRIORITIZATION CHART SHOWED COMMUNITY SAFETY TO HAVE THE THIRD HIGHEST TOTAL SCORE, BUT THE SECOND HIGHEST WEIGHTED SCORE WHEN CONTROLLING FOR MEASURE OF. AS A SOCIAL AND ECONOMIC FACTOR, COMMUNITY SAFETY IMPACTS ABOUT 40% OF HEALTH OUTCOMES AND DEMONSTRATES THE HOSPITAL IS TRYING TO ADDRESS A TRUE ROOT CAUSE OF POOR HEALTH OUTCOMES. UOFL HOSPITAL IS ALREADY DEEPLY INVOLVED IN COMMUNITY SAFETY EFFORTS FROM THE PREVIOUS CHNA TIME PERIOD AND WOULD LIKE TO REALIZE THE IMPACT OF A LONG-TERM COMMITMENT TO VIOLENCE REDUCTION. THE FIRST SIGNIFICANT HEALTH NEED BEING ADDRESSED IS ALCOHOL AND DRUG USE, WITH THESE SPECIFIC INTERVENTIONS: PROVIDE BRIEF INTERVENTIONS (BI'S) TO TRAUMA PATIENTS WHOSE HOSPITAL ADMISSION INCLUDED A POSITIVE TOXICOLOGY SCREENING FOR ALCOHOL OR ILLEGAL SUBSTANCES. PROVIDE RESOURCES AND REFERRALS FOR PATIENTS ACCEPTING TREATMENT. PROVIDE TREATMENT OPTIONS TO PATIENTS WITH SUBSTANCE USE DISORDER. PROVIDE RESOURCES AND REFERRALS FOR PATIENTS ACCEPTING TREATMENT. PROVIDE EDUCATION ON NARCAN USE TO COMMUNITY MEMBERS AND HOSPITAL STAFF FOR PATIENT EDUCATION PROVIDE THERAPEUTIC INTERVENTIONS TO TRAUMA PATIENTS TO ASSIST IN PROCESSING AND COPING WITH A TRAUMATIC INJURY. DEVELOP A NETWORK OF PEER SUPPORTERS WHO CAN ENGAGE PATIENTS WHILE HOSPITALIZED. IDENTIFY PATIENTS ELIGIBLE FOR PEER SUPPORT AND FACILITATE CONNECTION TO PEERS FOR LIVED EXPERIENCE SUPPORT NOT ABLE TO BE OFFERED BY CLINICAL STAFF. TRAUMA-INFORMED CARE CLASSES WILL BE OFFERED TO ALL STAFF ON A SEMI-ANNUAL BASIS TO PROMOTE UNDERSTANDING AND BETTER SUPPORT FOR PATIENTS, ESPECIALLY THOSE IN CRISIS. THE SECOND HEALTH SIGNIFICANT HEALTH NEED BEING ADDRESSES IS COMMUNITY SAFETY, WITH THESE SPECIFIC INTERVENTIONS: ADVOCATE FOR A FUNDING FOR A STAFF-SUPPORTED STRUCTURE OF THE STATEWIDE TRAUMA SYSTEM, WHICH CURRENTLY OPERATES ON VOLUNTEERS AND DONATIONS, TO IMPROVE TRAUMA CARE. PROVIDE ONGOING EDUCATION INTERNALLY TO PHYSICIANS AND STAFF AND EXTERNALLY TO REFERRING HOSPITALS AND EMERGENCY MEDICAL PROVIDERS IN ORDER TO IMPROVE CARE FOR TRAUMA PATIENTS. PROVIDE STOP THE BLEED CLASSES TO IMPROVE COMMUNITY BYSTANDER RESPONSE TO TRAUMATIC INJURIES. USING THE HOSPITAL-BASED VIOLENCE INTERVENTION NETWORK, LINK PATIENTS WHO ARE RECOVERING FROM VIOLENT INJURIES WITH COMMUNITY RESOURCES TO IMPROVE PATIENT OUTCOMES AND REDUCE VIOLENCE. COMMUNITY HEALTH WORKERS WILL RESPOND TO EMERGENCY DEPARTMENT LOCKDOWNS FOR PATIENTS WITH GUNSHOT OR STABBING INJURIES TO MAINTAIN A SAFE ENVIRONMENT FOR PATIENTS AND STAFF BY DE-ESCALATING ANY TENSIONS WITH PATIENTS AND/OR FAMILIES. SCREEN ALL PATIENTS PRESENTING IN THE EMERGENCY DEPARTMENT FOR THE PRESENCE OF DOMESTIC VIOLENCE (DV). POSITIVE SCREENING WILL ALLOW FOR A LINK TO AN ADVOCATE WITH THE CENTER FOR WOMEN AND FAMILIES TO DISCUSS SERVICES AND RESOURCES AVAILABLE TO THAT PATIENT. IDENTIFY VICTIMS OF HUMAN TRAFFICKING AND DOMESTIC VIOLENCE. STOCK PATIENT BATHROOMS WITH RED DOT STICKERS AND SIGNAGE THAT STATES, "UOFL HOSPITAL CARES ABOUT YOUR WELL-BEING. IF YOU ARE CONCERNED ABOUT YOUR SAFETY AFTER DISCHARGE AND WOULD LIKE TO SPEAK TO A STAFF MEMBER IN PRIVATE, PLEASE PLACE A RED DOT STICKER OUTSIDE OF YOUR SPECIMEN CUP. A STAFF MEMBER WILL ARRANGE TO SPEAK TO YOU PRIVATELY TO DISCUSS YOUR