UNIVERSITY MEDICAL CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: UNIVERSITY MEDICAL CENTER INC (EIN 61-1293786)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-15
IRS object ID: 201511359349303091
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-15T10:20:45-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	470617373	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CATHOLIC HEALTH INITIATIVES	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	198 INVERNESS DRIVE WEST	AddressLine1
City	ENGLEWOOD	City
State	CO	State
ZIP Code	80112	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	611293786	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	UNIV	BusinessNameControlTxt
Phone	5025623621	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 E LIBERTY ST	AddressLine1
City	Louisville	City
State	KY	State
ZIP Code	40202	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT STELTENPOHL	PersonNm
Person Title	VP-FINANCE	PersonTitleTxt
Signature	2014-10-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Pamela Krohn	PreparerPersonNm
PTIN	P01210500	PTIN
Phone	3032989100	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY OF LOUISVILLE HOSPITAL	BusinessNameLine1

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

Field	Value	IRS element (for citing)
Business Name Line1	JAMES TAYLOR	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 E LIBERTY ST	AddressLine1
City	Louisville	City
State	KY	State
ZIP Code	40202	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$525,572,508	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.KENTUCKYONEHEALTH.ORG/UNIVERSITYOFLOUISVILLEHOSPITAL	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	291	TotalEmployeeCnt
Total Volunteers	500	TotalVolunteersCnt
Total Gross UBI	$8,274	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,192	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$127,952	PYContributionsGrantsAmt
CY Contributions Grants	$53,823	CYContributionsGrantsAmt
PY Program Service Revenue	$254,009,898	PYProgramServiceRevenueAmt
CY Program Service Revenue	$498,237,250	CYProgramServiceRevenueAmt
PY Investment Income	$252,710	PYInvestmentIncomeAmt
CY Investment Income	$548,623	CYInvestmentIncomeAmt
PY Other Revenue	$15,299,618	PYOtherRevenueAmt
CY Other Revenue	$26,722,812	CYOtherRevenueAmt
PY Total Revenue	$269,690,178	PYTotalRevenueAmt
CY Total Revenue	$525,562,508	CYTotalRevenueAmt
PY Grants And Similar Paid	$214,094	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$182,194	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$106,930,107	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$160,012,826	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$172,253,150	PYOtherExpensesAmt
CY Other Expenses	$335,889,486	CYOtherExpensesAmt
PY Total Expenses	$279,397,351	PYTotalExpensesAmt
CY Total Expenses	$496,084,506	CYTotalExpensesAmt
PY Revenues Less Expenses	-$9,707,173	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$29,478,002	CYRevenuesLessExpensesAmt
Total Assets BOY	$394,584,247	TotalAssetsBOYAmt
Total Assets EOY	$424,670,418	TotalAssetsEOYAmt
Total Liabilities BOY	$397,975,908	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$172,454,416	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$3,391,661	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$252,216,002	NetAssetsOrFundBalancesEOYAmt
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$420,677,780	ExpenseAmt
Grant	$182,194	GrantAmt
Revenue	$498,228,976	RevenueAmt
Desc	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. SEE SCHEDULE H FOR ADDITIONAL INFORMATION.	Desc
Total Program Service Expenses	$420,677,780	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	19	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	291	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROBERT STELTENPOHL	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	5025874961	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 Abraham Flexner Way	AddressLine1
City	Louisville	City
State	KY	State
ZIP Code	40202	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd
JOAN COLEMAN
CHAIR	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
CHARLIE JOHNSON
DIRECTOR	1.00	0	Yes (X)		$0	$0	$0
DEBRA M MURPHY
DIRECTOR	1.00	0	Yes (X)		$0	$0	$0
GERARD J ANDERSON
DIRECTOR	1.00	0	Yes (X)		$0	$0	$0
KELLY M MCMASTERS MD PHD
DIRECTOR	1.00	0	Yes (X)		$0	$0	$0
LAURENCE BENZ DPT MBA OCS
DIRECTOR	1.00	0	Yes (X)		$0	$0	$0
LINDY STREET
DIRECTOR	1.00	0	Yes (X)		$0	$0	$0
MARCIA HERN EDD CNS RN
DIRECTOR	1.00	0	Yes (X)		$0	$0	$0
MARTHA NEAL COOKE
DIRECTOR	1.00	0	Yes (X)		$0	$0	$0
PHILLIP BOND
DIRECTOR	1.00	0	Yes (X)		$0	$0	$0
SANDY METTS SNOWDEN
DIRECOTR	1.00	0	Yes (X)		$0	$0	$0
SHARMILA MAKHIJA MD
Director	1.00	0	Yes (X)		$0	$0	$0
TONI GANZEL MD
DIRECTOR	1.00	0	Yes (X)		$0	$0	$0
JAMES H TAYLOR MD PHD
PRESIDENT & CEO	50.00	0		Yes (X)	$581,405	$0	$310,148
KENNETH P MARSHALL
PRESIDENT	50.00	0		Yes (X)	$506,450	$0	$63,767
MARY ADAMS
SVP-CNO	40.00	0		Yes (X)	$318,445	$0	$57,880
NORMA RACINE
SECRETARY	40.00	0		Yes (X)	$111,231	$0	$15,664
ROBERT BARBIER
SVP-CFO	40.00	0		Yes (X)	$434,316	$0	$37,698
DONALD KUPPER
VP-SUPPLY CHAIN OPS	0.00	0			$263,361	$0	$37,690	Yes (X)
GARY BENSING
VP-HR	40.00	0			$353,610	$0	$49,710	Yes (X)
LINDA LLOYD
VP Clinical Ops Improvement	40.00	0			$238,292	$0	$33,921	Yes (X)
STEPHEN AMSLER
VP-PLANT OPS FACILITY SVCS	40.00	0			$205,666	$0	$28,388	Yes (X)
STEPHEN MCGUIRE
VP-COMPLIANCE	40.00	0			$244,564	$0	$33,945	Yes (X)
TROY MAY
CHIEF INFORMATION OFFICIER	40.00	0			$320,532	$0	$48,270	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,577,872	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$717,081	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	152	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
CONIFER HEALTH SOLUTIONS
1500 S DOUGLAS ROAD	ANAHEIM	CA	92806	ADMIN SERVICES	$9,708,904
CROTHALL HEALTHCARE INC
13028 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	ENVIRONMENTAL SERVICES	$5,504,007
MORRISON MANAGEMENT SPECIAL
5801 PEACHTREE DUNWOODY ROAD	ATLANTA	GA	30342	FOOD SERVICES	$5,015,154
CHAMBERLIN EDMONDS INC
3535 PIEDMONT ROAD SUITE 800	ATLANTA	GA	30305	COLLECTIONS	$2,103,819
MILLS DETECTIVE AGENCY
3832 TAYLORSVILLE ROAD	LOUISVILLE	KY	40220	SECURITY SERVICES	$2,059,726

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	19	CntrctRcvdGreaterThan100KCnt
Government Grants	$6,952	GovernmentGrantsAmt
All Other Contributions	$46,871	AllOtherContributionsAmt
Total Contributions	$53,823	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	900099	$491,822,030	$491,813,756	$8,274
MEANINGFUL USE REVENUE	900099	$4,937,216	$4,937,216
INTERCOMPANY TRANSACTIONS	900099	$1,478,004	$1,478,004
		$0
		$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$498,237,250	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$106,521	TotalRevenueColumnAmt
