2019-05-22T13:15:28-05:00 2018-06-30 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2017-07-01 611293786 UNIVERSITY MEDICAL CENTER INC UNIV 5025263621 530 S JACKSON STREET LOUISVILLE KY 40202 KEN MARSHALL INTERIM CEO 5025623621 2019-05-22 1 CARRIE A MERRILL CPA P00832283 5029923500 2019-05-22 165.225.0.63 2019-05-22 11:24:03 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 DFFF94E40E6042B53F95D34511187C45F8C68B42 2017 2019-02-21 02:37:17Z UNIVERSITY OF LOUISVILLE HOSPITAL KEN MARSHALL 530 S JACKSON STREET LOUISVILLE KY 40202 489035962 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. 12 10 2822 3 0 296350 324508 162669 457992010 450676483 22577148 1505969 9221540 13413090 490115206 465758211 1051100 874886 0 0 155356961 192358536 0 0 0 289841166 338081199 446249227 531314621 43865979 -65556410 477345228 453418616 199288417 248207581 278056811 205211035 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 451748660 874886 450676483 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. 451748660 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 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 0 0 0 0 1 209 0 1 2822 1 1 1 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 0 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 GREGORY POSTEL MD CHAIR 1.00 X X 0 0 0 JERRY JOHNSON VICE CHAIR 1.00 X 0 0 0 MARCIA HERN EDD CNS RN DIRECTOR 1.00 X 0 0 0 SEAN FRANCIS MD DIRECTOR 1.00 X 0 0 0 TONI GANZEL MD DIRECTOR 1.00 X 0 0 0 DAN DURBIN DIRECTOR 1.00 X 0 0 0 KRIS KRUEGER MD DIRECTOR 1.00 X 0 0 0 MARY NAN MALLORY MD MBA FAAEM FAC DIRECTOR 1.00 X 0 0 0 KELLY MCMASTERS MD PHD DIRECTOR 1.00 X 0 0 0 RONALD WRIGHT MD DIRECTOR 1.00 X 0 0 0 JASON CHESNEY MD DIRECTOR-TERM BEGAN 1/1/18 1.00 X 0 0 0 NITIN SAHNEY DIRECTOR-TERM BEGAN 1/1/18 1.00 X 0 0 0 NORMA RACINE SECRETARY-NON VOTING 1.00 X 0 0 0 KEN MARSHALL CEO/PRESIDENT 50.00 X X 423634 0 22935 CHRISTOPHER GRAFF CFO 40.00 X 127150 0 28950 FRANCES SMITH NURSE DIRECTOR 40.00 X 154240 0 28143 SAUNDRA DENHAM SR. VP COMPLIANCE & AUDIT 40.00 X 107765 0 21683 JOHN ELLIOTT CHRO 40.00 X 195125 0 58736 BECKY LAMB VP CONTRACTING 40.00 X 183007 0 51751 DIANE PARTRIDGE VP MARKETING 40.00 X 127683 0 38270 1318604 0 250468 8 0 1 0 CONIFER HEALTH SOLUTIONS 1500 S DOUGLASS RD ANAHEIM CA 92806 PATIENT BILLING SERVICE 23994043 WEHR CONSTRUCTORS INC 2517 PLANTSIDE DRIVE LOUISVILLE KY 40299 CONSTRUCTION 8032225 CROTHALL SERVICES GROUP 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 ENVIRONMENTAL SERVICES 6482509 SODEXO PERFORMANCE INTERIORS PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICES 4759947 G4S SECURE SOLUTIONS USA INC 1395 UNIVERSITY BLVD JUPITER FL 33458 SECURITY SERVICES 2598945 238 162669 162669 PATIENT SERVICES 900099 450676483 450676483 450676483 1505969 1505969 297269 0 297269 297269 297269 20871212 23277751 -2406539 -2406539 AFFILIATION AGREEMENT 900099 9576225 9576225 SPECIAL ORDER SALES 900099 340072 340072 PARKING LOT REVENUE 900099 102336 102336 5503727 5503727 15522360 465758211 450676483 0 14919059 X 388689 388689 486197 486197 602669 512269 90400 157999097 134299232 23699865 5978462 5081693 896769 16409807 13948336 2461471 11368501 9663226 1705275 3391422 2882709 508713 1335719 1135361 200358 574185 