CONCERNS." ACTIVATE A COORDINATED RESPONSE TO ASSIST NURSING STAFF WITH DE-ESCALATING AGGRESSIVE PATIENT BEHAVIOR.UOFL HOSPITAL ADDRESSED THE TOP TWO SIGNIFICANT NEEDS AS DETERMINED BY AN ASSESSMENT OF MULTIPLE DATA SOURCES. HOWEVER, ALL HEALTH CATEGORIES AS OUTLINED BY THE COUNTY HEALTH RANKINGS WERE ASSESSED FOR IMPACT ON COMMUNITY HEALTH AND WERE NOT FOUND TO BE SIGNIFICANT HEALTH NEEDS. ALTHOUGH THESE NEEDS WERE NOT DEMINED TO BE SIGNIFICANT FOR THIS COMMUNITY, BELOW ARE SPECIFIC REASONS WHY EACH WAS NOT LISTED AS A SIGNIFICANT NEED AND WOULD NOT BE ADDRESSED.TOBACCO USE THE DATA IN THIS CATEGORY DID NOT INDICATE THIS AREA WAS AS HIGH A NEED AS THE PRIORITY HEALTH NEEDS CHOSEN IN THE PREVIOUS SECTION, ALTHOUGH THIS AREA DID RANK HIGHER THAN OTHERS. THIS IS NOT AN AREA FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO THE MANY TOBACCO CESSATION PROGRAMS ALREADY IN THE COMMUNITY.DIET AND EXERCISE THE DATA IN THIS CATEGORY DID NOT INDICATE THIS AREA WAS AS HIGH A NEED AS THE PRIORITY HEALTH NEEDS CHOSEN IN THE PREVIOUS SECTION, ALTHOUGH THIS AREA DID RANK HIGHER THAN OTHERS. THIS IS NOT AN AREA FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO MORE APPROPRIATE COMMUNITY ORGANIZATIONS ALREADY WORKING ON INTERVENTIONS IN THIS AREA.SEXUAL ACTIVITY THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. THIS AREA WAS NOT CHOSEN FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO LACK OF SIGNIFICANT NEED.ACCESS TO CARE THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. ALTHOUGH THIS IS AREA WHERE INTERVENTION FROM THE HOSPITAL IS FEASIBLE, THE LACK OF DEMONSTRATED NEED BY THE DATA ANALYSIS MEANS THIS NEED WILL NOT BE ADDRESSED IN THE IMPLEMENTATION STRATEGIES REPORT.QUALITY OF CARE THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. ALTHOUGH THIS IS AREA WHERE INTERVENTION FROM THE HOSPITAL IS FEASIBLE, THE LACK OF DEMONSTRATED NEED BY THE DATA ANALYSIS MEANS THIS NEED WILL NOT BE ADDRESSED IN THE IMPLEMENTATION STRATEGIES REPORT.EDUCATION THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. THIS AREA WAS NOT CHOSEN FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO THE LACK OF FEASIBLE OPPORTUNITIES FOR IMPACT AND LACK OF SIGNIFICANT NEED.EMPLOYMENT THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. THIS AREA WAS NOT CHOSEN FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO THE LACK OF FEASIBLE OPPORTUNITIES FOR IMPACT AND LACK OF SIGNIFICANT NEED.INCOME THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. THIS AREA WAS NOT CHOSEN FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO THE LACK OF FEASIBLE OPPORTUNITIES FOR IMPACT.FAMILY AND SOCIAL SUPPORT THE DATA IN THIS CATEGORY DID NOT INDICATE THIS AREA WAS AS HIGH A NEED AS THE PRIORITY HEALTH NEEDS CHOSEN IN THE PREVIOUS SECTION, ALTHOUGH THIS AREA DID RANK HIGHER THAN OTHERS. THIS AREA WAS NOT CHOSEN FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO THE LACK OF FEASIBLE OPPORTUNITIES FOR IMPACT AND BECAUSE MANY COMMUNITY ORGANIZATIONS ALREADY WORK TO ADDRESS SOCIAL ISOLATION.AIR AND WATER QUALITY THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. THIS AREA WAS NOT CHOSEN FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO THE LACK OF FEASIBLE OPPORTUNITIES FOR IMPACT AND THE