Exclusion	$106,521	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$153,960	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$153,960	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$153,960	TotalRevenueColumnAmt
Exclusion	$153,960	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$436,327	SecuritiesAmt
Other	$15,775	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$10,000	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$436,327	SecuritiesAmt
Other	$5,775	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$442,102	TotalRevenueColumnAmt
Exclusion	$442,102	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PHARMACY SERVICES	446110	$19,746,476	$19,746,476
CAFETERIA	722100	$1,041,974	$1,041,974
REIMBURSEMENT OF EXPENSES	900099	$2,436,548	$2,436,548

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,343,854	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,343,854	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$26,568,852	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$525,562,508	TotalRevenueColumnAmt
Related Or Exempt Func Income	$498,228,976	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,274	UnrelatedBusinessRevenueAmt
Exclusion	$27,271,435	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$182,194	TotalAmt
Program Services	$182,194	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$3,578,272	TotalAmt
Management And General	$3,578,272	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$123,590,746	TotalAmt
Program Services	$110,790,346	ProgramServicesAmt
Management And General	$12,800,400	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,048,108	TotalAmt
Program Services	$3,526,734	ProgramServicesAmt
Management And General	$521,374	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,250,039	TotalAmt
Program Services	$16,770,740	ProgramServicesAmt
Management And General	$2,479,299	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,545,661	TotalAmt
Program Services	$8,316,233	ProgramServicesAmt
Management And General	$1,229,428	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,008,933	TotalAmt
Management And General	$1,008,933	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$5,645	TotalAmt
Management And General	$5,645	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$93,842,541	TotalAmt
Program Services	$47,797,548	ProgramServicesAmt
Management And General	$46,044,993	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$763,265	TotalAmt
Program Services	$3,228	ProgramServicesAmt
Management And General	$760,037	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,376,216	TotalAmt
Program Services	$9,425,504	ProgramServicesAmt
Management And General	$950,712	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,608,129	TotalAmt
Program Services	$3,188,969	ProgramServicesAmt
Management And General	$1,419,160	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,044,527	TotalAmt
Program Services	$8,735,708	ProgramServicesAmt
Management And General	$308,819	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$182,761	TotalAmt
Program Services	$114,862	ProgramServicesAmt
Management And General	$67,899	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$15,296	TotalAmt
Program Services	$13,007	ProgramServicesAmt
Management And General	$2,289	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,775,953	TotalAmt
Program Services	$7,775,953	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,100,251	TotalAmt
Program Services	$22,863,146	ProgramServicesAmt
Management And General	$237,105	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,992,361	TotalAmt
Management And General	$3,992,361	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$107,195,416	$107,195,416
BAD DEBTS	$24,602,440	$24,602,440
INTERCOMPANY ALLOCATIONS	$13,247,900	$13,247,900
PROVIDER TAXES	$7,262,239	$7,262,239

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$28,865,613	TotalAmt
Program Services	$28,865,613	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$496,084,506	TotalAmt
Program Services	$420,677,780	ProgramServicesAmt
Management And General	$75,406,726	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$54,122	BOYAmt
EOY	$104,022	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$50,704,497	BOYAmt
EOY	$78,846,162	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$74,621,614	BOYAmt
EOY	$67,036,982	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,333,000	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$1,115,614	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,057,134	BOYAmt
EOY	$9,664,932	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,907,789	BOYAmt
EOY	$3,350,453	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$196,966,509	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$30,699,122	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$173,337,700	BOYAmt
EOY	$166,267,387	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$32,257,145	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$18,379,189	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$53,178,126	BOYAmt
EOY	$53,178,005	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,344,076	BOYAmt
EOY	$11,516,716	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$394,584,247	BOYAmt
EOY	$424,670,418	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$66,868,933	BOYAmt
EOY	$32,633,229	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$8,203,830	BOYAmt
EOY	$5,769,115	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,668,313	BOYAmt
EOY	$2,116,084	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$67,507,756	BOYAmt
EOY	$66,290,809	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$250,727,076	BOYAmt
EOY	$65,645,179	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$397,975,908	BOYAmt
EOY	$172,454,416	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$3,391,661	BOYAmt
EOY	$252,216,002	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$3,391,661	BOYAmt
EOY	$252,216,002	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$394,584,247	BOYAmt
EOY	$424,670,418	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$29,478,002	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$226,129,661	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$66,147,000	OtherCostOrOtherBasisAmt
Depreciation	$4,409,800	DepreciationAmt
Book Value	$61,737,200	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$62,159,269	OtherCostOrOtherBasisAmt
Depreciation	$9,082,590	DepreciationAmt
Book Value	$53,076,679	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$55,669,490	OtherCostOrOtherBasisAmt
Depreciation	$17,012,191	DepreciationAmt
Book Value	$38,657,299	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,990,750	OtherCostOrOtherBasisAmt
Depreciation	$194,541	DepreciationAmt