488057 86128 139113151 118246178 20866973 1490559 1266975 223584 8044111 6837494 1206617 241344 205142 36202 35606486 30265513 5340973 66838 56812 10026 70622 60029 10593 417000 354450 62550 18304201 15558571 2745630 3070133 2609613 460520 MEDICAL SUPPLIES 117104411 99538749 17565662 PROVIDER TAX 7264016 6174414 1089602 DUES & SUBSCRIPTIONS 829937 705446 124491 RECRUITMENT 804795 684076 120719 352269 299429 52840 531314621 451748660 79565961 0 222931333 80716818 79243768 68907143 1333000 1333000 970851 83915 12139549 12957457 417069 2766642 221620264 103809328 103830357 117810936 28449760 138201999 12221358 12116415 0 15808183 18524291 477345228 453418616 33747892 64937539 115927293 140017077 47026469 39840000 2586763 3412965 199288417 248207581 X 278056811 205211035 278056811 205211035 477345228 453418616 X -65556410 -7289366 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 24925 24925 0 PART II-B, LINE 1: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $0; KENTUCKY HOSPITAL ASSOCIATION - $24,925. 19226443 2194274 17032169 76017502 37239887 38777615 112977455 64375167 48602288 13398864 13398864 117810936 INTERCOMPANY PAYABLE 2556600 OTHER LIABILITIES 856365 3412965 481746596 -7289366 -7289366 489035962 -23277751 -23277751 465758211 554592372 23277751 23277751 531314621 0 531314621 PART XI, LINE 2D - OTHER ADJUSTMENTS: RESTRUCTURING LOSSES -619,857. OTHER CHANGE IN NET ASSETS -6,669,509. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVENTORY COST OF GOODS SOLD -23,277,751. PART XII, LINE 2D - OTHER ADJUSTMENTS: INVENTORY COST OF GOODS SOLD 23,277,751. 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 12358682 2440371 9918311 0.01870 113093418 118603008 0 0.00000 125452100 121043379 9918311 0.01870 8 2162 549594 549594 0.00100 3 555 19167457 10755069 8412388 0.01580 15 2717 8367526 8367526 0.01570 26 5434 28084577 10755069 17329508 0.03250 26 5434 153536677 131798448 27247819 0.05120 6250 6250 0.00000 1992 509382 21579 487803 0.00090 1992 515632 21579 494053 0.00090 1 18148090 0 102535281 97844746 4690535 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 15 1 1 0 1 X WWW.UOFLHOSPITAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X 1 15 1 WWW.UOFLHOSPITAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 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 0 0 UNIVERSITY OF LOUISVILLE HOSPITAL PART V, SECTION B, LINE 5: UMC 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.IN ADDITION, SECONDARY DATA WAS COMPILED FROM DEMOGRAPHIC AND SOCIOECONOMIC SOURCES AS WELL AS NATIONAL, STATE AND LOCAL SOURCES OF INFORMATION ON DISEASE PREVALENCE, HEALTH INDICATORS, HEALTH EQUITY AND MORTALITY. UNIVERSITY OF LOUISVILLE HOSPITAL PART V, SECTION B, LINE 6A: UMC 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. UNIVERSITY OF LOUISVILLE HOSPITAL PART V, SECTION B, LINE 11: THE EFFORTS OF UMC WILL BE FOCUSED PRIMARILY ON MEETING THE NEEDS OF OUR CHNA COMMUNITY THROUGH FOCUSING ON ACCESS AND HEALTH CARE DISPARITIES, ACCESS TO PRIMARY CARE, CHRONIC DISEASES, LEADING CAUSES OF DEATH, RISKY LIFESTYLES, PSYCHIATRIC, EMOTIONAL & SUBSTANCE ABUSE DISORDERS AND PREMATURITY & LOW BIRTH WEIGHT.UMC SERVES A VERY LARGE POPULATION SO THE NEEDS WERE PRIORITIZED AND RANKED. UMC CONTINUES TO FOCUS ON MEETING THE COMMUNITY NEEDS BUT SOME WILL TAKE PRIORTY OVER OTHERS AND SOME ARE BEING MEET BY OTHER ORGANIZATIONS. 