LACK OF SIGNIFICANT NEED.HOUSING AND TRANSIT THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. THIS AREA WAS NOT CHOSEN FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO THE LACK OF FEASIBLE OPPORTUNITIES FOR IMPACT AND LACK OF SIGNIFICANT NEED. PART I, LINE 3C: UNIVERSITY MEDICAL CENTER, INC. (UMC)'S FINANCIAL ASSISTANCE POLICY APPLIES TO UNINSURED/UNDERINSURED PATIENTS WHO COME TO OUR FACILITIES FOR TREATMENT. THIS POLICY PROVIDES FINANCIAL RELIEF TO PATIENTS WHO QUALIFY BASED ON A COMPARISON OF THEIR FINANCIAL RESOURCES AND/OR INCOME TO FEDERAL POVERTY GUIDELINES. THE PROGRAM IS DESIGNED SPECIFICALLY FOR NON-ELECTIVE CARE PATIENTS WHOSE HOUSEHOLD FINANCIAL RESOURCES AND/OR INCOME ARE AT OR BELOW 300 PERCENT OF THE FEDERAL POVERTY LEVEL.TO QUALIFY FOR ANY ASSISTANCE, UNINSURED/UNDERINSURED PATIENTS WILL BE ASKED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION WHICH INCLUDES INFORMATION RELATING TO HOUSEHOLD INCOME. PART II, COMMUNITY BUILDING ACTIVITIES: WE HAVE STRIVED TO DELIVER THE HIGHEST QUALITY MEDICAL CARE TO OUR COMMUNITY DURING THE COVID 19 PANDEMIC. THE WORK OF OUR DOCTORS, NURSES, AND FRONTLINE STAFF WAS NOTHING SHORT OF HEROIC. THE COVID TASK FORCE BEGAN MAKING PLANS BEFORE THE FIRST CASE OF COVID WAS DETECTED IN THE STATE, AND WERE READY TO IMPLEMENT THEIR STRATEGICALLY CRAFTED PLANS WHEN THE FIRST PERSON UNDER INVESTIGATION (PUI) CAME TO US FOR CARE.REGIONAL COVID TESTING SITE - WHEN COVID TESTING BECAME ACCESSIBLE, WE QUICKLY ESTABLISHED A SMALL DRIVE-THRU TESTING SITE FOR SYMPTOMATIC PATIENTS. AS COMMUNITY DEMAND QUICKLY GREW, WE WERE SELECTED AS A REGIONAL TESTING SITE WHICH PROVIDED THE REGION WITH EXPANDED ACCESS TO TESTING. IN JUST OVER A YEAR, MORE THAN 30,000 TEST SPECIMENS WERE ADMINISTERED.COVID CARE AT HOME - THE NEED TO IMPROVE HOSPITAL CAPACITY LED MEMBERS OF THE HOSPITAL TO CREATE AN INNOVATIVE HOME CARE PROGRAM ALLOWING APPROPRIATE COVID PATIENTS TO RECOVER FROM THE VIRUS IN THE COMFORT OF THEIR OWN HOMES. THESE PATIENTS WERE PROVIDED THE SAME MEDICAL EQUIPMENT AND MEDICATIONS THEY WOULD HAVE RECEIVED IN THE HOSPITAL, AND WERE CLOSELY MONITORED BY A TEAM OF HEALTHCARE PROFESSIONALS.VACCINE ADMINISTRATION - THE ANXIOUSLY AWAITED COVID VACCINES WERE WITHOUT QUESTION OUR BEST WEAPON IN THE FIGHT AGAINST COVID-19. WE WERE FORTUNATE TO BE NAMED A REGIONAL VACCINATION SITE AND ADMINISTER VACCINES TO MORE THAN 12,000 PATIENTS. PART III, LINE 2: THE ORGANIZATION HAS REPORTED BAD DEBT EXPENSE AT GROSS CHARGES WRITTEN OFF. THE ORGANIZATION'S BAD DEBT EXPENSE REPRESENTS AMOUNTS BILLED TO PATIENTS THAT WERE DEEMED UNCOLLECTIBLE AND DOES NOT INCLUDE ANY CHARGES THAT WERE ULTIMATELY REIMBURSED OR DISCOUNTED. PATIENT DISCOUNTS ARE RECORDED IN CONTRACTUAL ALLOWANCE OR FINANCIAL ASSISTANCE, AS APPROPRIATE, AS AN OFFSET TO GROSS REVENUE AND ARE NOT INCLUDED IN BAD DEBT EXPENSE. PART III, LINE 3: UNIVERSITY MEDICAL CENTER, INC. HAS TAKEN REASONABLE AND PRUDENT STEPS TO ENSURE NO PORTION OF BAD DEBT COULD BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. PART III, LINE 4: SEE AUDITED FINANCIAL STATEMENTS PAGES 10-12 & 15. PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE TAKEN DIRECTLY OFF MEDICARE COST REPORT FILED WITH THE 6/30/21 YEAR END. PART