Book Value	$12,796,209	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$166,267,387	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES	$58,321,928
SELF-INSURANCE RESERVES AND CLAIMS	$5,907,547
UNCLAIMED PROPERTY	$60,413
ENVIRONMENTAL REMEDIATION LIABILITY	$280,754
MISCELLANEOUS	$1,074,537

Field	Value	IRS element (for citing)
Total Liability	$65,645,179	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	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, 2014 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, 2014 AND 2013." UNIVERSITY MEDICAL CENTER INC.'S FINANCIAL INFORMATION IS ALSO INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2014, READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS."	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	false	FPGReferenceFreeCareInd
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,096,891	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,143,988	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,952,903	NetCommunityBenefitExpnsAmt
Total Expense	0.01260	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102,370,919	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,494,638	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,876,281	NetCommunityBenefitExpnsAmt
Total Expense	0.05490	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$146,467,810	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,638,626	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,829,184	NetCommunityBenefitExpnsAmt
Total Expense	0.06750	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	547	PersonsServedCnt
Total Community Benefit Expns	$7,962	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,962	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	1720	PersonsServedCnt
Total Community Benefit Expns	$88,843,394	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,746,738	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,096,656	NetCommunityBenefitExpnsAmt
Total Expense	0.10630	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	12	PersonsServedCnt
Total Community Benefit Expns	$2,031,134	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,031,134	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$51,616	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$51,616	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	2279	PersonsServedCnt
Total Community Benefit Expns	$90,934,106	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,746,738	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,187,368	NetCommunityBenefitExpnsAmt
Total Expense	0.11070	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	2279	PersonsServedCnt
Total Community Benefit Expns	$237,401,916	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$153,385,364	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$84,016,552	NetCommunityBenefitExpnsAmt
Total Expense	0.17820	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$349	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$349	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$109	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$109	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$458	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$458	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$24,602,440	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$47,583,542	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$58,872,603	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,289,061	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY OF LOUISVILLE HOSPITAL	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	530 S Jackson Street	AddressLine1
City	LOUISVILLE	City
State	KY	State
ZIP Code	40202	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.KENTUCKYONEHEALTH.ORG/UNIVERSITYOFLOUISVILLEHOSPITAL	WebsiteAddressTxt
State License	100220	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY OF LOUISVILLE HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://www.kentuckyonehealth.org/community-health-needs-assessment	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	false	FPGUsedDeterEligFreeCareInd
FPG Used Determ Elig Dscnt Care	false	FPGUsedDetermEligDscntCareInd
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment	(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.;
Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment	(1) - UNIVERSITY OF LOUISVILLE HOSPITAL: UNIVERSITY MEDICAL CENTER CONDUCTED ITS CHNA WITH BAPTIST HOSPITAL EAST, NORTON HEALTHCARE AND JEWISH HOSPITAL.;
Schedule H, Part V Sec B, Line 5a, Hospital Facility's Website (list URL)	(1) - UNIVERSITY OF LOUISVILLE HOSPITAL: HTTP://WWW.KENTUCKYONEHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT;
Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment	(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.;
Schedule H, Part V Sec B, Line 10, Used federal poverty guidelines (FPG) to determine eligibility	(1) - : HUD LOW INCOME GUIDELINES USED.;
Schedule H, Part V Sec B, Line 11, Eligibility for Discounted Care	(1) - : HUD LOW INCOME GUIDELINES USED;

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c, Eligibility criteria for free or discounted care	WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION UNIVERSITY MEDICAL CENTER, INC.) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 17 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. UNIVERSITY MEDICAL CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
Schedule H, Part I, Line 6a, Community benefit report prepared by related organization	KENTUCKYONE HEALTH, INC.
Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance	AMOUNTS REPORTED ON SCHEDULE H, PART I, LINE 7 ARE DETERMINED BY MULTIPLYING REVENUE BY THE COST TO CHARGE RATIO CALULATED FROM WORKSHEET 2.
Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation	24,602,440
Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount	COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST TO CHARGE RATIO. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.
Schedule H, Part III, Line 3, Bad Debt Expense Methodology	UNIVERSITY MEDICAL CENTER, INC. 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.
Schedule H, Part III, Line 4, Bad debt expense - financial statement footnote	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. 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 PAYORS, 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." THE ORGANIZATION IS ALSO INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS SUBSTANTIALLY ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY."
Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs	ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $47,583,542 TOTAL MEDICARE COSTS: $58,872,603 SURPLUS OR (SHORTFALL) ($11,289,061) UNIVERSITY MEDICAL CETNER, INC. BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS.
Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance	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.'S 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.'S 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. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
SCHEDULE H, PART VI, LINES 2, 4 AND 5	ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE KENTUCKYONE HEALTH, THE LARGEST AND MOST COMPREHENSIVE HEALTH SYSTEM IN THE COMMONWEALTH, HAS MORE THAN 200 LOCATIONS INCLUDING HOSPITALS, PHYSICIAN GROUPS, CLINICS, PRIMARY CARE CENTERS, SPECIALTY INSTITUTES AND HOME HEALTH AGENCIES IN KENTUCKY AND SOUTHERN INDIANA. KENTUCKYONE HEALTH IS DEDICATED TO BRINGING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED. THE SYSTEM IS MADE UP OF THE FORMER JEWISH HOSPITAL & ST. MARY'S HEALTHCARE AND SAINT JOSEPH HEALTH SYSTEM, ALONG WITH THE UNIVERSITY OF LOUISVILLE HOSPITAL AND JAMES GRAHAM BROWN CANCER CENTER. KENTUCKYONE HEALTH IS PROUD OF AND STRENGTHENED BY ITS CATHOLIC, JEWISH AND ACADEMIC HERITAGES. KENTUCKYONE HEALTH WAS FORMED WHEN TWO MAJOR KENTUCKY HEALTH CARE ORGANIZATIONS CAME TOGETHER IN EARLY 2012. KENTUCKYONE HEALTH COMBINES THE JEWISH AND CATHOLIC HERITAGES OF THE TWO FORMER SYSTEMS- JEWISH HOSPITAL & ST. MARY'S HEALTHCARE AND SAINT JOSEPH HEALTH SYSTEM. IN LATE 2012, THE ORGANIZATION FORMED A PARTNERSHIP WITH THE UNIVERSITY OF LOUISVILLE HOSPITAL \| JAMES GRAHAM BROWN CANCER CENTER. THE NONPROFIT SYSTEM IS COMMITTED TO IMPROVING THE HEALTH OF KENTUCKIANS BY INTEGRATING MEDICAL RESEARCH, EDUCATION, TECHNOLOGY AND HEALTH CARE SERVICES WHEREVER PATIENTS RECEIVE CARE. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, WITH THIS MISSION: TO BRING WELLNESS, HEALING, AND HOPE TO ALL. OUR VISION IS TO: * SERVE WITH A SPIRIT OF INNOVATION AND COLLABORATION * TRANSFORM HEALTH CARE DELIVERY * PARTNER TO CREATE HEALTHY COMMUNITIES * ADVOCATE FOR A JUST HEALTH SYSTEM JEWISH HOSPITAL, JEWISH HOSPITAL SHELBYVILLE, UNIVERSITY OF LOUISVILLE HOSPITAL, AND STS. MARY AND ELIZABETH HOSPITAL ALL OPERATE 24-HOUR EMERGENCY ROOMS 365 DAYS PER YEAR. ALL THREE EMERGENCY ROOMS ARE OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. ALL FACILITIES HAVE AN OPEN MEDICAL STAFF, PARTICIPATE IN MEDICARE AND MEDICAID, AND HAVE AN ACTIVE CHARITY CARE PROGRAM. UNIVERSITY OF LOUISVILLE HOSPITAL IS ALSO THE STATE'S FIRST LEVEL 1 TRAUMA CENTER. THE OTHER TWO FACILITIES CONSIDERED PART OF THE LOUISVILLE MARKET INCLUDE OUR LADY OF PEACE AND FRAZIER REHABILITATION INSTITUTE. COMMUNITY BENEFIT APPROACH GEOGRAPHIC AREA LOUISVILLE IS A MAJOR CITY-THE LARGEST IN THE STATE OF KENTUCKY AND THE COUNTY SEAT OF JEFFERSON COUNTY. AS OF 2010, THE LOUISVILLE METROPOLITAN AREA (MSA) HAD A POPULATION OF 1,307,647 RANKING IT 42ND IN SIZE NATIONALLY. THE METRO AREA INCLUDES LOUISVILLE-JEFFERSON COUNTY AND 12 SURROUNDING COUNTIES, EIGHT IN KENTUCKY AND FOUR 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 LOUISVILLE METROPOLITAN AREA IS OFTEN REFERRED TO AS KENTUCKIANA BECAUSE IT INCLUDES COUNTIES IN SOUTHERN INDIANA.
SCHEDULE H, PART VI, LINES 2, 4 & 5	A COMMUNITY IS DEFINED AS THE GEOGRAPHIC AREA FROM WHICH A SIGNIFICANT NUMBER OF THE PATIENTS UTILIZING HOSPITAL SERVICES RESIDE. WHILE THE COMMUNITY HEALTH NEEDS ASSESSMENT CONSIDERS OTHER TYPES OF HEALTHCARE PROVIDERS, HOSPITALS ARE THE SINGLE LARGEST PROVIDER OF ACUTE CARE SERVICES. FOR THIS REASON, THE UTILIZATION OF HOSPITAL SERVICES PROVIDES THE CLEAREST DEFINITION OF THE COMMUNITY. JEWISH HOSPITAL DEFINES ITS SERVICE AREA FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT BASED ON WHERE THE MAJORITY OF ITS INPATIENTS RESIDE. BASED ON THE PATIENT ORIGIN OF INPATIENT DISCHARGES FROM JULY 1, 2011 TO JUNE 30, 2012, MANAGEMENT HAS IDENTIFIED THE COMMUNITY AS JEFFERSON, BULLITT, NELSON AND SHELBY COUNTIES. BECAUSE ALMOST 60 PERCENT OF JEWISH HOSPITAL'S INPATIENT DISCHARGES ORIGINATE IN JEFFERSON COUNTY, IT COLLABORATED WITH THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH & WELLNESS IN CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT. BULLITT, NELSON, AND SHELBY COUNTIES ARE SERVED BY JEWISH HOSPITAL MEDICAL CENTER SOUTH, JEWISH HOSPITAL SHELBYVILLE AND FLAGET MEMORIAL HOSPITAL, RESPECTIVELY. JEWISH HOSPITAL SHELBYVILLE CONDUCTED THEIR OWN COMMUNITY HEALTH NEEDS ASSESSMENTS IN CONJUNCTION WITH THE NORTH CENTRAL DISTRICT HEALTH DEPARTMENT AND WITH INPUT FROM AREA RESIDENTS. SHELBY COUNTY IS LOCATED ON INTERSTATE 64 BETWEEN LOUISVILLE AND LEXINGTON. SHELBYVILLE IS THE LARGEST CITY AND COUNTY SEAT OF SHELBY COUNTY WITH POPULATION OF JUST OVER 42,000. BECAUSE THE COMMUNITY IS 30 MINUTES FROM DOWNTOWN