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 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 9-10. PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE TAKEN DIRECTLY OFF MEDICARE COST REPORT FILED WITH THE 6/30/18 YEAREND. 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. COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE UNIVERSITY MEDICAL CENTER, INC. COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO UNIVERSITY MEDICAL CENTER, INC. FOR APPROPRIATE FOLLOW-UP. UNIVERSITY MEDICAL CENTER, INC. REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. 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 HAS OPEN MEDICAL STAFF, PARTICIPATES IN MEDICARE AND MEDICAID, AND AN ACTIVITY 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 TRAUMA CENTER AMERICAN HEART ASSOCIATION "STROKE HONOR ROLL" 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 $17.8 MILLION OF CHARITY CARE IN FYE 2016, REPRESENTING JUST PART OF $159 MILLION IN COMMUNITY BENEFIT PROGRAMS THAT YEAR. UMC IS THE LARGEST PROVIDER OF CHARITY CARE IN KENTUCKY. 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 UMC IS DEFINED AS THE GEOGRAPHIC AREA FROM WHICH A SIGNIFICANT NUMBER OF THE PATIENTS UTILIZING HOSPITAL SERVICES RESIDE. INPATIENT DISCHARGE DATA FOR UOFL HOSPITAL FROM JULY 1, 2017-JUNE 30, 2018 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% OF THE POPULATION IS BETWEEN 0-18 YEARS OLD AND 15.7% IS 65 YEARS OR OLDER. THE ETHNICITY BREAKDOWN IS 72% WHITE, 22% BLACK, AND 5% 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 2018, 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 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) 351469 BOOK MEDIAL SUPPLIES OPERATIONAL SUPPORT UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC CONTROLLERS OFFICE LOUISVILLE KY 40202 611029626 501(C)(3) 22220 OPERATIONAL SUPPORT AMERICAN CANCER SOCIETY 1640 LYNDON FARM CT LOUISVILLE KY 40223 131788491 501(C)(3) 5000 OPERATIONAL SUPPORT LOUISVILLE METRO GOVT 611 WEST STREET LOUISVILLE KY 40202 320049006 5000 OPERATIONAL SUPPORT 5 0 PATIENT DISCHARGE ASSISTANCE 208 486197 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 0 0 KEN MARSHALL CEO/PRESIDENT 422582 0 0 0 1052 0 10400 0 12535 0 446569 0 0 0 CHRISTOPHER GRAFF CFO 127150 0 0 0 0 0 24810 0 4140 0 156100 0 0 0 FRANCES SMITH NURSE DIRECTOR 154240 0 0 0 0 0 18000 0 10143 0 182383 0 0 0 JOHN ELLIOTT CHRO 195125 0 0 0 0 0 45480 0 13256 0 253861 0 0 0 BECKY LAMB VP CONTRACTING 183007 0 0 0 0 0 50026 0 1725 0 234758 0 0 0 DIANE PARTRIDGE VP MARKETING 127683 0 0 0 0 0 35277 0 2993 0 165953 0 0 0 JIM TAYLOR FORMER CEO LIFE INSURANCE X 1333000 1333000 0 1 1 1333000 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 TBOTH 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 118,246,178. MANAGEMENT AND GENERAL EXPENSES 20,866,973. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 139,113,151. FORM 990, PART XI, LINE 9: RESTRUCTURING LOSSES -619,857. OTHER CHANGE IN NET ASSETS -6,669,509. 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. LATE FILED RETURN DUE TO CCH SOFTWARE OUTAGE