III, LINE 9B: UNIVERSITY MEDICAL CENTER, INC.'S DEBT COLLECTION POLICY PROVIDES THAT UNIVERSITY MEDICAL CENTER, INC. WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH UNIVERSITY MEDICAL CENTER, INC. FINANCIAL ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE UNIVERSITY MEDICAL CENTER, INC. FINANCIAL ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO UNIVERSITY MEDICAL CENTER, INC. FOR APPROPRIATE FOLLOW-UP. UNIVERSITY MEDICAL CENTER, INC. REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. UMC'S CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS:- NEITHER UMC NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT,- NEITHER UMC NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE, AND - UMC'S COLLECTION AGENCY MAY NOT SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. PART VI, LINE 2: UNIVERSITY MEDICAL CENTER (UMC) OPERATES A 24-HOUR EMERGENCY DEPARTMENT 365 DAYS PER YEAR, WHICH IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. UMC PARTICIPATES IN MEDICARE AND MEDICAID, AND AN ACTIVE CHARITY CARE PROGRAM. UMC IS ALSO THE STATE'S FIRST LEVEL 1 TRAUMA CENTER. UNIVERSITY MEDICAL CENTER, A 404-LICENSED-BED FACILITY, IS THE LEADING ACADEMIC MEDICAL CENTER IN THE AREA AND OFFERS THE BENEFITS OF THE LATEST RESEARCH, EQUIPMENT, AND EXPERTISE. IT IS ALSO HOME TO THE REGION'S ONLY LEVEL 1 ADULT TRAUMA CENTER AND THE ADULT BURN UNIT. THE HOSPTIAL IS ALSO THE FIRST NATIONALLY ACCREDITED COMPREHENSIVE STROKE CENTER IN KENTUCKY. ROOTED IN THE NEARLY TWO CENTURIES OF SERVICE TO THE COMMUNITY, UNIVERSITY MEDICAL CENTER HAS A RICH HISTORY OF PROVIDING EXTRAORDINARY PATIENT CARE AND CONDUCTING LEADING-EDGE RESEARCH. TODAY, THE ORGANIZATION'S DIRECT TIE TO THE U OF L HEALTH SCIENCES CENTER ATTRACTS MILLIONS OF RESEARCH DOLLARS TO IMPROVE HEALTH CARE AND EDUCATE PHYSICIANS. THIS HIGH LEVEL OF ACHIEVEMENT OFFERS PATIENTS UNMATCHED ACCESS TO INNOVATIVE AND SPECIALIZED TREATMENT OPTIONS THAT ARE UNAVAILABLE ELSEWHERE IN THE EXCEPTIONALLY HIGH CANCER RATES EXPERIENCED BY THE PEOPLE OF KENTUCKY. ITS MISSION IS TO RELIEVE KENTUCKIANS' DISPROPORTIONATE BURDEN OF PAIN AND SUFFERING CAUSED BY THIS DISEASE, THOUGH STATE-OF-THE-ART CLINICAL, RESEARCH, EDUCATION, AND OUTREACH PROGRAMS. DURING THE PAST 30 YEARS, THE BROWN CANCER CENTER HAS ALSO BECOME HOME TO SOME OF THE BEST CANCER SCIENTESTS AND PHYSICIANS IN THE WORLD. THE JAMES GRAHAM BROWN CANCER CENTER IS A NATIONAL LEADER IN THE PROVISION OF MULTIDISCIPLINARY CANCER CARE, IN WHICH PATIENTS BENEFIT (MEDICALLY AND PRACTICALLY) FROM A TEAM OF PHYSICIANS AND CAREGIVERS FROM EVERY APPLICABLE FIELD WORKING TOGETHER TO PLAN, COORDINATE AND PROVIDE. UMC/3GBCC HAS LONG BEEN ON THE LEADING EDGE OF DEVELOPMENTS AND ACCOLADES IN KEY SERVICE AREAS:- FIRST TRAUMA CENTER IN THE NATION- FIRST CERTIFIED PRIMARY STROKE CENER IN KENTUCKY- FIRST NATIONALLY ACCREDITED COMPREHENSIVE STROKE CENTER IN KENTUCKY- FIRST LEVEL IV EPILEPSY CENTER IN KENTUCKY- FIRST NATIONALLY ACCREDITED BREAST CANCER CENTER IN KENTUCKY- FIRST NATIONALLY ACCREDITED RADIATION ONCOLOGY PROGRAM IN LOUISVILLE- FIRST TO PROVIDE TRUE MULTIDISCIPLINARY CANCER CARE IN KENTUCKY- FIRST AND ONLY BLOOD AND MARROW TRANSPLANTATION PROGRAM IN LOUISVILLE- FIRST AND ONLY STATEWIDE EDUCATIONN