LOUISVILLE, THE COUNTY IS CONSIDERED PART OF METRO LOUISVILLE MSA. BESIDES JEFFERSON COUNTY, SHELBY COUNTY IS SURROUNDED BY HENRY, FRANKLIN, ANDERSON, SPENCER AND OLDHAM COUNTIES. JEWISH HOSPITAL SHELBYVILLE DEFINES ITS SERVICE AREA FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT BASED ON WHERE THE MAJORITY OF ITS INPATIENTS RESIDE. BASED ON THE PATIENT ORIGIN OF INPATIENT DISCHARGES FROM JANUARY TO DECEMBER 30, 2011, MANAGEMENT HAS IDENTIFIED ALMOST 80 PERCENT OF JEWISH HOSPITAL SHELBYVILLE'S DISCHARGES ORIGINATE IN SHELBY COUNTY. THE NORTH CENTRAL DISTRICT HEALTH DEPARTMENT, COLLABORATING PARTNER FOR JEWISH HOSPITAL SHELBYVILLE'S COMMUNITY HEALTH NEEDS ASSESSMENT, ALSO SERVES POPULATIONS IN HENRY AND SPENCER COUNTIES AND PLANS ARE IN PLACE TO EXPAND THE SURVEY AND NEEDS ASSESSMENT TO THOSE COUNTIES AS SOON AS THE SHELBY COUNTY PLAN IS COMPLETE. JEWISH HOSPITAL SHELBYVILLE RECEIVES APPROXIMATELY 10% OF ADMISSIONS FROM BOTH SPENCER AND HENRY COUNTIES. THEY ARE CONSIDERED TO BE A PART OF THE HOSPITAL'S PRIMARY SERVICE AREA. DEMOGRAPHICS OF CONSTITUENTS IN COMMUNITY SERVED ACCORDING TO THE 2010 CENSUS, 26% OF THE COMMUNITY IS BETWEEN THE AGES OF 35 AND 54 AND 20% OF THE POPULATION IS BETWEEN 0-14 YEARS OLD. THE ETHNICITY BREAKDOWN IS 68% WHITE, 23% BLACK, AND 5% HISPANIC. IN TOTAL, THE POPULATION BREAKDOWN FOR THE COMMUNITY SHOWS A HIGHER PERCENTAGE OF BLACK RESIDENTS COMPARED TO THE STATE OF KENTUCKY AND THE UNITED STATES. A REVIEW OF SPECIFIC ZIP CODE AREAS SHOWS A RELATIVELY LARGE PERCENTAGE OF BLACK RESIDENTS IN SEVERAL ZIP CODES REPRESENTING THE HIGHEST DISCHARGES FROM JEWISH HOSPITAL. MEDIAN HOUSEHOLD INCOMES RANGE FROM $25,000-$50,000. THE AVERAGE ANNUAL RESIDENT UNEMPLOYMENT RATES FOR COUNTIES IN JEWISH HOSPITAL'S DEFINED COMMUNITY HAVE RISEN IN RECENT YEARS. THESE COUNTIES HAVE RATES ARE SIMILAR TO KENTUCKY'S STATE AVERAGE, WHICH IS SLIGHTLY LESS FAVORABLE THAN NATIONAL AVERAGES. IN JEFFERSON COUNTY, RESIDENTS OBTAIN A BACHELOR'S DEGREE OR HIGHER AT RATES GREATER THAN STATE AND NATIONAL AVERAGES; IN BULLITT COUNTY THE RATE IS JUST 11.1PERCENT, ABOUT HALF THE STATE AVERAGE.
SCHEDULE H, PART VI, LINES 2, 4 AND 5	THE OVERALL POPULATION IS PROJECTED TO INCREASE SLIGHTLY OVER A FIVE-YEAR PERIOD FROM577, 204 IN 2013 TO 595,540, A 3.2 PERCENT INCREASE. HOWEVER, THE PEOPLE WHO UTILIZE HEALTH CARE SERVICES THE MOST, THOSE AGES 65 YEARS AND OVER, ARE PROJECTED TO INCREASE 16.7 PERCENT, FROM 77,983 TO 91,003. THE PROJECTED CHANGE TO THE COMPOSITION OF THE TOTAL COMMUNITY OF MALES AND FEMALES IS PROJECTED TO REMAIN APPROXIMATELY THE SAME OVER THE FIVE-YEAR PERIOD. FOR THE COMMUNITY SERVED BY JEWISH HOSPITAL SHELBYVILLE, HOUSEHOLD INCOMES RANGE FROM $42,506 TO $61,921. HENRY COUNTY HAS THE HIGHEST LEVEL OF POPULATION IN POVERTY AT 18.5%, WHICH IS JUST BELOW THE STATE PERCENTAGE OF 18.98. THE AVERAGE ANNUAL RESIDENT UNEMPLOYMENT COMMUNITY BENEFIT PROCESS DURING 2012, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED TO SUPPORT THE MISSION OF ENHANCING THE HEALTH OF PEOPLE IN THE COMMUNITIES SERVED, TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND FEDERAL TAX-EXEMPTION REQUIREMENTS, AND TO IDENTIFY HEALTH NEEDS OF THE COMMUNITY TO HELP PRIORITIZE THE ALLOCATION OF HOSPITAL RESOURCES TO MEET THOSE NEEDS. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND IRS, THE FOLLOWING STEPS WERE COMPLETED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: 1. THE "COMMUNITY" SERVED WAS DEFINED UTILIZING INPATIENT DATA ON PATIENT ORIGIN. 2. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED USING VARIOUS SOURCES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. 3. AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED. 4. THROUGH A COLLABORATIVE PROCESS CONDUCTED BY THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH & WELLNESS(LMDPHW), THE KENTUCKY HOSPITAL ASSOCIATION AND LOUISVILLE AREA HOSPITALS, COMMUNITY INPUT WAS OBTAINED THROUGH A SERIES OF FOUR PUBLIC FORUMS HELD ACROSS THE COUNTY, AND AN ADDITIONAL FORUM FOR COMMUNITY LEADERS AND MEDICAL PROFESSIONALS, AND THROUGH AN ONLINE SURVEY. INFORMATION GATHERED IN THE STEPS ABOVE WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, MINORITY GROUPS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE SIZE OF THE PROBLEM; 2) THE SERIOUSNESS OF THE PROBLEM; 3) THE IMPACT OF THE PROBLEM ON VULNERABLE POPULATIONS; 4) HOW IMPORTANT THE PROBLEM IS TO THE COMMUNITY; 5) PREVALENCE OF COMMON THEMES; 6) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 7) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. INFORMATION GAPS WERE IDENTIFIED DURING THE PRIORITIZATION PROCESS AND REPORTED.