LEADER IN KANGAROO CARE UMC IS COMMITTED TO THE PROVISION OF THE HIGHEST QUALITY PATIENT, AND FAMILY, CENTERED CARE REGARDLESS OF ECONOMIC STATUS. THE HOSPITAL AND CANCER CENTER PROVIDED MORE THAN $9.7MILLION OF CHARITY CARE IN FYE 2021. PART VI, LINE 3: UNIVERSITY MEDICAL CENTER, INC. INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, UNIVERSITY MEDICAL CENTER, INC. PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN UNIVERSITY MEDICAL CENTER, INC. OUTPATIENT FACILITIES. IN ADDITION, UNIVERSITY MEDICAL CENTER, INC. REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER UNIVERSITY MEDICAL CENTER, INC.'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. UNIVERSITY MEDICAL CENTER, INC.'S REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON ENGLISH-SPEAKING INDIVIDUALS. UNIVERSITY MEDICAL CENTER, INC.'S STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. PART VI, LINE 4: LOUISVILLE IS A MAJOR CITY, THE LARGEST IN THE STATE OF KENTUCKY AND THE COUNTY SEAT OF JEFFERSON COUNTY. THE 2017 POPULATION ESTIMATE IN JEFFERSON COUNTY WAS 771,158. THE LOUISVILLE METROPOLITAN AREA IS OFTEN REFERRED TO AS KENTUCKIANA BECAUSE IT INCLUDES COUNTIES IN SOUTHERN INDIANA. LOUISVILLE IS SOUTHEASTERLY SITUATED ALONG THE BORDER BETWEEN KENTUCKY AND INDIANA, THE OHIO RIVER, IN NORTH-CENTRAL KENTUCKY AT THE FALLS OF THE OHIO.THE COMMUNITY SERVED BY U OF L HOSPITAL IS DEFINED AS THE GEOGRAPHIC AREA FROM WHICH A SIGNIFICANT NUMBER OF THE PATIENTS UTILIZING HOSPITAL SERVICES RESIDE. INPATIENT DISCHARGE DATA FOR U OF L HOSPITAL FROM JULY 1, 2017-JUNE 30, 2018 (THE LATEST FISCAL YEAR AVAILABLE AS OF THIS WRITING) SHOWS THAT JEFFERSON COUNTY WAS THE COUNTY OF RESIDENCE FOR 59.21% OF INPATIENTS, OR 10,388 OF 17,543 PATIENTS. THE REMAINING 40.79% OF PATIENTS COME FROM SOUTHERN INDIANA AND OTHER COUNTIES IN KENTUCKY, WITH THE MAJORITY RESIDING SOUTH AND WEST OF JEFFERSON COUNTY, KY. HOWEVER, OF THESE AREAS, THERE IS NO CONCENTRATION LIKE IN JEFFERSON COUNTY.BECAUSE ALMOST 60% OF INPATIENTS LIVED IN THE SAME GEOGRAPHIC AREA IN FY18, THE SERVICE AREA FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT IS DEFINED AS JEFFERSON COUNTY. ACCORDING TO THE MOST RECENT CENSUS, 22.3% OF THE POPULATION IS BETWEEN 0-18 YEARS OLD AND 15.7% IS 65 YEARS OR OLDER. THE ETHNICITY BREAKDOWN IS 72.3% WHITE, 22% BLACK, AND 5.3% HISPANIC. PART VI, LINE 5: UMC PROVIDES STAFF AND FINANCIAL SUPPORT TO THE HARAMBEE CLINIC, A NURSE-RUN CLINIC THAT PROVIDES ADDITIONAL ACCESS TO HEALTH CARE SERVICES IN UNDERSERVED AREAS OF JEFFERSON COUNTY. UMC ALSO WORKS TO ENHANCE THE HEALTH OF THE COMMUNITY THROUGH VIOLENCE PREVENTION INTERVENTIONS, HEALTH FAIRS IN UNDERSERVED AREAS, AND COMMUNITY COLLABORATION WITH OTHER NONPROFITS TO ADDRESS THE ISSUES AROUND HOSPITAL SUPER-UTILIZERS, AMONG OTHER INITIATIVES.MOST COMMUNITY OUTREACH IS OPEN TO THE PUBLIC, WHICH SERVES THE BROADER COMMUNITY. ONE INITIATIVE THAT SIMULTANEOUSLY IMPROVES ACCESS TO HEALTHCARE AND PROMOTES HEALTHY LIVING IS WALK WITH A DOC, WHICH IS FREE, OPEN TO THE PUBLIC, AND HELD IN THREE SEPARATE GEOGRAPHIC LOCATIONS IN THE LOUISVILLE MARKET. UMC COMPLETELY ABSORBS THE COST OF THIS PROGRAM, INCLUDING FEES AND ALLOCATING STAFF TIME IN ORDER TO PROVIDE THIS BENEFIT TO THE WHOLE COMMUNITY. AS A TEACHING HOSPITAL, THEY WORK TO ADVANCE MEDICAL KNOWLEDGE FOR MANY DIFFERENT SPECIALIZATIONS OF HEALTH PROFESSIONALS. IN FY 2020, THIS INCLUDED, BUT WAS NOT LIMITED TO, PROVIDING EDUCATION TO MEDICAL STUDENTS, PHYSICIAN RESIDENTS, AND FELLOWS, NURSING STUDENTS, PHARMACY RESIDENTS, MENTAL HEALTH PROFESSIONALS, PHYSICAL AND OCCUPATIONAL THERAPISTS, AND LABORATORY TECHNICIANS. THIS WAS DONE IN COLLABORATION WITH THE UMC, THE UNIVERSITY OF KENTUCKY, SPALDING UNIVERSITY, GALEN COLLEGE OF NURSING, BELLARMINE UNIVERSITY, AND JEFFERSON COMMUNITY AND TECHNICAL COLLEGE, AMONG OTHERS COMMUNITY-BUILDING ACTIVITIES. THE HOSPITAL ALSO WORK TO ENHANCE THE HEALTH OF THE COMMUNITY THROUGH VIOLENCE PREVENTION INTERVENTIONS, HEALTH FAIRS IN UNDERSERVED AREAS, AND COMMUNITY COLLABORATION WITH OTHER NONPROFITS TO ADDRESS THE ISSUES AROUND HOSPITAL SUPER-UTILIZERS, AMONG OTHER INITIATIVES. UMC ALSO DONATE SUPPLIES TO SUPPLIES OVERSEAS COLLABORATING PARTNERS FOR COMMUNITY BUILDING ACTIVITIES WHICH INCLUDE, BUT ARE NOT LIMITED TO JEFFERSON COUNTY PUBLIC SCHOOLS, LOUISVILLE METRO GOVERNMENT, FOOD LITERACY PROJECT, WALK WITH A DOC, UNIVERSITY OF LOUISVILLE, PACT IN ACTION, AND THE CENTER FOR WOMEN AND FAMILIES, AMONG OTHERS. THE FOLLOWING LIST SHOW SERVICES PROVIDED BY UMC:- CANCER CARE-JAMES GRAHAM BROWN CANCER CENTER- EPILEPSY CENTER- HEART CARE- LUNG CARE- PAIN MANAGEMENT CARE- PALLIATIVE CARE- PHARMACY- PSYCHIATRIC SERVICES- RADIOLOGY AND DIAGNOSTIC IMAGING- REGIONAL CLINICAL CARE- ROBOTIC SURGERY- STROKE CENTER- SLEEP CARE- TRAUMA CENTER- WOMEN'S CARE PART VI, LINE 6: UOFL HEALTH, INC. IS THE PARENT ORGANIZATION FOR A NUMBER OF TAX-EXEMPT HOSPITALS AND HEALTH CARE ORGANIZATIONS (THE "UOFL HEALTH SYSTEM"). ITS GENERAL PURPOSE IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF, EACH ENTITY DIRECTLY OR INDIRECTLY CONTROLLED BY IT THAT IS EXEMPT FROM TAX UNDER SECTION 501(A) OF THE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND CLASSIFIED AS OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(L) OR SECTION 509(A)(2) OF THE CODE (INDIVIDUALLY, A "SUPPORTED ORGANIZATION AND, COLLECTIVELY, THE "SUPPORTED ORGANIZATIONS"). UOFL HEALTH, INC. IS SUPERVISED OR CONTROLLED IN CONNECTION WITH ITS SUPPORTED ORGANIZATIONS BECAUSE THE SAME PEOPLE MANAGE UOFL HEALTH, INC. AND THE SUPPORTED ORGANIZATIONS.THE SUPPORTED ORGANIZATIONS INCLUDE UNIVERSITY MEDICAL CENTER, INC., AND UNIVERSITY OF LOUISVILLE PHYSICIANS, INC., BOTH OF WHICH ARE KENTUCKY NONPROFIT CORPORATIONS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS BEING TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE CODE.ANOTHER OF ITS SUPPORTED ORGANIZATIONS IS UOFL HEALTH-LOUISVILLE, INC., WHICH OPERATES FOUR HOSPITALS IN THE LOUISVILLE METROPOLITAN AREA, EACH OFFERING UNIQUE AND VITAL SERVICES TO APPLICANT'S COMMUNITY OF JEFFERSON COUNTY, KENTUCKY. UOFL HEALTH-JEWISH HOSPITAL OPERATES A 462-LICENSED BED HOSPITAL THAT IS KNOWN FOR ITS MANY GROUNDBREAKING SERVICES, WHICH INCLUDE BEING THE SITE OF THE NATION'S FIRST FOUR HAND TRANSPLANTS. UOFL HEALTH-PEACE HOSPITAL IS A 220-LICENSED BED BEHAVIORAL HEALTH CARE HOSPITAL THAT OFFERS A FULL CONTINUUM OF BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES, AS WELL AS SPECIALTY