SCHEDULE H, PART VI, LINES 2, 4 AND 5	JEWISH HOSPITAL SHELBYVILLE HAS IDENTIFIED COMMUNITY HEALTH NEEDS BY UNDERGOING AN ASSESSMENT PROCESS IN COLLABORATION WITH OTHER COMMUNITY HEALTH PARTNERS. MORE THAN 1,800 RESIDENTS PROVIDED INPUT THROUGH A SURVEY (PAPER AND ONLINE, ENGLISH AND SPANISH). ANOTHER 25 COMMUNITY LEADERS AND HEALTH PROFESSIONALS SHARED THEIR EXPERTISE AT A SPECIAL COMMUNITY FORUM. 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. FROM A COMPILATION OF INFORMATION, JEWISH HOSPITAL SHELBYVILLE LEADERS ENTERED INTO A DIALOGUE WITH OTHER KEY COMMUNITY PARTNERS TO DISCUSS THE RESULTS OF THE EVALUATION/HEALTH PRIORITIES AND CONSENSUS WAS REACHED. THE PROCESS IDENTIFIED THE ISSUES WITH SCORES OF 14 OR MORE (ON A SCALE OF 28). WITH AN UNDERSTANDING THAT COLLABORATIVE EFFORTS HAVE THE GREATEST OPPORTUNITY FOR MEASURABLE, COLLECTIVE IMPACT, JEWISH HOSPITAL SHELBYVILLE HAS WORKED IN PARTNERSHIP WITH THE LOCAL NORTH CENTRAL DISTRICT HEALTH DEPARTMENT THROUGH THE IMPLEMENTATION OF THE COMMUNITY'S MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) ASSESSMENT AND PLAN. IN ADDITION, THE HOSPITAL IS PARTNERING WITH THE KENTUCKIANA REGIONAL PLANNING & DEVELOPMENT AGENCY (KIPDA) AND THE UNIVERSITY OF LOUISVILLE KENT SCHOOL OF SOCIAL WORK THROUGH THEIR CDC FUNDED RURAL DIABETES COALITION GRANT. SUMMARY OF ASSESSMENT FINDINGS AFTER THE CHNA WAS COMPLETED, THE AFOREMENTIONED FACILITIES ENTERED INTO A DIALOGUE WITH OTHER KEY COMMUNITY PARTNERS, INCLUDING THE LMDPHW, TO DISCUSS THE RESULTS OF THE EVALUATION AND SELECT HEALTH PRIORITIES. PARTICIPANTS WERE GIVEN THE OPPORTUNITY TO REVISE RANKINGS AND DEBATE ISSUES UNTIL A CONSENSUS WAS REACHED ON A COMPOSITE RANKING OF HEALTH ISSUES. THE PROCESS IDENTIFIED THE FOLLOWING ISSUES WITH SCORES OF 14 OR MORE (ON A SCALE OF 28): * STROKE/CEREBROVASCULAR DISEASE * CHRONIC DISEASES IN VULNERABLE NEIGHBORHOODS/POPULATIONS * CHRONIC LOWER RESPIRATORY DISEASE (COPD) * CANCER * ADULT OBESITY * HEART DISEASE * PHYSICAL INACTIVITY * ACCESS TO CARE * BRAIN DISORDERS (MENTAL/EMOTIONAL HEALTH) * VIOLENT CRIME * LIMITED ACCESS TO HEALTHY FOODS * ADDICTION/SUBSTANCE ABUSE * ADULT SMOKING * LIMITED HEALTH KNOWLEDGE AND EDUCATION * NEED FOR IMPROVED COMMUNICATION OF AVAILABLE SERVICES * UNINSURED * CHILDREN IN POVERTY
SCHEDULE H, PART VI, LINES 2, 4 AND 5	THESE NEEDS WERE THEN MAPPED TO THE HEALTH IMPROVEMENT EFFORTS OF THE MAYOR'S HEALTHY HOMETOWN MOVEMENT IN ORDER TO INCREASE COLLABORATIVE EFFORTS TO HAVE THE GREATEST OPPORTUNITY FOR MEASURABLE, COLLECTIVE IMPACT. COMMUNITY BENEFIT PROCESS FOR THE FUTURE IN ACCORDANCE WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND IN ORDER TO HONOR ITS COMMITMENT TO THE COMMUNITY, KENTUCKYONE HEALTH IS REPEATING THIS COORDINATED APPROACH WITH THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS AND OTHER AREA HOSPITAL SYSTEMS TO SURVEY THE COMMUNITY AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2015. A REPORT DUE IN 2016 WILL CAPTURE THESE CURRENT COMMUNITY SENTIMENTS AND GUIDE COMMUNITY BENEFIT WORK IN FY2017-2019 THROUGH AN IMPLEMENTATION STRATEGY. THIS IMPLEMENTATION STRATEGY WILL BUILD UPON THE PREVIOUS CHNA PUBLISHED IN 2013 THAT GUIDED COMMUNITY BENEFIT WORK IN FY2014-2016. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT THESE HOSPITALS PROMOTE THE COMMUNITY'S HEALTH BY RESPONDING TO THE FOUR MAJOR PILLARS OF COMMUNITY BENEFIT ACTIVITIES: IMPROVING ACCESS, ENHANCING COMMUNITY HEALTH, ADVANCING MEDICAL KNOWLEDGE, AND REDUCING GOVERNMENT BURDEN OF CARE. COMMUNITY OUTREACH FOR THE POOR THEY PROVIDE ADDITIONAL ACCESS TO HEALTH CARE SERVICES IN UNDERSERVED AREAS OF JEFFERSON COUNTY. ULH\|JGBCC WORKS TO RELIEVE THE GOVERNMENT'S BURDEN BY CARING FOR THE INDIGENT IN JEFFERSON COUNTY. ULH\|JGBCC HAS ALSO PROVIDED 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. ULH\|JGBCC 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. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY MOST COMMUNITY OUTREACH IS OPEN TO THE PUBLIC, WHICH SERVES THE BROADER COMMUNITY. ONE INITIATIVE THAT SIMULTANEOUSLY IMPROVES ACCESS TO HEALTHCARE AND PROMOTES HEALTH LIVING IS WALK WITH A DOC, WHICH IS FREE, OPEN TO THE PUBLIC, AND HELD IN THREE SEPARATE GEOGRAPHIC LOCATIONS IN THE LOUISVILLE MARKET. KENTUCKYONE HEALTH COMPLETELY ABSORBS THE COST OF THIS PROGRAM, INCLUDING FEES AND ALLOCATING STAFF TIME IN ORDER TO PROVIDE THIS BENEFIT TO THE WHOLE COMMUNITY. HEALTH PROFESSIONS EDUCATION AS TEACHING HOSPITALS, THEY WORK TO ADVANCE MEDICAL KNOWLEDGE FOR MANY DIFFERENT SPECIALIZATIONS OF HEALTH PROFESSIONALS. IN FY2014, 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 UNIVERSITY OF LOUISVILLE, THE UNIVERSITY OF KENTUCKY, SPALDING UNIVERSITY, GALEN COLLEGE OF NURSING, BELLARMINE UNIVERSITY, AND JEFFERSON COMMUNITY AND TECHNICAL COLLEGE, AMONG OTHERS.
SCHEDULE H, PART VI, LINES 2, 4 AND 5	COMMUNITY BUILDING ACTIVITIES THE HOSPITALS 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. ALL HOSPITALS ALSO DONATE SUPPLIES TO SUPPLIES OVERSEAS. COLLABORATING PARTNERS FOR COMMUNITY BUILDING ACTIVITIES 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. LIST OF SERVICES PER LOUISVILLE MARKET FACILITY JEWISH HOSPITAL * CANCER CARE * 24/7 EMERGENCY CARE * HAND AND MICROSURGERY * HEART CARE * HOME CARE * MINIMALLY INVASIVE SURGERY * NEUROLOGY CARE * ORTHOPEDIC CARE * PALLIATIVE CARE * PHARMACY * PODIATRY CARE * REHABILITATION CARE-FRAZIER REHAB * SLEEP CARE * SPORTS MEDICINE * TRANSPLANT CARE * VASCULAR CARE * WOMEN'S CARE * WOUND CARE JEWISH HOSPITAL SHELBYVILLE * 24/7 EMERGENCY CARE * CRITICAL CARE * DIAGNOSTIC IMAGING * CARDIAC & PULMONARY REHABILITATION * GENERAL SURGERY, INCLUDING LASER AND LAPAROSCOPY * ENDOSCOPY * GASTROENTEROLOGY * COMPREHENSIVE GYNECOLOGY * ORTHOPEDIC CARE
SCHEDULE H, PART VI, LINES 2, 4 AND 5	* PAIN MANAGEMENT * SLEEP MEDICINE * WOUND HEALING CENTER * FRAZIER REHAB INSTITUTE (PHYSICAL, OCCUPATIONAL & SPEECH THERAPIES) * OCCUPATIONAL MEDICINE * CLINICAL LABORATORY AND PHARMACY OUR LADY OF PEACE * MENTAL HEALTH SERVICES FOR PATIENTS WITH EMOTIONAL/BEHAVIORAL, PSYCHIATRIC DISORDERS AND/OR CHEMICAL DEPENDENCIES * SHORT-TERM ACUTE/SEMI-ACUTE INPATIENT CARE PROGRAMS * TREATMENT ALTERNATIVES SUCH AS PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAMS FOR CHILDREN, ADOLESCENTS AND ADULTS FRAZIER REHABILITATION INSTITUTE * ACUTE CARE REHAB * ADAPTIVE SPORTS PROGRAM * ALS CLINIC * AMPUTEE REHAB PROGRAM * ANIMAL ASSISTED THERAPY * AQUATIC THERAPY * ASSISTIVE TECHNOLOGY * BRAIN INJURY PROGRAM * COMMUNITY AND WORK RE-ENTRY * COMMUNITY BASED REHAB * COMMUNITY FITNESS AND WELLNESS FACILITY * DRIVER'S EDUCATION AND TRAINING PROGRAM * FRAZIER WATER PROTOCOL * HUMAN LOCOMOTION RESEARCH CENTER * MOVEMENT DISORDERS/PARKINSON DISEASE PROGRAM * NEUROPSYCHOLOGY/PSYCHOLOGY SERVICES * NEURORECOVERY NETWORK * NEUROREHAB PROGRAM * NEUROSCIENCE COLLABORATIVE CENTER * PEDIATRIC REHAB PROGRAM * PULMONARY REHAB PROGRAM * SPINAL CORD MEDICINE PROGRAM * SPORTS MEDICINE PROGRAM * STROKE REHAB PROGRAM * WOMEN'S HEALTH - PELVIC FLOOR THERAPY
SCHEDULE H, PART VI, LINES 2, 4 AND 5	UNIVERSITY OF LOUISVILLE HOSPITAL * 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
Schedule H, Part VI, Line 2, Needs assessment.	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.