PROGRAMS FOR BOTH CHILDREN AND ADULTS WHO HAVE COMPLEX TREATMENT NEEDS. UOFL HEALTH-MARY & ELIZABETH HOSPITAL IS A 298-BED PRIMARY CARE HOSPITAL THAT OFFERS ADVANCE TREATMENT IN ORTHOPEDICS, CARDIOLOGY, MEDICAL IMAGING, SURGICAL AND EMERGENCY SERVICES, AND IS THE HOME OF THE REGION'S ONLY WEIGHT LOSS MANAGEMENT PROGRAM (BARIATRIC CARE) UTILIZING THE LAP-BAND SYSTEM. UOFL HEALTH-FRAZIER REHABILITATION INSTITUTE OPERATES A 135-BED REHABILITATION HOSPITAL IN DOWNTOWN LOUISVILLE.UOFL HEALTH-SHELBYVILLE, INC., WHICH OWNS AND OPERATES A 70-BED HOSPITAL LOCATED AT 727 HOSPITAL DRIVE IN SHELBYVILLE, KENTUCKY, IS ANOTHER SUPPORTED ORGANIZATION. PART VI, LINE 7, REPORTS FILED WITH STATES KY 0 MARCH OF DIMES 4802 SHERBURN LANE LOUISVILLE KY 40207 131846366 501(C)(3) 5000 OPERATIONAL SUPPORT SUPPLY OVER SEAS 1500 ARLINGTON AVE LOUISVILLE KY 40206 272624272 501(C)(3) 102084 BOOK MEDICAL SUPPLIES OPERATIONAL SUPPORT 2 PATIENT DISCHARGE ASSISTANCE 107737 COST RX, DME, NURSING HOME/ REHAB, TRANSPORTATION PART I, LINE 2: UNIVERSITY MEDICAL CENTER, INC. RECOGNIZES THE RIGHT TO QUALITY HEALTHCARE REGARDLESS OF AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, OR ABILITY TO PAY. BUSINESS OFFICE STAFF HELP PATIENTS SEEK LOCAL, STATE, AND FEDERAL REIMBURSEMENT AT NO CHARGE WHEN NO OTHER SOURCE OF PAYMENT IS AVAILABLE. CHARITY CARE IS PROVIDED TO PATIENTS WITH DEMONSTRATED INABILITY TO PAY FOR MEDICALLY NECESSARY SERVICES. THESE FUNDS ARE DIRECTLY USED TO OFFSET THE PATIENTS' ACCOUNTS RECEIVABLE. X X X X X 0 0 0 0 0 0 0 1 0 JEFFREY BUMPOUS MD CHAIR 0 432277 0 0 0 774 0 23814 0 4062 0 460927 0 0 JASON CHESNEY MD DIRECTOR 0 22233 0 272986 0 230 0 0 0 0 0 295449 0 0 SEAN FRANCIS MD DIRECTOR 0 525409 0 0 0 414 0 34322 0 20065 0 580210 0 0 TONI GANZEL MD DIRECTOR 0 634646 0 0 0 2286 0 24103 0 3010 0 664045 0 0 KRIS KRUEGER MD DIRECTOR 0 545054 0 0 0 1188 0 62073 0 15905 0 624220 0 0 KELLY MCMASTERS MD PHD DIRECTOR 0 997888 0 0 0 774 0 80702 0 20655 0 1100019 0 0 RODRIGO CAVALLAZZI MD DIRECTOR (TERM BEG 6.24.20) 0 111404 0 63960 0 10258 0 0 0 0 0 185622 0 0 THOMAS D MILLER CEO UOFL HEALTH/SEC./TREAS. 920130 0 315875 0 0 0 3701 0 26000 0 1265706 0 0 0 MICHAEL DOUZUK JR CFO, U OF L HEALTH 572972 0 203750 0 0 0 11552 0 26000 0 814274 0 0 0 KEN MARSHALL COO, U OF L HEALTH 576731 0 207067 0 0 0 2411 0 26000 0 812209 0 0 0 PANKAJ SAPRA CIO (TERM END 6/2021) 377769 0 95000 0 0 0 841 0 19500 0 493110 0 0 0 DEBORAH F MULLINS CIO (TERM BEG 6/2021) 218710 0 29185 0 0 0 4024 0 13947 0 265866 0 0 0 SHARI KRETZSCHMER VP PATEINT SERVICES 304100 0 119543 0 0 0 2411 0 26000 0 452054 0 0 0 STEPHEN AMSLER VP PLANT OPERATIONS 249042 0 71056 0 0 0 2451 0 26000 0 348549 0 0 0 SAUNDRA DENHAM SR. VP COMPLIANCE 192909 226468 33929 0 0 370 370 0 15401 27847 242609 254685 0 0 THERESA SCHOLL VP REVENUE CYCLE 229846 0 57933 0 0 0 1413 0 26000 0 315192 0 0 0 ELIZABETH JACKSON MKT DIRECTOR SURGICAL SVC 223977 0 0 0 0 0 743 0 9099 0 233819 0 0 0 KIRK STRACK ASSISTANT CFO 310080 0 76234 0 0 0 841 0 19500 0 406655 0 0 0 MICHAEL GOODE DIRECTOR - IMAGING SERVICES 171461 0 25058 0 0 0 655 0 26000 0 223174 0 0 0 PAUL NAGY VP CONTRACTING 292564 0 68536 0 0 0 2501 0 26000 0 389601 0 0 0 JAMES RAYOME ASSOCIATE COUNSEL ULH 251330 0 78333 0 0 0 0 0 13076 0 342739 0 0 0 ROBERT A VANBUSKIRK VP SUPPLY CHAIN OPS 253256 0 60733 0 0 0 1603 0 19936 0 335528 0 0 0 ROBERT FINK SYSTEM DIR, PHARMACY SERV 234557 0 31500 0 0 0 4239 0 26000 0 296296 0 0 0 TIFFANY NUGENT VICE PRESIDENT HR 220669 246490 27399 0 0 177 177 7000 10351 29452 258596 283119 0 0 SUZANN HENDRICKSON RN CHARGE RADIOLOGY 194768 0 0 0 0 0 247 0 20170 0 215185 0 0 0 ERIC J CHADWICK PHARMACIST CLIN STAFF 169130 0 0 0 0 0 215 0 1964 0 171309 0 0 0 CLARENCE K PRICE PHARMACIST CLIN STAFF 158474 0 0 0 0 0 308 0 0 0 158782 0 0 0 MIKA R KNABLE PHARMACIST CLIN SPEC-RPD 163239 0 0 0 0 0 122 0 9834 0 173195 0 0 0 JOHN C GAVIN DOSIMETRIST 162209 0 0 0 0 0 165 0 13494 0 175868 0 0 0 PART I, LINE 7 THERE IS A SHORT TERM INCENTIVE PLAN THAT ELGIBLE UMC EMPLOYEES MAY RECEIVE BASED ON MEETING CERTAIN BENCHMARKS. THE BENCHMARKS ARE ESTABLISHED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT FIRM. THE PLAN IS BASED ON MEETING FINANCIAL GOALS, DESIRED PATIENT QUALITY OUTCOMES, PATIENT SATISFACTION SCORES AND IS CONSISTENT WITH MARKET PRACTICES AND THE ORGANIZATION'S COMPENSATION PHILOSOPHY. JIM TAYLOR FORMER CEO LIFE INSURANCE X 1333000 1333000 0 1 1 1333000 FORM 990, PART VI, SECTION A, LINE 6 U OF L HEALTH, INC., A KENTUCKY NONPROFIT CORPORATION, SHALL BE THE HOSPITAL'S SOLE MEMBER AS OF NOVEMBER 1, 2019. FORM 990, PART VI, SECTION B, LINE 11B AFTER REVIEW BY THE ORGANIZATION'S FINANCE DEPARTMENT, THE CONTRACTED TAX PROFESSIONAL FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. 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 OR (C) A "CONTROLLED ENTITY" IN WHICH AT LEAST 35% OF THE CONTROL OR BENEFICIAL INTEREST IS HELD BY ANY ONE OR COMBINATION OF INDVIDUALS 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 COMMITTE WITH BOARD DELEGATED POWERS CONSIDERING THE TRANSATION OR ARRANGEMENT WHEN A CONFLICT OF INTEREST IS DECLARED. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE PROPOSED TRANSACTION. THE INTERESTED PERSON SHALL LEAVE THE MEETING AND THE VOTE ON ANY TRANSACTIONS INVOLVING THE CONFLICT OF INTEREST THE MINUTES OF THE BOARD WILL CONTAIN THE NAMES OF THE PERSONS WHO DISCLOSE OR OTHERWISE WERE FOUND TO HAVE INTEREST IN CONNECTION WITH A CONFLICT OF INTEREST, THE NATURE OF THE INTEREST AND ANY ACTION TAKEN TO DETERMINE THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15B BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. UMC USES THE MERCER GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE MERCER GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO UMC'S COMPENSATION PHILOSOPHY AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY MERCER GROUP TO THE COMPENSATION COMMITTEE OF THE UMC BOARD OF DIRECTORS ANNUALLY. FOR ALL EXECUTIVE DIRECTORS, TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES, THE FOLLOWING PROCESS IS USED. 1) HUMAN RESOURCES (HR) HAS 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 COMMTTEE. 5) THE FINANCE COMMITTEE DECIDES AND VOTES ON THE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 104,463,142. MANAGEMENT AND GENERAL EXPENSES 18,434,672. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 122,897,814. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. 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