Schedule H, Part VI, Line 3, Patient education of eligibility for assistance.	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'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'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.
Schedule H, Part VI, Line 6, Affiliated health care system	UNIVERSITY MEDICAL CENTER, INC., ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES, ARE PART OF 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 92 HOSPITALS, INCLUDING FOUR ACADEMIC MEDICAL CENTERS, AND 24 CRITICAL ACCESS FACILITIES; COMMUNITY HEALTH SERVICE ORGANIZATIONS; ACCREDITED NURSING COLLEGES; HOME HEALTH AGENCIES; AND OTHER FACILITIES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. TOGETHER, THESE FACILITIES PROVIDED $910 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2014 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, INC. OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS TO SERVE THE HEALTH CARE NEEDS OF THE LOUISVILLE, KENTUCKY COMMUNITIES.
Schedule H, Part VI, Line 7, State filing of community benefit report	KY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2
BRAIN INJURY ALLIANCE OF KENTUCKY
7410 NEW LAGRANGE ROAD	LOUISVILLE	KY	40222	611128496	501C(3)	$54,000	GENERAL SUPPORT
U OF L PHYSICIANS-WINGS CLINIC
550 S JACKSON STREET	LOUISVILLE	KY	40202	610129626	501C(3)	$24,570	PHARMACY AND ACADEMIC SUPPORT	UNIV OF LOUISVILLE-INFECTIOUS DIS
UNIVERSITY OF LOUISVILLE
UNIVERSITY OF LOUISVILLE	LOUISVILLE	KY	40202	611029626	GOV UNIT	$5,000	GENERAL SUPPORT
ST CATHERINE COLLEGE
310 XAVIER CAMPUS	BARDSTOWN	KY	40004	610956809	501C(3)	$60,000	PROGRAM SUPPORT
KENTUCKY PHYSICIAN HEALTH FOUNDATION
9000 WESSEX PLACE	LOUISVILLE	KY	40222	611242062	501C(3)	$5,000	GENERAL SUPPORT	SUITE 305
BRIDGEHAVEN INC
950 S FIRST STREET	LOUISVILLE	KY	40203	610548949	501C(3)	$5,000	GENERAL SUPPORT
MARCH OF DIMES
4802 SHERBURN LANE	LOUISVILLE	KY	40207	131846336	501C(3)	$12,500	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES H TAYLOR MD PHD
PRESIDENT & CEO	$581,405	$0	$0	$0	$0	$0	$0	$0	$310,148	$0	$891,553	$0	$0	$0
ROBERT BARBIER
SVP-CFO	$434,316	$0	$0	$0	$0	$0	$0	$0	$37,698	$0	$472,014	$0	$0	$0
MARY ADAMS
SVP-CNO	$318,445	$0	$0	$0	$0	$0	$0	$0	$57,880	$0	$376,325	$0	$0	$0
KENNETH P MARSHALL
PRESIDENT	$506,450	$0	$0	$0	$0	$0	$0	$0	$63,767	$0	$570,217	$0	$0	$0
GARY BENSING
VP-HR	$353,610	$0	$0	$0	$0	$0	$0	$0	$49,710	$0	$403,320	$0	$0	$0
LINDA LLOYD
VP CLINICAL OPS IMPROVEMENT	$238,292	$0	$0	$0	$0	$0	$0	$0	$33,921	$0	$272,213	$0	$0	$0
STEPHEN MCGUIRE
VP-COMPLIANCE	$244,564	$0	$0	$0	$0	$0	$0	$0	$33,945	$0	$278,509	$0	$0	$0
STEPHEN AMSLER
VP-PLANT OPS FACILITY SVCS	$205,666	$0	$0	$0	$0	$0	$0	$0	$28,388	$0	$234,054	$0	$0	$0
DONALD KUPPER
VP-SUPPLY CHAIN OPS	$263,361	$0	$0	$0	$0	$0	$0	$0	$37,690	$0	$301,051	$0	$0	$0
TROY MAY
CHIEF INFORMATION OFFICIER	$320,532	$0	$0	$0	$0	$0	$0	$0	$48,270	$0	$368,802	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan	FormAndLineReferenceDesc
Explanation	UNIVERSITY MEDICAL CENTER, INC. MAINTAINS A SPLIT DOLLAR SERP PLAN AND NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	320049006	BondIssuerEIN
Bond Issued	2008-09-05	BondIssuedDt
Issue Price	$16,000,000	IssuePriceAmt
Purpose	SEE SCHEDULE K, PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$13,883,936	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$16,118,030	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$16,118,030	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2009	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Exception To Rebate	Yes (true)	ExceptionToRebateInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Term Of Hedge	0.0	TermOfHedgePct
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0.0	TermOfGICPct
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	, LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT 2008	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JIM TAYLOR	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship With Org	FORMER CEO	RelationshipWithOrgTxt
Loan Purpose	LIFE INSURANCE	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$1,333,000	OriginalPrincipalAmt
Balance Due	$1,333,000	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$1,333,000	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body	NO REVIEW WAS OR WILL BE CONDUCTED.
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy	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.
Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official	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.
Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees	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.
Form 990, Part VI, Sec C, Line 19, Required documents available to the public	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
Form 990, Part IX, Line 11g, Other Expenses	- TOTAL EXPENSE: 47797548, PROGRAM SERVICE EXPENSE: 47797548, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACT SERVICES - TOTAL EXPENSE: 46044993, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 46044993, FUNDRAISING EXPENSES: ;
Form 990 , Part XI, Line 9, Other changes in net assets or fund balances	JOA EQUITY TRANSFER - XXX-XX-XXXX;
, COMP OF OFFFICERS, DIRECTORS, KEY EMP & HIGHEST PAID EMP AND CONTRACTORS	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.